Pressure injury prevalence in critical care settings: An observational pre‐post intervention study

Alshahrani, B; Middleton, R; Rolls, K; Sim, J

Pressure injury prevalence in critical care settings: An observational pre‐post intervention study

Alshahrani, B Middleton, R Rolls, K Sim, J

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Nursing Open, 2024, 11, (2), pp. e2110
Issue Date:: 2024-02

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Field	Value	Language
dc.contributor.author	Alshahrani, B
dc.contributor.author	Middleton, R
dc.contributor.author	Rolls, K
dc.contributor.author	Sim, J
dc.date.accessioned	2025-01-28T05:08:16Z
dc.date.available	2024-01-16
dc.date.available	2025-01-28T05:08:16Z
dc.date.issued	2024-02
dc.identifier.citation	Nursing Open, 2024, 11, (2), pp. e2110
dc.identifier.issn	2054-1058
dc.identifier.issn	2054-1058
dc.identifier.uri	http://hdl.handle.net/10453/184281
dc.description.abstract	AIM To explore pressure injury prevention practices and evaluate the impact of an educational intervention on PI prevalence before and after an educational intervention. DESIGN A multi-centre observational study. METHOD Data were collected at two time points in May 2021 and April 2022 using a Qualtrics online form. Two Registered Nurses at each site collected observational data at each time point by diagnosing and staging any identified pressure injuries as part of a prevalence study. Patients admitted to participating units were included. RESULTS A total of 181 patients in critical care units were included at the two-time points. Pressure injury prevalence was 60.9 at the outset, with 52.9 hospital-acquired, 37.9 unit-acquired and 23.0 medical device-related. Post-intervention prevalence decreased significantly to 28.7 , including 21.3 hospital-acquired, 14.9 unit-acquired, and 8.5 medical device-related. Pressure injuries were prominent in the sacral region, head area, and heels. Stages I and II pressure injuries were the most common. Increased age and longer ICU stays are linked to a heightened risk of pressure injury development in critically ill patients, whereas higher haemoglobin levels show an inverse relationship with the development of both pressure injury and severe stages in the univariate analysis. The predictive models revealed that increased age and longer ICU stays are predictors for both pressure injury development and progression to severe stages, while Braden scores predict the likelihood of developing severe stages of pressure injuries. CONCLUSIONS This study has identified a benchmark for pressure injury prevalence in critical care units in Saudi Arabia. The results demonstrate that pressure injuries can be prevented in critically ill patients when evidence-based education strategies are implemented. PATIENT CARE IMPACT Pressure injuries are an important issue for critically ill patients and can be prevented with proper investments. Strategies t
dc.format	Print
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Nursing Open
dc.relation.isbasedon	10.1002/nop2.2110
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	4204 Midwifery
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Critical Care
dc.subject.mesh	Critical Illness
dc.subject.mesh	Crush Injuries
dc.subject.mesh	Pressure Ulcer
dc.subject.mesh	Prevalence
dc.subject.mesh	Humans
dc.subject.mesh	Critical Illness
dc.subject.mesh	Critical Care
dc.subject.mesh	Prevalence
dc.subject.mesh	Pressure Ulcer
dc.subject.mesh	Crush Injuries
dc.subject.mesh	Humans
dc.subject.mesh	Critical Care
dc.subject.mesh	Critical Illness
dc.subject.mesh	Crush Injuries
dc.subject.mesh	Pressure Ulcer
dc.subject.mesh	Prevalence
dc.title	Pressure injury prevalence in critical care settings: An observational pre‐post intervention study
dc.type	Journal Article
utslib.citation.volume	11
utslib.location.activity	United States
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated	2025-01-28T05:08:14Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	11
utslib.citation.issue	2

Abstract:

AIM To explore pressure injury prevention practices and evaluate the impact of an educational intervention on PI prevalence before and after an educational intervention. DESIGN A multi-centre observational study. METHOD Data were collected at two time points in May 2021 and April 2022 using a Qualtrics online form. Two Registered Nurses at each site collected observational data at each time point by diagnosing and staging any identified pressure injuries as part of a prevalence study. Patients admitted to participating units were included. RESULTS A total of 181 patients in critical care units were included at the two-time points. Pressure injury prevalence was 60.9 at the outset, with 52.9 hospital-acquired, 37.9 unit-acquired and 23.0 medical device-related. Post-intervention prevalence decreased significantly to 28.7 , including 21.3 hospital-acquired, 14.9 unit-acquired, and 8.5 medical device-related. Pressure injuries were prominent in the sacral region, head area, and heels. Stages I and II pressure injuries were the most common. Increased age and longer ICU stays are linked to a heightened risk of pressure injury development in critically ill patients, whereas higher haemoglobin levels show an inverse relationship with the development of both pressure injury and severe stages in the univariate analysis. The predictive models revealed that increased age and longer ICU stays are predictors for both pressure injury development and progression to severe stages, while Braden scores predict the likelihood of developing severe stages of pressure injuries. CONCLUSIONS This study has identified a benchmark for pressure injury prevalence in critical care units in Saudi Arabia. The results demonstrate that pressure injuries can be prevented in critically ill patients when evidence-based education strategies are implemented. PATIENT CARE IMPACT Pressure injuries are an important issue for critically ill patients and can be prevented with proper investments. Strategies t

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http://hdl.handle.net/10453/184281