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Mouse Model of Pressure Ulcers After Spinal Cord Injury
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Developing a pressure ulcer risk factor minimum data set and risk assessment framework.

Susanne Coleman1, E Andrea Nelson, Justin Keen

  • 1Leeds Institute of Clinical Trials Research, University of Leeds, UK.

Journal of Advanced Nursing
|May 22, 2014
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Summary
This summary is machine-generated.

A consensus study agreed on a Minimum Data Set for pressure ulcer risk factors. This data set underpins a new evidence-based Risk Assessment Framework for clinical use.

Keywords:
consensus studynursingpressure ulcerrisk factorstissue viability

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Area of Science:

  • Nursing
  • Clinical Practice
  • Patient Safety

Background:

  • Pressure ulcer prevention requires an evidence-based Risk Assessment Framework.
  • A systematic review highlighted the need for a standardized Minimum Data Set for pressure ulcer risk factors.
  • This study reports on phase two of the Pressure UlceR Programme Of reSEarch (RP-PG-0407-10056).

Purpose of the Study:

  • To achieve consensus on a Minimum Data Set for pressure ulcer risk factors.
  • To develop a draft evidence-based Risk Assessment Framework.
  • To establish a foundation for improving pressure ulcer risk assessment.

Main Methods:

  • A consensus study utilizing a modified nominal group technique.
  • Incorporated an expert group, evidence review, and patient/public involvement.
  • Data collection occurred from December 2010 to December 2011.

Main Results:

  • Agreement was reached on key risk factors and assessment items for the Minimum Data Set.
  • The Minimum Data Set includes immobility, skin status, perfusion, diabetes, moisture, sensory perception, and nutrition.
  • A draft two-stage Risk Assessment Framework (screening and detailed assessment) was developed.

Conclusions:

  • The draft Risk Assessment Framework requires further development and pre-testing for usability with nurses.
  • Future evaluation will assess the framework's validity and reliability in clinical practice.
  • The Minimum Data Set can inform future large-scale studies and framework refinement.