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Testing of Braden QD Scale for predicting pressure ulcer risk in the Pediatric Intensive Care Unit
Jayanti Dwi Puspitasari1,2, Nani Nurhaeni1, Fajar Tri Waluyanti1
1Faculty of Nusing, Universitas Indonesia.
Insights
The Braden QD Scale effectively identifies pediatric patients at risk for pressure injuries in the Pediatric Intensive Care Unit (PICU). This valid and reliable tool aids nurses in assessing and preventing these injuries in critically ill children.
Area of Science:
- Pediatric critical care nursing
- Patient safety research
- Clinical assessment tools
Background:
- Pediatric Intensive Care Unit (PICU) patients face high pressure injury risk due to immobility and medical device challenges.
- Existing pressure injury risk assessment instruments are limited for pediatric populations.
- Standardized tools are needed to identify at-risk children for timely intervention.
Purpose of the Study:
- To evaluate the validity and reliability of the Braden QD Scale for assessing pressure injury risk in pediatric patients.
- To determine the scale's effectiveness in a PICU setting.
- To provide nurses with a dependable tool for pediatric pressure injury prevention.
Main Methods:
- A validity and reliability study using Pearson correlation coefficients and Cronbach's alpha (α).
- Inclusion of 51 pediatric patients (under 18) bedridden for at least 24 hours.
- Consecutive sampling method employed for patient recruitment.
Main Results:
- The Braden QD Scale identified 88.2% of pediatric patients as being at risk for pressure injury.
- Scale validity ranged from 0.532 to 0.833, indicating good measurement accuracy.
- Scale reliability ranged from 0.756 to 0.834, demonstrating consistent results.
- High sensitivity (100%) and moderate specificity (40%) were observed.
Conclusions:
- The Braden QD Scale is a valid and reliable instrument for predicting pressure injury risk in pediatric patients.
- Nurses can confidently use the Braden QD Scale for risk assessment in the PICU.
- The tool supports proactive pressure injury prevention strategies in critically ill children.
Abstract:
Children admitted to the Pediatric Intensive Care Unit (PICU) are at risk for pressure injury due to immobility and the challenge of positioning medical devices. However, a comprehensive instrument to assess pressure injury risk is still finite. This study aimed to test the validity and reliability of the Braden QD Scale. The design used was a Pearson correlation coefficients and Cronbach's alpha (α). Fifty-one pediatric patients below age 18 who had been bedridden for at least 24 hours were engaged through a consecutive sampling method. The results showed assessments made by using the Braden QD Scale revealed that 88.2% of patients were at risk for a pressure injury. The validity test results of the Braden QD Scale ranged between 0.532 and 0.833. The reliability test results of the Braden QD Scale ranged between 0.756 and 0.834. The sensitivity value is 100%, specificity value is 40%. In general, the study finding suggests that the Braden QD Scale is a valid and reliable instrument for predicting pressure injury risk. Nurses may employ this tool to assess pressure injury risk in pediatric patients.
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