Pediatric Skin Integrity Practice Guideline for Institutional Use: A Quality Improvement Project

Superior skin care is a nurse-sensitive outcome measure (Young, T., & Clark, M. (2009). Re-positioning for pressure ulcer prevention (protocol). The Cochrane Database of Systematic Review (2009) 3). This study sought to decrease incidence and risk of skin breakdown in the pediatric cardiac inten...

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Veröffentlicht in:Journal of pediatric nursing 2014-07, Vol.29 (4), p.362-367
Hauptverfasser: Kiss, Elizabeth A., Heiler, Mark
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container_title Journal of pediatric nursing
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creator Kiss, Elizabeth A.
Heiler, Mark
description Superior skin care is a nurse-sensitive outcome measure (Young, T., & Clark, M. (2009). Re-positioning for pressure ulcer prevention (protocol). The Cochrane Database of Systematic Review (2009) 3). This study sought to decrease incidence and risk of skin breakdown in the pediatric cardiac intensive care unit (PCICU). The study was conducted in a large hospital in upstate New York. A practice guideline was created and guided PCICU nurses on the interventions for potential skin-breakdown issues in their patients. The patients had a significant change in skin breakdown with a one-sided Fisher's Exact Test (p=.0422). A logistic regression model showed intervention as a significant factor in reducing incidence of pressure ulcers and length of stay (p=.0389).
doi_str_mv 10.1016/j.pedn.2014.01.012
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source MEDLINE; Elsevier ScienceDirect Journals; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Adolescent
Breakdown
Child
Child, Preschool
Critical care
Critical Care - standards
Female
Follow-Up Studies
Hospitalization
Hospitals
Hospitals, Pediatric - standards
Humans
Inpatient
Intensive care
Intensive care unit
Intensive Care Units, Pediatric - standards
Interventions
Logistic Models
Male
New York
Nurse
Nursing
Nursing care
Paediatrics
Pediatric
Pediatric Nursing - standards
Pediatrics
Practice Guidelines as Topic
Pressure sores
Pressure Ulcer - prevention & control
Pressure Ulcer - therapy
Pressure ulcers
Quality Improvement
Quality management
Risk Assessment
Skin breakdown
Skin Care - nursing
Skin integrity
Treatment Outcome
Wound
Wound healing
title Pediatric Skin Integrity Practice Guideline for Institutional Use: A Quality Improvement Project
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