PMID: 11902357Mar 21, 2002Paper

Maintenance of skin integrity as a clinical indicator of nursing care

Advances in Skin & Wound Care
Martha MeravigliaMary King

Abstract

To assess maintenance of skin integrity in hospitalized patients as a clinical indicator of quality nursing care. Descriptive correlational study. 17 acute care urban and rural hospitals in Texas. 723 hospitalized patients from 33 medical-surgical units. Pressure ulcers since admission and nursing care practices per unit. Overall prevalence of pressure ulcers since admission (4.7%) was lower than previously reported for acute care settings. Prevalence of pressure ulcers in hospitalized patients (10%) was higher than found in the Texas Nurses Association feasibility study (3.7%). The skin integrity ratio was strongly correlated for several unit variables, including number of beds per unit (r = 0.623) and average daily census per unit (r = 0.909). Benchmarking data across units showed that units with subjects that maintained skin integrity had a lower percentage of patients assessed on admission and performed daily assessments less frequently than did the units with subjects that did not maintain skin integrity. In addition, the units with subjects that maintained skin integrity classified fewer patients as at risk for pressure ulcer development and did not implement a skin care protocol for these patients. Patients who developed...Continue Reading

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Citations

May 4, 2005·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Audrey GroeneveldSue Young
Dec 23, 2009·Advances in Skin & Wound Care·Ronald J ShannonDebashish Chakravarthy
Mar 21, 2008·Journal of Nursing Care Quality·Martha MeravigliaClair Jordan
Feb 28, 2008·Home Healthcare Nurse·Richard C Goldsworthy
Jan 18, 2008·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Cynthia A PadulaJoyce Williams
May 23, 2008·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Hafize Ozdemir, Ayise Karadag
Nov 26, 2009·Journal of Clinical Nursing·Anna-Barbara SchlüerRuud J Halfens
Nov 26, 2009·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Karen E Campbell
Mar 6, 2008·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Barbara M Bates-JensenNeil Christopher R Apeles
Jul 31, 2007·Journal of the American Geriatrics Society·Barbara M Bates-JensenCathy Alessi
Apr 7, 2010·Journal of Evaluation in Clinical Practice·Nils A LahmannTheo Dassen
Aug 13, 2014·Journal of Advanced Nursing·Liza Heslop, Sai Lu
May 7, 2013·Clinical Nursing Research·Jeungok ChoiHyeoneui Kim
May 4, 2005·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Darlene M GilcreastMary Z Mays
Feb 6, 2009·Revista da Escola de Enfermagem da U S P·Lilian Mara Rondello Nepomuceno, Paulina Kurcgant
Jun 28, 2003·British Journal of Nursing : BJN·Sylvie Hampton

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