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Related Experiment Videos

Using a research-based assessment scale in clinical practice

N Bergstrom1, B Braden, P Boynton

  • 1Graduate Nursing Program, College of Nursing, University of Nebraska Medical Center, USA.

The Nursing Clinics of North America
|September 1, 1995
PubMed
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The Braden Scale, a risk assessment tool, significantly reduced pressure ulcer incidence by 50-60% in healthcare settings. Implementing this evidence-based prevention program offers substantial cost savings for hospitals nationwide.

Area of Science:

  • Nursing
  • Patient Safety
  • Clinical Assessment

Background:

  • The Braden Scale is a widely adopted tool for assessing pressure ulcer risk.
  • Its implementation spans diverse healthcare settings globally, with translations into multiple languages.
  • Previous data suggested potential for pressure ulcer incidence reduction through risk assessment and prevention programs.

Purpose of the Study:

  • To evaluate the effectiveness of the Braden Scale in reducing pressure ulcer incidence.
  • To demonstrate the impact of a research-based risk assessment and prevention program on pressure ulcer rates.
  • To project potential national cost savings associated with widespread implementation.

Main Methods:

  • Utilized the Braden Scale for risk assessment in clinical settings.

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  • Implemented a prevention program informed by the assessment findings.
  • Collected and analyzed data on pressure ulcer incidence before and after program implementation.
  • Main Results:

    • Observed a 50% to 60% decrease in pressure ulcer incidence at two study sites.
    • Demonstrated the successful application of the Braden Scale and associated prevention strategies.
    • Indicated significant potential for cost reduction in healthcare.

    Conclusions:

    • The Braden Scale, when integrated with a targeted prevention program, is effective in reducing pressure ulcer incidence.
    • Widespread adoption of this evidence-based approach could lead to substantial national cost savings, estimated to exceed $400 million.
    • The findings support the value of research-based tools in improving patient outcomes and healthcare economics.