#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Pres­sure lesion monitoring –  data set validation after second pilot data col­lection


Authors: A. Pokorná 1;  J. Mužík 1;  P. Búřilová 1;  S. Saibertová 1;  L. Kubátová T. Kelbich 2 3;  E. Koblihová 2;  N. Müllerová 4;  P. Camprová 5;  D. Svobodová 6
Authors place of work: Katedra ošetřovatelství, LF MU, Brno 1;  Chirurgická klinika ÚVN – VFN Praha 2;  Oddělení řízení kvality zdravotní péče, ÚVN – VFN Praha 3;  Centrum řízení kvality, FN Plzeň 4;  I. chirurgická klinika VFN Praha 5;  Úsek pro nelékařská zdravotnická povolání, VFN Praha 6
Published in the journal: Cesk Slov Neurol N 2018; 81(Suplementum 1): 6-12
Category: Původní práce
doi: https://doi.org/10.14735/amcsnn2018S6

Summary

Aim:

To present the validation process of the data standard for the col­lection of data on pres­sure ulcers and, in particular, to identify the neces­sary and un­neces­sary items that should be monitored at the local level of the health service providers. On the contrary, the aim is not to compare the number of records of pres­sure ulcers and occur­rence of pres­sure ulcers, but to as­sess the pos­sibility of data col­lection in clinical practice and to as­sess their usability in relation to the measures neces­sary for the provision of care.

Methodology:

Second pilot validation of the dataset was car­ried out in three participat­­ing university hospitals (centres) in the Czech Republic for a period of 6 months (2nd half of 2017). The first pre-pilot validation was organised in the previous 6 months. Statistical analysis of data was performed in SPSS (IBM Corp., Armonk, NY, USA) at a significance level of 0.05.

Results:

In total, data from 320 records of patients were submitted from all three centres, with 310 completed history records and 498 records of pres­sure ulcers. There were no statistical­ly significant dif­ferences in data availability and completion of the standardized data set in the required structure (p > 0.05). Based on an as­ses­sment of the administrative burden and the clinical benefit of the data, changes were made to the final data standard.

Conclusion:

The prepared technical description of the standardized and validated dataset together with the technical description of the software will al­low simple implementation at national level to unify the special dataset for monitor­­ing of pres­sure ulcers.

Key words:

pressure ulcers monitoring – uniform assessment – nursing education – data collection – validaton

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.


Zdroje

1. Col­lier M. Pres­sure ulcer incidence: the development and benefits of 10 year’s-experience with an electronic monitor­­ing tool (PUNT) in a UK Hospital Trust. EWMA Journal 2015; 15(2): 15– 20.

2. Pokorná A, Benešová K, Mužík J et al. Sledování dekubitálních lézí u pa­cientů s neurologickým onemocněním –  analýza Národního registru hospitalizovaných. Cesk Slov Neurol N 2016; 79/ 111 (Suppl 1): S8– S14. doi: 10.14735/ amcsn­n2016S8.

3. Pokorná A, Saibertová S, Vasmanská S et al. Registers of pres­sure ulcers in an international context. Cent Eur J Nurs Midwifery 2016; 7(2): 444– 452. doi: 10.15452/ CEJNM.2016.07.0013.

4. Pokorná A, Benešová K, Jarkovský J et al. Pres­sure injuries in inpatient care facilities in the Czech Republic. J Wound Ostomy Continence Nurs 2017; 44(4): 331– 335. doi: 10.1097/ WON.0000000000000344.

5. Gun­ningberg L, Hom­mel A, Bååth C et al. The first national PU prevalence survey in county council and municipality settings in Sweden. J Eval Clin Pract 2013; 19(5): 862– 867. doi: 10.1111/ j.1365-2753.2012.01865.x.

6. Demar­ré L, Van Lancker A, Van Hecke A et al. The cost of prevention and treatment of pres­sure ulcers: a systematic review. Int J Nurs Stud 2015; 52(11): 1754– 1774. doi: 10.1016/ j.ijnurstu.2015.06.006.

7. Demar­ré L, Verhaeghe S, An­nemans L et al. The cost of pres­sure ulcer prevention and treatment in hospitals and nurs­­ing homes in Flanders: a cost-of-il­lness study. Int J Nurs Stud 2015; 52(7): 1166– 1179. doi: 10.1016/ j.ijnurstu.2015.03.005.

8. Pokorná A, Jarkovský J, Mužík J et al. A new online software tool for pres­sure ulcer monitor­­ing as an educational instrument for unified nurs­­ing as­ses­s­ment in clinical settings. MEFANET Journal 2016; 4(1): 26– 32.

9. Alhaug J, Gay CL, Henriksen C et al. Pres­sure ulcer is as­sociated with malnutrition as as­ses­sed by Nutritional Risk Screen­­ing (NRS 2002) in a mixed hospital population. Food Nutr Res 2017; 61(1): 1324230. doi: 10.1080/ 16546628.2017.1324230.

10. Jeong M K, Hyunjeong L, Taehoon H et al. Perioperative factors as­sociated with pres­sure ulcer development after major surgery. Korean J Anesthesiol 2018; 71(1): 48– 56. doi: 10.4097/ kjae.2018.71.1.48.

11. Hong-Lin Ch, Xiao-Yan C, Juan W. The incidence of pres­sure ulcers in surgical patients of the last 5 years: a systematic review. Wounds 2012; 24(9): 234– 241.

12. Schoonhoven L, Defloor T, Grypdonck MH. Incidence of pres­sure ulcers due to surgery. J Clin Nurs 2002; 11(4): 479– 487.

13. Kottner J, Balzer K. Do pres­sure ulcer risk as­ses­sment scales improve clinical practice? J Multidiscip Healthc 2010; 3(3): 103– 111. doi: 10.2147/ JMDH.S9286.

14. Mitchell I, Schuster A, Smith K et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after ‚To Err is Human‘. BMJ Qual Saf 2016; 25(2): 92– 99. doi: 10.1136/ bmjqs-2015-004405.

15. Stavropoulou C, Doherty C, Tosey P. How ef­fective are incident-report­­ing systems for improv­­ing patient safety? A systematic literature review. Milbank Q 2015; 93(4): 826– 866. doi: 10.1111/ 1468-0009.12166.

16. De Veer AJ, Franke AL. Attitudes of nurs­­ing staff towards electronic patient records: a question­naire survey. Int J Nurs Stud 2010; 47(7): 846– 854. doi: 10.1016/ j.ijnurstu.2009.11.016.

17. Stevenson JE, Nils­son GC, Peterson GI et al. Nurses experience of us­­ing electronic patient records in everyday practice in acute/ inpatient ward settings: a literature review. Health Informatics J 2010; 16(1): 63– 72. doi: 10.1177/ 1460458209345901.

18. Li J, Westbrook J, Cal­len, J et al. The role of ICT in support­­ing the disruptive in­novation: a multisite qualitative study of nurse practitioners in emergency departments. BMC Med Inform Decis Mak 2012; 12: 27. doi: 10.1186/ 1472-6947-12-27.

Štítky
Dětská neurologie Neurochirurgie Neurologie

Článek vyšel v časopise

Česká a slovenská neurologie a neurochirurgie

Číslo Suplementum 1

2018 Číslo Suplementum 1
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

Svět praktické medicíny 3/2024 (znalostní test z časopisu)
nový kurz

Kardiologické projevy hypereozinofilií
Autoři: prof. MUDr. Petr Němec, Ph.D.

Střevní příprava před kolonoskopií
Autoři: MUDr. Klára Kmochová, Ph.D.

Aktuální možnosti diagnostiky a léčby litiáz
Autoři: MUDr. Tomáš Ürge, PhD.

Závislosti moderní doby – digitální závislosti a hypnotika
Autoři: MUDr. Vladimír Kmoch

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#