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 |
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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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(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). 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Saunders Company/JNL Jul-Aug 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-fd445d8a5585c250fedce09a58f3715bbabc7ccbba7deadb99bdc9ebd9c1a4e53</citedby><cites>FETCH-LOGICAL-c450t-fd445d8a5585c250fedce09a58f3715bbabc7ccbba7deadb99bdc9ebd9c1a4e53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pedn.2014.01.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,30980,30981,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24582648$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kiss, Elizabeth A.</creatorcontrib><creatorcontrib>Heiler, Mark</creatorcontrib><title>Pediatric Skin Integrity Practice Guideline for Institutional Use: A Quality Improvement Project</title><title>Journal of pediatric nursing</title><addtitle>J Pediatr Nurs</addtitle><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).</description><subject>Adolescent</subject><subject>Breakdown</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Critical care</subject><subject>Critical Care - standards</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Hospitals, Pediatric - standards</subject><subject>Humans</subject><subject>Inpatient</subject><subject>Intensive care</subject><subject>Intensive care unit</subject><subject>Intensive Care Units, Pediatric - standards</subject><subject>Interventions</subject><subject>Logistic Models</subject><subject>Male</subject><subject>New York</subject><subject>Nurse</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Paediatrics</subject><subject>Pediatric</subject><subject>Pediatric Nursing - standards</subject><subject>Pediatrics</subject><subject>Practice Guidelines as Topic</subject><subject>Pressure sores</subject><subject>Pressure Ulcer - prevention & control</subject><subject>Pressure Ulcer - therapy</subject><subject>Pressure ulcers</subject><subject>Quality Improvement</subject><subject>Quality management</subject><subject>Risk Assessment</subject><subject>Skin breakdown</subject><subject>Skin Care - nursing</subject><subject>Skin integrity</subject><subject>Treatment Outcome</subject><subject>Wound</subject><subject>Wound healing</subject><issn>0882-5963</issn><issn>1532-8449</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkU1r3DAQhkVISbZp_0AOxZBLL95KssaWSi4htOlCoCltzqosjYtcf2wkOZB_X2026aGHEhiYy_O-DPMQcsromlFWf-jXW3TTmlMm1pTl4QdkxaDipRRCHZIVlZKXoOrqmLyOsaeUMWjUETnmAiSvhVyRnzfovEnB2-L7bz8Vmynhr-DTQ3ETjE3eYnG1eIeDn7Do5pCBmHxakp8nMxS3ET8WF8W3xQy7zGbchvkeR5xSzs892vSGvOrMEPHt0z4ht58__bj8Ul5_vdpcXlyXVgBNZeeEACcNgATLgXboLFJlQHZVw6BtTWsba_NuHBrXKtU6q7B1yjIjEKoT8n7fmy-4WzAmPfpocRjMhPMSNQPgVVM38CKUKllXsnoBmq-ToB5bz_5B-3kJ-UmPlFKqkrXIFN9TNswxBuz0NvjRhAfNqN5Z1b3eWdU7q5qyPDyH3j1VL-2I7m_kWWMGzvcA5g_feww6Wo-TzW5DdqDd7P_X_wdvubQL</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Kiss, Elizabeth A.</creator><creator>Heiler, Mark</creator><general>Elsevier Inc</general><general>W.B. Saunders Company/JNL</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20140701</creationdate><title>Pediatric Skin Integrity Practice Guideline for Institutional Use: A Quality Improvement Project</title><author>Kiss, Elizabeth A. ; Heiler, Mark</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-fd445d8a5585c250fedce09a58f3715bbabc7ccbba7deadb99bdc9ebd9c1a4e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Breakdown</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Critical care</topic><topic>Critical Care - standards</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Hospitals, Pediatric - standards</topic><topic>Humans</topic><topic>Inpatient</topic><topic>Intensive care</topic><topic>Intensive care unit</topic><topic>Intensive Care Units, Pediatric - standards</topic><topic>Interventions</topic><topic>Logistic Models</topic><topic>Male</topic><topic>New York</topic><topic>Nurse</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>Paediatrics</topic><topic>Pediatric</topic><topic>Pediatric Nursing - standards</topic><topic>Pediatrics</topic><topic>Practice Guidelines as Topic</topic><topic>Pressure sores</topic><topic>Pressure Ulcer - prevention & control</topic><topic>Pressure Ulcer - therapy</topic><topic>Pressure ulcers</topic><topic>Quality Improvement</topic><topic>Quality management</topic><topic>Risk Assessment</topic><topic>Skin breakdown</topic><topic>Skin Care - nursing</topic><topic>Skin integrity</topic><topic>Treatment Outcome</topic><topic>Wound</topic><topic>Wound healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kiss, Elizabeth A.</creatorcontrib><creatorcontrib>Heiler, Mark</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kiss, Elizabeth A.</au><au>Heiler, Mark</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pediatric Skin Integrity Practice Guideline for Institutional Use: A Quality Improvement Project</atitle><jtitle>Journal of pediatric nursing</jtitle><addtitle>J Pediatr Nurs</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>29</volume><issue>4</issue><spage>362</spage><epage>367</epage><pages>362-367</pages><issn>0882-5963</issn><eissn>1532-8449</eissn><abstract>Superior skin care is a nurse-sensitive outcome measure (Young, T., & Clark, M. 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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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