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The Braden Q+P: a pediatric perioperative pressure ulcer risk assessment and intervention tool

Patricia A Galvin1, Martha A Q Curley

  • 1Children’s Hospital Boston, MA, USA.

AORN Journal
|September 1, 2012
PubMed

Insights

Nurses developed the Braden Q+P tool to assess and prevent pressure ulcers in surgical patients. This new tool appears to improve prevention, highlighting the importance of increased awareness and education in operating rooms.

Area of Science:

  • Surgical Nursing
  • Patient Safety
  • Dermatology

Background:

  • Pressure ulcers are a significant complication of surgery and hospitalization, posing risks due to anesthesia, immobilization, and medical devices.
  • Existing risk assessment tools may not adequately address the short-term, high-intensity risks in operating and procedural suites.
  • Surgical patients are at elevated risk for pressure-related skin injury.

Purpose of the Study:

  • To develop a specialized tool for nursing assessment of pressure ulcer risk in the operating room.
  • To guide nursing interventions for preventing pressure ulcers in surgical patients.
  • To address the limitations of current risk assessment tools in the perioperative setting.

Main Methods:

  • Development of the Braden Q+P tool by a nursing team.
  • Implementation of the tool within cardiac and main operating rooms.
  • Focus on nursing assessment and intervention planning for pressure ulcer prevention.

Main Results:

  • The implementation of the Braden Q+P tool showed apparent improvements in preventing pressure ulcers.
  • Increased nursing awareness and education regarding pressure ulcer prevention were noted.
  • A hospital-wide focus on skin care supported the observed improvements.

Conclusions:

  • The Braden Q+P tool is a potentially effective method for assessing and preventing pressure ulcers in surgical patients.
  • Enhanced nursing awareness, education, and institutional focus on skin care are crucial for pressure ulcer prevention.
  • The tool aids in planning targeted nursing interventions in high-risk perioperative environments.

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