What patient characteristics guide nurses' clinical judgement on pressure ulcer risk? A mixed methods study

International Journal of Nursing Studies

Volumn 51, Issue 5, 2014, Pages 703-716

  Balzer, K ^a   Kremer, L ^a   Junghans, A ^a   Halfens, R J G ^b   Dassen, T ^c   Kottner, J ^c  

^a UNIVERSITY OF LÜBECK   (Germany)

^b MAASTRICHT UNIVERSITY   (Netherlands)

^c CHARITÉ UNIVERSITÄTSMEDIZIN BERLIN   (Germany)

Author keywords

Judgement; Nursing assessment; Pressure ulcer nursing; Risk assessment; Triangulation

Indexed keywords

ADULT; AGED; FEMALE; HUMAN; MALE; MIDDLE AGED; NURSING; NURSING ASSESSMENT; PRESSURE ULCER; RISK ASSESSMENT; VERY ELDERLY;

ADULT; AGED; AGED, 80 AND OVER; FEMALE; HUMANS; MALE; MIDDLE AGED; NURSING ASSESSMENT; PRESSURE ULCER; RISK ASSESSMENT;

EID: 84897097184     PISSN: 00207489     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijnurstu.2013.09.005     Document Type: Article

References (39)

1. Athlin E., Idvall E., Jernfalt M., Johansson I. Factors of importance to the development of pressure ulcers in the care trajectory: perceptions of hospital and community care nurses. Journal of Clinical Nursing 2010, 19(15-16):2252-2258.
2. Australian Wound Management Association Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injury. Abridged Version 2012, Cambridge Publishing, Osborne Park, Western Australia, (accessed 28.07.13). http://www.awma.com.au/publications/2012_AWMA_Pan_Pacific_Abridged_Guideline.pdf.
3. Bååth C., Wilde-Larsson B., Idvall E., Hall-Lord M.L. Registered nurses and enrolled nurses assessments of postoperative pain and risk for malnutrition and pressure ulcers in patients with hip fracture. International Journal of Orthopaedic and Trauma Nursing 2010, 14(1):30-39.
4. Balzer K., Köpke S., Lühmann D., Haastert B., Kottner J., Meyer G. Designing trials for pressure ulcer risk assessment research: methodological challenges. International Journal of Nursing Studies 2013, 50(8):1136-1150.
5. Balzer K., Pohl C., Dassen T., Halfens R. The Norton, Waterlow, Braden and Care Dependency Scales. Comparing their validity when identifying patients' pressure sore risk. Journal of Wound, Ostomy and Continence Nursing 2007, 34(4):389-398.
6. Baxter S. Assessing pressure ulcer risk in long-term care using the Waterlow scale. Nursing Older People 2008, 20(7):34-38.
7. Beeckman D., Defloor T., Schoonhoven L., Vanderwee K. Knowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals. Worldviews on Evidence-Based Nursing 2011, 8(3):166-176.
8. Benoit R., Mion L. Risk factors for pressure ulcer development in critically ill patients: a conceptual model to guide research. Research in Nursing & Health 2012, 35(4):340-362.
9. Berger S., Mosebach H., Wieteck P. NANDA International - Pflegediagnosen: Defintionen und Klassifikationen 2007-2008 2008, RECOM Verlag, Bad Emstal (Germany).
10. Bergstrom N., Braden B.J., Laguzza A., Holman V. The Braden Scale for Predicting Pressure Sore Risk. Nursing Research 1987, 36(4):205-210.
11. Buss I.C., Halfens R.J., Abu-Saad H.H., Kok G. Pressure ulcer prevention in nursing homes: views and beliefs of enrolled nurses and other health care workers. Journal of Clinical Nursing 2004, 13(6):668-676.
12. Chou R., Dana T., Bougatsos C., Blazina I., Starmer A., Reitel K., Buckely D. Pressure Ulcer Risk Assessment and Prevention: Comparative Effectiveness Review No. 87 (prepared by Oregon Evidence-based Practice Center under Contract No. 290-2007-10057-I). AHRQ Publication No. 12(13)-EHC148-EF 2013, Agency for Healthcare Research and Quality, Rockville, Maryland, (accessed 09/00/2013). http://www.effectivehealthcare.ahrq.gov/reports/final.cfm.
13. Coleman S., Gorecki C., Nelson E.A., Closs S.J., Defloor T., Halfens R., Farrin A., Brown J., Schoonhoven L., Nixon J. Patient risk factors for pressure ulcer development: systematic review. International Journal of Nursing Studies 2013, 50(7):974-1003.
14. Dassen T., Balzer K., Bansemir G., Kuhne P., Saborowski R., Dijkstra A. The care dependency scale, an assessment instrument. Pflege 2001, 14(2):123-127.
15. Deutsches Netzwerk für Qualitätsentwicklung in der Pflege (DNQP) (Hrsg.) Expertenstandard Dekubitusprophylaxe in der Pflege - 1. Aktualisierung 2010 2010, Schriftenreihe des Deutschen Netzwerks für Qualitätsentwicklung in der Pflege, Osnabrück.
16. Dijkstra A. Care Dependency: An assessment instrument for use in long-term care facilities. Rijksuniversiteit Groningen 1998, Stiching Drukkerij C, Regenboog Groningen.
17. Ferrante di Ruffano L., Hyde C.J., McCaffery K.J., Bossuyt P.M., Deeks J.J. Assessing the value of diagnostic tests: a framework for designing and evaluating trials. British Medical Journal 2012, 344:e686. 10.1136/bmj.e686.
18. Field A. Discovering Statistics Using SPSS 2011, Sage, London. 3rd ed.
19. Fossum M., Alexander G.L., Goransson K.E., Ehnfors M., Ehrenberg A. Registered nurses' thinking strategies on malnutrition and pressure ulcers in nursing homes: a scenario-based think-aloud study. Journal of Clinical Nursing 2011, 20(17-18):2425-2435.
20. Gallant C., Morin D., St-Germain D., Dallaire D. Prevention and treatment of pressure ulcers in a university hospital centre: a correlational study examining nurses' knowledge and best practice. International Journal of Nursing Practice 2010, 16(2):183-187.
21. Green S.B. How many subjects does it take to do a regression analysis. Multivariate Behavioral Research 1991, 26(3):499-510.
22. Grol R., Wensing M., Hulscher M., Eccles M. Theories on implementation of change in healthcare. Improving Patient Care: The Implementation of Change in Clinical Practice 2005, 15-40. Elsevier Butterworth Heinemann, Edinburgh, London, New York, Oxford, Philadelphia, St. Louis, Sydney, Toronto. R. Grol, M. Wensing, M. Eccles (Eds.).
23. Hammersley M. Troubles with triangulation. Advances in Mixed Methods Research. Theories and Applications 2008, 22-36. Sage, London. M.M. Bergman (Ed.).
24. Johnson M., Maas M.L., Moorhead S.E. Nursing Outcome Classification (NOC) 2000, Mosby, St Louis.
25. Källman U., Suserud B.O. Knowledge, attitudes and practice among nursing staff concerning pressure ulcer prevention and treatment - a survey in a Swedish healthcare setting. Scandinavian Journal of Caring Science 2009, 23(2):334-341.
26. Kottner J., Balzer K. Do pressure ulcer risk assessment scales improve clinical practice?. Journal of Multidisciplinary Healthcare 2010, 3:103-111.
27. Kottner J., Dassen T. Pressure ulcer risk assessment in critical care: interrater reliability and validity studies of the Braden and Waterlow scales and subjective ratings in two intensive care units. International Journal of Nursing Studies 2010, 47(6):671-677.
28. Krause J.S. Secondary conditions and spinal cord injury: a model for prediction and prevention. Topics in Spinal Cord Injury Rehabilitation 1996, 2(2):58-70.
29. Krause J.S., Broderick L. Patterns of recurrent pressure ulcers after spinal cord injury: identification of risk and protective factors 5 or more years after onset. Archives of Physical Medicine and Rehabilitation 2004, 85(8):1257-1264.
30. Lohrmann C., Dijkstra A., Dassen T. The Care Dependency Scale: an assessment instrument for elderly patients in German hospitals. Geriatric Nursing 2003, 24(1):40-43.
31. Mertens E.I., Halfens R.J., Dietz E., Scheufele R., Dassen T. Pressure ulcer risk screening in hospitals and nursing homes with a general nursing assessment tool: evaluation of the care dependency scale. Journal of Evaluation in Clinical Practice 2008, 14(6):1018-1025.
32. Moore Z.E.H., Cowman S. Risk assessment tools for the prevention of pressure ulcers. Cochrane Database of Systematic Reviews 2008, (3). , Art. No: CD006471 (updated 2010). doi:10.1002/14651858.CD006471.pub2.
33. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline 2009, National Pressure Ulcer Advisory Panel, Washington, DC.
34. Ritchie J., Spencer L. Qualitative data analysis for applied policy research. Analyzing Qualitative Data 1994, 173-194. Routledge, London, New York. A. Bryman, R.G. Burgess (Eds.).
35. Royal College of Nursing Defining nursing. London. April 2003. Publication code 001998. 2003, (accessed 05.08.13). http://www.rcn.org.uk/.
36. Schütz T., Valentini L., Plauth M. Screening auf Mangelernährung nach den ESPEN-Leitlinien. Aktuelle Ernährungsmedizin 2005, 30(2):99-103. (German).
37. Strand T., Lindgren M. Knowledge, attitudes and barriers towards prevention of pressure ulcers in intensive care units: a descriptive cross-sectional study. Intensive and Critical Care Nursing 2010, 26(6):335-342.
38. Tannen A., Balzer K., Kottner J., Dassen T., Halfens R., Mertens E. Diagnostic accuracy of two pressure ulcer risk scales and a generic nursing assessment tool. A psychometric comparison. Journal of Clinical Nursing 2010, 19(11-12):1510-1518.
39. Tanner C.A. Thinking like a nurse: a research-based model of clinical judgment in nursing. Journal of Nursing Education 2006, 45(6):204-211.