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Full-Text Articles in Medicine and Health Sciences
An Educational Intervention Differentiating Pressure Injuries From End-Of-Life Wounds, Alicia Perez Varela, Annette Callis
An Educational Intervention Differentiating Pressure Injuries From End-Of-Life Wounds, Alicia Perez Varela, Annette Callis
Providence Nursing Research Conference 2023 – Present
Background
End-of-life (EOL) wounds are identified in the literature as Kennedy Terminal Ulcers (KTU), Skin Failure (SF), Trombley-Brennan Terminal Tissue Injury (TB-TTI), and SCALE (Skin Changes at Life’s End). EOL wounds have a similar appearance to pressure injuries (PIs) with a fundamentally different etiology. The misclassification of EOL wounds as PIs results in increased Hospital Acquired Pressure Injuries (HAPI), hospital fines, and less-than-optimal EOL wound management.
Purpose
To examine the effectiveness of an educational intervention on EOL wounds in increasing nurse confidence in providing End-of-Life Care (EOLC) and differentiating PIs from EOL wounds.
Methods
This quasi-experimental study used the 28-item …
Fall Prevention Quality Initiative: Implementation Of Fall Ambassador Safety Team (Fast), Jerome Codilla, Joanna Arraiza
Fall Prevention Quality Initiative: Implementation Of Fall Ambassador Safety Team (Fast), Jerome Codilla, Joanna Arraiza
Providence Nursing Research Conference 2023 – Present
Background
Patient falls are the most common adverse events reported in hospitals and represent a persistent patient safety issue. Annually, roughly 700,000 to 1 million patient falls occur in United States hospitals, resulting in around 250,000 injuries and up to 11,000 deaths (LeLaurin et al., 2019). Nurses are responsible for the identification of high fall risk patients and development of a plan of care to minimize risk. Multifactorial strategies have been shown to reduce falls, but evidence of a sustainability team (fall champions) is lacking. Review of the National Database of Nursing Quality Indicators (NDNQI) data on a 33-bed progressive …
A Quality Improvement Project To Decrease New Or Worsening Pressure Ulcers In A Skilled Nursing Facility (D-Pus Snf), Shaune Mattsson
A Quality Improvement Project To Decrease New Or Worsening Pressure Ulcers In A Skilled Nursing Facility (D-Pus Snf), Shaune Mattsson
Providence Nursing Research Conference 2023 – Present
Background:
Pressure ulcers (PU) are a "localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or shear/friction". PU are an urgent problem in the United States (U.S.). Residents in skilled nursing facilities (SNF) are disproportionately affected, with 9.2% of residents estimated to suffer a PU nationally. The Braden Scale is gold standard for identifying individuals at risk for PU in healthcare settings across the continuum and grades PU risk in 6 categories: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. To protect against PU, a Braden Scale must be documented on …
A Quality Improvement Project To Reduce Hospital Acquired Pressure Injuries In Patients With Darker Pigmented Skin, Ma Fe Chase, Travis Scott, Renee Hoeskel, Yolanda Rodriquez
A Quality Improvement Project To Reduce Hospital Acquired Pressure Injuries In Patients With Darker Pigmented Skin, Ma Fe Chase, Travis Scott, Renee Hoeskel, Yolanda Rodriquez
Providence Nursing Research Conference 2023 – Present
Purpose: This quality improvement (QI) project aims to improve the accuracy and effectiveness of skin assessments for patients with darker skin tones in preventing hospital-acquired pressure injuries (HAPIs) by implementing an evidence-based, standardized skin assessment protocol and training program.
Background: Nursing staff play a vital role in preventing HAPIs. Nearly 2.5 million patients develop HAPIs annually in the United States increasing their risk of prolonged hospitalization, increased readmission, infections, and severe pain. Preventing HAPIs continues to be top priority in acute care facilities. Recent audits at a large urban Pacific Northwest hospital revealed high HAPI rates with a staff …