CE: How to Predict Pediatric Pressure Injury Risk with the Braden QD Scale

Tracy B Chamblee1, Tracy A Pasek, Catherine N Caillouette

  • 1Tracy B. Chamblee is a clinical nurse specialist and senior director of quality and patient safety at Children's Health, Dallas, TX. Tracy A. Pasek is a clinical nurse specialist and systems analyst in the Information Services Division at UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA. Catherine N. Caillouette is a pediatric NP in the Department of Plastic Surgery at Boston Children's Hospital. Sandy M. Quigley is a clinical specialist in the Departments of Nursing and General Surgery at Boston Children's Hospital. Judith J. Stellar is a wound, ostomy, continence NP in the Departments of Nursing and General Surgery at the Children's Hospital of Philadelphia. Martha A. Q. Curley is the Ruth M. Colket Endowed Chair in Pediatric Nursing at the Children's Hospital of Philadelphia, and a professor at the University of Pennsylvania School of Nursing, Philadelphia. Contact author: Martha A. Q. Curley, curley@nursing.upenn.edu. For the original research project that produced the Braden QD Scale, Martha A. Q. Curley and Sandy M. Quigley received unrestricted grants from the American Association of Critical-Care Nurses and the Wound, Ostomy, and Continence Nurses Society Foundation, respectively. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

Insights

The Braden QD Scale effectively predicts pressure injuries in pediatric patients. This revised tool enhances patient safety and care monitoring in acute settings.

Area of Science:

  • Pediatric Nursing
  • Patient Safety
  • Risk Assessment

Background:

  • Hospital-acquired pressure injuries pose a significant risk to pediatric patients.
  • Existing assessment tools may require adaptation for diverse pediatric populations.
  • The Braden Q Scale is a widely used but can be complex for pediatric use.

Purpose of the Study:

  • To introduce and validate the Braden QD Scale, a revised and simplified pediatric-specific pressure injury risk assessment tool.
  • To provide guidance for implementing the Braden QD Scale in pediatric acute care.
  • To enhance the prevention of immobility-related and medical device-related pressure injuries in hospitalized children.

Main Methods:

  • Conceptualization and revision of the Braden Q Scale into the Braden QD Scale.
  • Development of guidelines for assessing and scoring pressure injury risk in pediatric patients.
  • Application in various acute care scenarios common to pediatric practice.

Main Results:

  • The Braden QD Scale reliably predicts immobility-related and medical device-related pressure injuries in pediatric acute care.
  • The scale is suitable for a wide range of pediatric age groups, from infants to adolescents.
  • The revised scale simplifies risk assessment while maintaining predictive accuracy.

Conclusions:

  • The Braden QD Scale is a valuable, conceptually based instrument for pediatric pressure injury risk assessment.
  • Implementation of the Braden QD Scale supports patient safety, quality care, and efficient resource utilization.
  • The scale facilitates effective risk scoring and monitoring for hospitalized pediatric patients.

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