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Computer-based testing of the Braden Scale for Predicting Pressure Sore Risk
JoAnn Maklebust1, Mary Y Sieggreen, Deborah Sidor
1The Detroit Medical Center, 3990 John R, Detroit, Ml 48201, USA. Jmaklebu@dmc.org
Ostomy/Wound Management
|August 11, 2005
Summary
Staff nurses accurately assessed pressure ulcer risk using the Braden Scale (for Predicting Pressure Sore Risk) only 75.6% of the time. Targeted training is needed, especially for moisture and sensory perception subscales.
Area of Science:
- Nursing
- Patient Safety
- Clinical Assessment
Background:
- The Braden Scale is crucial for predicting pressure ulcer risk in acute care.
- An audit revealed potential inaccuracies in staff nurses' Braden Scale application.
- Nurses were observed to underestimate patient pressure sore risk levels.
Purpose of the Study:
- To develop and test a computer-based learning module to improve accurate Braden Scale use.
- To enhance nurses' ability to identify preventive interventions based on risk assessment.
- To evaluate the effectiveness of the educational module in improving pressure ulcer risk assessment.
Main Methods:
- A computer-based learning module with case studies was developed and revised.
- Over 2,500 nurses were tested on their knowledge of pressure ulcer risk assessment and prevention.
- The module assessed accurate Braden Scale scoring and identification of preventive measures.
Main Results:
- Nurses achieved an average correct Braden Scale risk rating of 75.6%.
- Accuracy was highest for "very high" (92%) and "very low" (78%) risk levels.
- Lowest accuracy was noted in "moisture" and "sensory perception" subscales (53% for Stage I ulcer identification).
Conclusions:
- Accurate application of the Braden Scale requires ongoing training and practice.
- Educational interventions can improve nurses' risk assessment skills.
- The Detroit Medical Center will integrate Braden Scale competency into annual nursing education.