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Updated: Jul 14, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

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Published on: September 30, 2020

Examining Risk Factors for Pressure Injury Development Among Nursing Home Residents: A Retrospective Study.

Katie R Brooks1, Jenny Alderden2, Susan D Horn3

  • 1School of Nursing, Duke University, Durham, North Carolina, USA.

Journal of Clinical Nursing
|July 12, 2026
PubMed
Summary

Nursing home residents

Keywords:
geriatricsnursing homepatient‐specific modellingpredictorspressure injurypreventionrisk factors

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Last Updated: Jul 14, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Area of Science:

  • Gerontology and Geriatric Care
  • Nursing Research
  • Healthcare Quality Improvement

Background:

  • Pressure injuries (PI) are a significant concern in nursing home settings, impacting resident well-being and healthcare costs.
  • Existing risk assessment tools often focus on resident-level factors, potentially overlooking crucial facility-level influences.

Purpose of the Study:

  • To investigate the interplay of intrinsic resident characteristics and extrinsic facility-level factors in the development of pressure injuries.
  • To identify key predictors of pressure injury development in a nursing home population.

Main Methods:

  • Retrospective cohort study utilizing secondary data from 998 nursing home residents.
  • Analysis included resident demographics, comorbidities, Braden Scale scores, clinical severity, and facility staffing hours.
  • Multivariable logistic regression was employed to determine significant risk factors for pressure injury development.

Main Results:

  • A total of 6.1% of residents developed new pressure injuries during the study period.
  • Significant predictors included higher clinical severity laboratory values, underweight status, fewer licensed practical nurse staffing hours, and lower Braden Scale Mobility subscale scores.
  • Both individual resident vulnerabilities and care environment factors were associated with pressure injury incidence.

Conclusions:

  • Comprehensive pressure injury risk assessment requires integrating resident-specific physiological status with facility-level operational factors, such as staffing.
  • Findings support a shift towards more holistic risk profiling beyond traditional mobility assessments.
  • Adequate staffing levels are critical for effective pressure injury prevention strategies in nursing homes.