Program

Event Title

Does Implementing a Pressure Ulcer Pressure Bundle Decrease Pressure Ulcer Incidence in the ICU Adult Population?

Presenter Information

Linda Young, Alfred StateFollow

Location

215 Hartwell

Description

The intent of the study was to explore the relationship between implementing a pressure ulcer prevention bundle and its effect on pressure ulcer incidence in an adult ICU setting. Pressure Ulcers are costly and impact the health of adult ICU patients. Despite advances, a large percentage of ICU patients suffer from hospital acquired pressure ulcers in intensive care units. Information about the relationship of bundled evidence-based pressure ulcer prevention interventions and the incidence of pressure ulcers demands further study. This study compared pressure ulcer(PU)incidence rates before and after the implementation of a PU prevention bundle. The study group consisted of a convenience sample of n= 286 adult ICU patients in an urban hospital. The bundle included an nursing educational component, nursing interventions linked to Braden sub scale scores and factored in patient co-morbidity. Data collected included: demographics, incidence rates, and Braden sub scale scores. Descriptive data was collected and analyzed. PU incidence rates ranged from 10 to 17% in the ICU prior to the implementation of the PU prevention bundle. PU incidence fell to 0% during the study period. Implementation of a pressure ulcer prevention bundle reduced PU incidence rates for the study population. The study also revealed gaps & barriers in the implementation of components of the bundle. Further study is required to explore the affects of systematic gaps & barriers on implementation of bundled practice and to explore relationships between variables in the study that may affect outcomes.

Start Date

20-4-2013 1:45 PM

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Apr 20th, 1:45 PM

Does Implementing a Pressure Ulcer Pressure Bundle Decrease Pressure Ulcer Incidence in the ICU Adult Population?

215 Hartwell

The intent of the study was to explore the relationship between implementing a pressure ulcer prevention bundle and its effect on pressure ulcer incidence in an adult ICU setting. Pressure Ulcers are costly and impact the health of adult ICU patients. Despite advances, a large percentage of ICU patients suffer from hospital acquired pressure ulcers in intensive care units. Information about the relationship of bundled evidence-based pressure ulcer prevention interventions and the incidence of pressure ulcers demands further study. This study compared pressure ulcer(PU)incidence rates before and after the implementation of a PU prevention bundle. The study group consisted of a convenience sample of n= 286 adult ICU patients in an urban hospital. The bundle included an nursing educational component, nursing interventions linked to Braden sub scale scores and factored in patient co-morbidity. Data collected included: demographics, incidence rates, and Braden sub scale scores. Descriptive data was collected and analyzed. PU incidence rates ranged from 10 to 17% in the ICU prior to the implementation of the PU prevention bundle. PU incidence fell to 0% during the study period. Implementation of a pressure ulcer prevention bundle reduced PU incidence rates for the study population. The study also revealed gaps & barriers in the implementation of components of the bundle. Further study is required to explore the affects of systematic gaps & barriers on implementation of bundled practice and to explore relationships between variables in the study that may affect outcomes.