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Related Experiment Videos

Preventing skin breakdown: nursing practices, costs, and outcomes

J Bostrom1, J Mechanic, N Lazar

  • 1Stanford University Hospital, CA 94305, USA.

Applied Nursing Research : ANR
|November 1, 1996
PubMed
Summary

Preventing skin breakdown requires protocol-based nursing interventions. Overspending on prevention strategies and overuse of supplies can increase skin breakdown incidence, highlighting the need for cost-effective approaches to maintain skin integrity.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Patient Safety

Background:

  • Skin breakdown is a significant concern in healthcare settings.
  • Current nursing interventions for skin breakdown prevention vary across institutions.
  • The cost-effectiveness of existing prevention strategies is not well understood.

Purpose of the Study:

  • To identify patients at risk for skin breakdown.
  • To describe nursing interventions for preventing skin breakdown.
  • To analyze the cost of supplies used in skin breakdown prevention.

Main Methods:

  • Evaluation of nursing interventions at three hospitals.
  • Analysis of expenditures on prevention supplies.
  • Assessment of the relationship between interventions, costs, and outcomes.

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Main Results:

  • Nurses employ diverse strategies for skin breakdown prevention.
  • Increased spending on prevention did not correlate with improved patient outcomes.
  • Overuse of certain prevention items was associated with a higher incidence of skin breakdown.

Conclusions:

  • Protocol-based preventive nursing interventions are essential for cost-effective maintenance of skin integrity.
  • Current practices may lead to increased incidence and costs.
  • Standardized, evidence-based protocols are needed to optimize skin care.