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The Impact of Pediatric Pressure Injury Prevention Bundle on Pediatric Pressure Injury Rates: A Secondary Analysis

Singh, Charleen, Deo; Anderson, Cheryl; White, Earla; Shoqirat, Noordeen

Journal of Wound, Ostomy and Continence Nursing: May/June 2018 - Volume 45 - Issue 3 - p 209–212
doi: 10.1097/WON.0000000000000439
Wound Care

PURPOSE: The primary aim of this study was to explore the relationship between a pediatric pressure injury prevention bundle (PPIPB) implemented by pediatric hospitals across the nation and pressure injury (PI) rates over a 6-year period. A secondary aim of this study was to identify whether any one risk factor addressed in the PPIPB had a greater effect on PI occurrences than any other factor.

DESIGN: Nonexperimental, retrospective correlation analysis of secondary data.

SUBJECTS AND SETTING: Analysis of data from 99 pediatric hospitals participating in the national initiative Solutions for Patient Safety (SPS).

METHODS: Data were extracted from the SPS, an initiative designed to reduce PI rates in pediatric hospitals. We analyzed data related to nursing interventions implemented to ameliorate 5 factors associated with PI development. They were presence of medical devices, moisture, immobility, skin integrity, and absence of pressure redistribution with some support surfaces. Paired t test and correlation analysis were used to determine the relationship between the use of a PPIPB and PI incidence per 1000 patient-days.

RESULTS: Findings indicated a 57% reduction in PI incidence when the PPIPB was used. A significant inverse relationship between the PPIPB and PI incidence was found. None of the 5 risk factors addressed by the PPIPB had a stronger correlation with PI occurrences than any other factor.

CONCLUSIONS: Study findings strongly suggest the use of a PPIPB decreases PI incidence in pediatric hospitals and should be considered when implementing a PI prevention program.

Charleen Deo Singh, PhD, RN, FNP-BC, CWOCN, Betty Irene Moore School of Nursing, UC Davis, Sacramento, California and Cottage Hospital, Santa Barbara, California.

Cheryl Anderson, PhD, Walden University, Minneapolis, Minnesota.

Earla White, PhD, Walden University, Minneapolis, Minnesota.

Noordeen Shoqirat, PhD, RN, Mutah University Karak, Jordan.

Correspondence: Charleen Deo Singh, PhD, RN, FNP-BC, CWOCN, Betty Irene Moore School of Nursing, UC Davis, 2570 48th St, Sacramento, CA 95817 (cdsingh@ucdavis.edu).

© 2018 by the Wound, Ostomy and Continence Nurses Society.