Nursing care activities conducted at night tend to disturb their sleep, but to our knowledge, no nocturnal care protocols for pressure injury prevention have been established. This scoping review aimed to map the nocturnal care for pressure injury prevention and propose nocturnal care recommendations that have a reduced impact on the patient's care environment.
Methods
Literature databases were searched and two independent researchers screened the articles according to the inclusion criteria and extracted the data. The inclusion criteria were original articles/case studies, studies involving human subjects, and studies on nocturnal care for the prevention of pressure injuries.
Results
Eight met the inclusion criteria, three studies focused on bedding and five on care activities. Parasympathetic activity was more likely to be maintained or enhanced when an automatic repositioning function was used. Additionally, the time to sleep resumption was significantly shorter when repositioning was performed during deep sleep than during shallow sleep. Significantly fewer awakenings in response to light or sound occurred when incontinence care was provided to awake patients than when it was performed regularly. Moreover, some studies have highlighted the usefulness of the small change method and the 30° side-lying position for repositioning.
Conclusion
Using a mattress with an automated turning function, providing care during wakefulness or deep sleep, and using repositioning methods with small positional changes may be effective in reducing the impact on patient's care environment. Further research is needed to determine nocturnal care for pressure injury prevention with less impact on the patient's care environment.
{"title":"Optimal nocturnal care for pressure injury prevention in the care environment: A scoping review","authors":"Mao Kunimitsu , Kanae Mukai , Maya Aoki , Ami Tagawa , Hikari Takihira , Yuka Hiromitsu , Ayari Yamaguchi , Saeka Shiraki , Yukari Nakajima , Makoto Oe","doi":"10.1016/j.jtv.2024.08.009","DOIUrl":"10.1016/j.jtv.2024.08.009","url":null,"abstract":"<div><h3>Aim</h3><div>Nursing care activities conducted at night tend to disturb their sleep, but to our knowledge, no nocturnal care protocols for pressure injury prevention have been established. This scoping review aimed to map the nocturnal care for pressure injury prevention and propose nocturnal care recommendations that have a reduced impact on the patient's care environment.</div></div><div><h3>Methods</h3><div>Literature databases were searched and two independent researchers screened the articles according to the inclusion criteria and extracted the data. The inclusion criteria were original articles/case studies, studies involving human subjects, and studies on nocturnal care for the prevention of pressure injuries.</div></div><div><h3>Results</h3><div>Eight met the inclusion criteria, three studies focused on bedding and five on care activities. Parasympathetic activity was more likely to be maintained or enhanced when an automatic repositioning function was used. Additionally, the time to sleep resumption was significantly shorter when repositioning was performed during deep sleep than during shallow sleep. Significantly fewer awakenings in response to light or sound occurred when incontinence care was provided to awake patients than when it was performed regularly. Moreover, some studies have highlighted the usefulness of the small change method and the 30° side-lying position for repositioning.</div></div><div><h3>Conclusion</h3><div>Using a mattress with an automated turning function, providing care during wakefulness or deep sleep, and using repositioning methods with small positional changes may be effective in reducing the impact on patient's care environment. Further research is needed to determine nocturnal care for pressure injury prevention with less impact on the patient's care environment.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 766-771"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pressure injuries (PIs) are a significant issue in healthcare system: nursing students are recommended to be prepared to assess the risk, prevent and manage them. However, despite the coronavirus disease-2019 (COVID-19) pandemic significantly affected nursing students’ learning opportunities no data regarding their impact of PIs knowledge, attitudes and learning occasions have been documented to date.
Aims
To describe the post-pandemic knowledge and attitudes regarding PI prevention and management and to compare clinical learning opportunities in the field of PIs before and after the COVID-19 pandemic.
Method
A descriptive multi-method study involving students at the time of their graduation in the before (n = 114) and after the pandemic (n = 113). The Italian versions of the Pressure Ulcer Knowledge Assessment Tool (PUKAT-IT) and Attitude Toward Pressure Ulcer Prevention (APuP-IT) scales were used. Data regarding pre- and post-pandemic learning opportunities were retrospectively collected from the Student Portfolio of Skills.
Results
The average PUKAT-IT score was 57.92 % (cut-off 60 %), which indicates insufficient knowledge; the average APuP-IT score was 78.19 % (cut-off 75 %), which shows positive attitudes towards PI. Comparing the pre- and the post-pandemic groups, learning opportunities in PI risk assessment and prevention significantly decreased (overall 38.90 vs 32.27 and 35.26 vs 25.97, respectively) while those regarding the PI management remained stable.
Conclusion
In the post-pandemic times, nursing students' knowledge about PIs remains insufficient while their attitudes are adequate; the pandemic significantly reduced students’ exposure to prevention and assessment learning opportunities during their internship, which suggests a need to update educational strategies to ensure appropriate knowledge and learning experiences in this field.
导言：压伤（PIs）是医疗保健系统中的一个重要问题：建议护理专业学生做好评估风险、预防和管理压伤的准备。然而，尽管冠状病毒病-2019（COVID-19）大流行极大地影响了护理专业学生的学习机会，但迄今为止还没有关于其对压伤知识、态度和学习机会的影响的数据记录。目的：描述大流行后关于压伤预防和管理的知识和态度，并比较 COVID-19 大流行前后在压伤领域的临床学习机会：描述性多方法研究，涉及大流行前（n = 114）和大流行后（n = 113）毕业时的学生。研究使用了意大利语版本的褥疮知识评估工具（PUKAT-IT）和褥疮预防态度量表（APuP-IT）。从学生技能组合中回顾性地收集了有关大流行前后学习机会的数据：PUKAT-IT 的平均得分为 57.92 %（临界值为 60 %），表明知识不足；APuP-IT 的平均得分为 78.19 %（临界值为 75 %），表明对预防溃疡的态度积极。大流行前和大流行后两组相比，在 PI 风险评估和预防方面的学习机会明显减少（总分分别为 38.90 vs 32.27 和 35.26 vs 25.97），而在 PI 管理方面的学习机会则保持稳定：大流行后，护理专业学生对 PI 的认识仍然不足，但态度却很端正；大流行大大减少了学生在实习期间接触预防和评估学习的机会，这表明有必要更新教育策略，以确保在这一领域获得适当的知识和学习经验。
{"title":"Nursing students’ knowledge, attitudes and learning occasions about pressure injuries at the time of graduation: A multi-method pre-post pandemic study","authors":"Margherita Zito, Stefania Chiappinotto, Alessandro Galazzi, Illarj Achil, Davide Caruzzo, Stefano Fabris, Gaia Dussi, Alvisa Palese","doi":"10.1016/j.jtv.2024.08.012","DOIUrl":"10.1016/j.jtv.2024.08.012","url":null,"abstract":"<div><h3>Introduction</h3><div>Pressure injuries (PIs) are a significant issue in healthcare system: nursing students are recommended to be prepared to assess the risk, prevent and manage them. However, despite the coronavirus disease-2019 (COVID-19) pandemic significantly affected nursing students’ learning opportunities no data regarding their impact of PIs knowledge, attitudes and learning occasions have been documented to date.</div></div><div><h3>Aims</h3><div>To describe the post-pandemic knowledge and attitudes regarding PI prevention and management and to compare clinical learning opportunities in the field of PIs before and after the COVID-19 pandemic.</div></div><div><h3>Method</h3><div>A descriptive multi-method study involving students at the time of their graduation in the before (n = 114) and after the pandemic (n = 113). The Italian versions of the Pressure Ulcer Knowledge Assessment Tool (PUKAT-IT) and Attitude Toward Pressure Ulcer Prevention (APuP-IT) scales were used. Data regarding pre- and post-pandemic learning opportunities were retrospectively collected from the Student Portfolio of Skills.</div></div><div><h3>Results</h3><div>The average PUKAT-IT score was 57.92 % (cut-off 60 %), which indicates insufficient knowledge; the average APuP-IT score was 78.19 % (cut-off 75 %), which shows positive attitudes towards PI. Comparing the pre- and the post-pandemic groups, learning opportunities in PI risk assessment and prevention significantly decreased (overall 38.90 vs 32.27 and 35.26 vs 25.97, respectively) while those regarding the PI management remained stable.</div></div><div><h3>Conclusion</h3><div>In the post-pandemic times, nursing students' knowledge about PIs remains insufficient while their attitudes are adequate; the pandemic significantly reduced students’ exposure to prevention and assessment learning opportunities during their internship, which suggests a need to update educational strategies to ensure appropriate knowledge and learning experiences in this field.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 778-785"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jtv.2024.09.011
Kanae Mukai, Toshio Nakatani
Background
To evaluate the process of cutaneous wound healing, experiments have been conducted. However, to date, what modern wound dressings are suitable remains unclear. Therefore, this study aimed to compare the healing process in different modern wound dressings to determine their suitability in experimental acute wound and chronic diabetic wound.
Materials and methods
Twelve C57BL/6J mice and eleven db/db mice were subjected to full-thickness wound injuries. The mice were divided into the following four groups: hydrocolloid, form, film, and gauze groups in both wild-type and db/db mice. Wound healing was assessed until day 14.
Results
In the wild-type groups, all wounds were healed and completed re-epithelialization by day 14. However, the wound surface was dry, and the periwound was hypercontracted in the wild-type–form and wild-type–gauze groups. In the db/db groups, wounds were not healed until day 14. Wound exudates in the db/db-hydrocolloid group were abundant and gradually increased until day 14. Wound exudates in the db/db-film group were present until day 14. Conversely, in the db/db-form and db/db-gauze groups, the wound surface was dry, and the periwound was hypercontracted.
Conclusion
These results showed that hydrocolloid and film dressings are suitable modern wound dressings for the mice wound models of acute wound and chronic diabetic wound. Moreover, using either hydrocolloid or film dressing depending on the purpose of the study on cutaneous wound healing in diabetes is necessary.
{"title":"Comparison of different modern wound dressings on full-thickness murine cutaneous wound healing with wild-type and type-2 diabetes db/db mice","authors":"Kanae Mukai, Toshio Nakatani","doi":"10.1016/j.jtv.2024.09.011","DOIUrl":"10.1016/j.jtv.2024.09.011","url":null,"abstract":"<div><h3>Background</h3><div>To evaluate the process of cutaneous wound healing, experiments have been conducted. However, to date, what modern wound dressings are suitable remains unclear. Therefore, this study aimed to compare the healing process in different modern wound dressings to determine their suitability in experimental acute wound and chronic diabetic wound.</div></div><div><h3>Materials and methods</h3><div>Twelve C57BL/6J mice and eleven db/db mice were subjected to full-thickness wound injuries. The mice were divided into the following four groups: hydrocolloid, form, film, and gauze groups in both wild-type and db/db mice. Wound healing was assessed until day 14.</div></div><div><h3>Results</h3><div>In the wild-type groups, all wounds were healed and completed re-epithelialization by day 14. However, the wound surface was dry, and the periwound was hypercontracted in the wild-type–form and wild-type–gauze groups. In the db/db groups, wounds were not healed until day 14. Wound exudates in the db/db-hydrocolloid group were abundant and gradually increased until day 14. Wound exudates in the db/db-film group were present until day 14. Conversely, in the db/db-form and db/db-gauze groups, the wound surface was dry, and the periwound was hypercontracted.</div></div><div><h3>Conclusion</h3><div>These results showed that hydrocolloid and film dressings are suitable modern wound dressings for the mice wound models of acute wound and chronic diabetic wound. Moreover, using either hydrocolloid or film dressing depending on the purpose of the study on cutaneous wound healing in diabetes is necessary.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 616-624"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jtv.2024.09.010
Yi Chen , Lan Gu , Yan Lu , Wei Ding , SiMin Cheng
Purpose
Patients in the intensive care unit (ICU) are at a high risk of developing incontinence-associated dermatitis (IAD), the incidence and severity of which are positively related to pressure injuries, thus affecting nursing quality indicators. This quality improvement project aimed to decrease the severity and incidence of IAD, with a focus on enhancing awareness among nursing staff.
Design
This 36-month project was implemented via the Plan-Do-Study-Act (PDSA) model.
Subjects
and setting: Included staff members worked in the ICUs (central and emergency ICUs) at a Grade A tertiary hospital in Suzhou (South of Jiangsu), China.
Methods
The quality improvement project included three main procedures: (1) formulating and implementing a modified prevention and treatment nursing protocol for early structured skin care with perineum ventilation, formulating a guidance sheet for incontinence nursing care; (2) organizing training and assessments of theories and skills, including three special sections on incontinence care training (theoretical knowledge, project process, video watching), skills training for nursing staff, and an incontinence nursing workshop to engage and evaluate all staff; (3) annual analysis and discussion of nursing quality control.
Results
Following project completion, there was a decrease in the overall incidence of IAD. Moreover, ICU nurses may attach more importance/awareness to IAD.
Conclusions
This project successfully reduced the incidence of IAD among ICU patients.
目的：重症监护病房（ICU）的患者极易患上失禁相关皮炎（IAD），其发病率和严重程度与压力损伤呈正相关，从而影响护理质量指标。该质量改进项目旨在降低 IAD 的严重程度和发病率，重点是提高护理人员的认识：设计：该项目为期 36 个月，通过 "计划-实施-研究-行动"（PDSA）模式实施：方法：质量改进项目包括三个主要程序，分别是 "计划-实施-研究-行动"（PDSA）模式和 "改进-实施-研究"（PDSA）模式：质量改进项目包括三个主要程序：(1）制定并实施会阴通气早期结构化皮肤护理改良防治护理方案，制定失禁护理指导单；（2）组织理论和技能培训与考核，包括失禁护理培训（理论知识、项目流程、视频观看）、护理人员技能培训、失禁护理工作坊三个专场，全员参与并考核；（3）年度护理质控分析与讨论：项目完成后，IAD 的总体发生率有所下降。此外，ICU 护士对 IAD 的重视程度/意识也有所提高：该项目成功降低了 ICU 患者的 IAD 发生率。
{"title":"Decreasing the rate of incontinence-associated dermatitis in intensive care units: A quality improvement project","authors":"Yi Chen , Lan Gu , Yan Lu , Wei Ding , SiMin Cheng","doi":"10.1016/j.jtv.2024.09.010","DOIUrl":"10.1016/j.jtv.2024.09.010","url":null,"abstract":"<div><h3>Purpose</h3><div>Patients in the intensive care unit (ICU) are at a high risk of developing incontinence-associated dermatitis (IAD), the incidence and severity of which are positively related to pressure injuries, thus affecting nursing quality indicators. This quality improvement project aimed to decrease the severity and incidence of IAD, with a focus on enhancing awareness among nursing staff.</div></div><div><h3>Design</h3><div>This 36-month project was implemented via the Plan-Do-Study-Act (PDSA) model.</div></div><div><h3>Subjects</h3><div>and setting: Included staff members worked in the ICUs (central and emergency ICUs) at a Grade A tertiary hospital in Suzhou (South of Jiangsu), China.</div></div><div><h3>Methods</h3><div>The quality improvement project included three main procedures: (1) formulating and implementing a modified prevention and treatment nursing protocol for early structured skin care with perineum ventilation, formulating a guidance sheet for incontinence nursing care; (2) organizing training and assessments of theories and skills, including three special sections on incontinence care training (theoretical knowledge, project process, video watching), skills training for nursing staff, and an incontinence nursing workshop to engage and evaluate all staff; (3) annual analysis and discussion of nursing quality control.</div></div><div><h3>Results</h3><div>Following project completion, there was a decrease in the overall incidence of IAD. Moreover, ICU nurses may attach more importance/awareness to IAD.</div></div><div><h3>Conclusions</h3><div>This project successfully reduced the incidence of IAD among ICU patients.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 978-984"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jtv.2024.09.006
Emmy Muller-Sloof , Erik de Laat , Pieter Zwanenburg , Anke Wijlens , Hester Vermeulen , Stefan Hummelink , Dietmar Ulrich
Background
Surgical wound dehiscence (SWD) is interpreted differently amongst healthcare professionals due to a lack of uniformity in definitions in literature. Inconsistent defining impedes accurate diagnosis, appropriate care, intercollegiate consultation, and benchmarking. Despite the introduction of a consensus-driven definition by the World Union of Wound Healing Societies (WUWHS) in 2018, its application in literature and clinical practice remains unclear.
A objectives
This scoping review aims to systematically explore the literature to identify existing SWD definitions, provide an overview, identify knowledge gaps, and extract articles that reference the WUWHS definition.
Methods
This review was performed in accordance with the PRISMA-ScR guidelines and Joanna Briggs Institute Methodology for Scoping Reviews. A systematic literature search was performed through MEDLINE, EMBASE, Cochrane Library and Google Scholar. Eligibility screening and data extraction were independently performed by two researchers.
Results
This study included 34 articles: 28 systematic reviews, two randomized clinical trials, three retrospective studies, and one book chapter. SWD was defined in different ways, such as “breakdown/disruption of the surgical wound” (n = 17), ”separation/splitting apart of the wound edges” (n = 13), “gaping/re-opened wound” (n = 7), mechanical failure (n = 2), or infection (n = 1). Other studies defined SWD in relation to its depth (skin layers involved) or length over the incision, both complete and partial (n = 9). One study referenced the WUWHS definition.
Conclusion
Existing literature demonstrates a substantial variety in defining SWD, and little adoption of the WUWHS definition following its introduction in 2018. Uniform use of the definition should be considered as this will improve the quality of care.
{"title":"Exploring the definition of surgical wound dehiscence in literature: a Scoping Review","authors":"Emmy Muller-Sloof , Erik de Laat , Pieter Zwanenburg , Anke Wijlens , Hester Vermeulen , Stefan Hummelink , Dietmar Ulrich","doi":"10.1016/j.jtv.2024.09.006","DOIUrl":"10.1016/j.jtv.2024.09.006","url":null,"abstract":"<div><h3>Background</h3><div>Surgical wound dehiscence (SWD) is interpreted differently amongst healthcare professionals due to a lack of uniformity in definitions in literature. Inconsistent defining impedes accurate diagnosis, appropriate care, intercollegiate consultation, and benchmarking. Despite the introduction of a consensus-driven definition by the World Union of Wound Healing Societies (WUWHS) in 2018, its application in literature and clinical practice remains unclear.</div></div><div><h3>A objectives</h3><div>This scoping review aims to systematically explore the literature to identify existing SWD definitions, provide an overview, identify knowledge gaps, and extract articles that reference the WUWHS definition.</div></div><div><h3>Methods</h3><div>This review was performed in accordance with the PRISMA-ScR guidelines and Joanna Briggs Institute Methodology for Scoping Reviews. A systematic literature search was performed through MEDLINE, EMBASE, Cochrane Library and Google Scholar. Eligibility screening and data extraction were independently performed by two researchers.</div></div><div><h3>Results</h3><div>This study included 34 articles: 28 systematic reviews, two randomized clinical trials, three retrospective studies, and one book chapter. SWD was defined in different ways, such as “breakdown/disruption of the surgical wound” (n = 17), ”separation/splitting apart of the wound edges” (n = 13), “gaping/re-opened wound” (n = 7), mechanical failure (n = 2), or infection (n = 1). Other studies defined SWD in relation to its depth (skin layers involved) or length over the incision, both complete and partial (n = 9). One study referenced the WUWHS definition.</div></div><div><h3>Conclusion</h3><div>Existing literature demonstrates a substantial variety in defining SWD, and little adoption of the WUWHS definition following its introduction in 2018. Uniform use of the definition should be considered as this will improve the quality of care.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 923-929"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jtv.2024.07.019
Sevilay Senol Celik , Yusuf Celik , Hande Nur Arslan , Gamze Bozkul
Objective
The aim of this systematic review and meta-analysis was to evaluate the effect of virtual reality on pain in adult burn patients.
Method
A comprehensive systematic search was conducted on international electronic databases such as PUBMED, Web of Science, Science Direct, CINAHL, Scopus, TÜBİTAK-ULAKBİM, Dergipark and TR Dizin with keywords. This systematic review and meta-anaysis was developed using the PRISMA checklist. The risk of bias was assessed independently for each included study by using the Cochrane risk of bias tools.
Results
Based on the results of systematic review it was decided to include 15 studies in meta analyses. Based on fifteen pooled studies, the estimated SMD was minus 0.62 with a 95 % CI of minus1.15 and minus 0.09 according to the results of the random effects model as recommended by heterogeneity tests. Of pooled 15 studies, 11 studies found less pain score among VR patients, while the remaining four reported higher pain score among VR patients.
Conclusions
The results show that virtual reality can be used effectively in pain management during burn care in adult patients. Since the number of studies in adult burn patients is very limited, it is recommended to conduct large-sample studies with high level of evidence including nursing interventions on this issue.
{"title":"The effect of virtual reality-based interventions on pain in burn wound care in burn patients: A systematic review and meta-analysis","authors":"Sevilay Senol Celik , Yusuf Celik , Hande Nur Arslan , Gamze Bozkul","doi":"10.1016/j.jtv.2024.07.019","DOIUrl":"10.1016/j.jtv.2024.07.019","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this systematic review and meta-analysis was to evaluate the effect of virtual reality on pain in adult burn patients.</div></div><div><h3>Method</h3><div>A comprehensive systematic search was conducted on international electronic databases such as PUBMED, Web of Science, Science Direct, CINAHL, Scopus, TÜBİTAK-ULAKBİM, Dergipark and TR Dizin with keywords. This systematic review and <em>meta</em>-anaysis was developed using the PRISMA checklist. The risk of bias was assessed independently for each included study by using the Cochrane risk of bias tools.</div></div><div><h3>Results</h3><div>Based on the results of systematic review it was decided to include 15 studies in meta analyses. Based on fifteen pooled studies, the estimated SMD was minus 0.62 with a 95 % CI of minus1.15 and minus 0.09 according to the results of the random effects model as recommended by heterogeneity tests. Of pooled 15 studies, 11 studies found less pain score among VR patients, while the remaining four reported higher pain score among VR patients.</div></div><div><h3>Conclusions</h3><div>The results show that virtual reality can be used effectively in pain management during burn care in adult patients. Since the number of studies in adult burn patients is very limited, it is recommended to conduct large-sample studies with high level of evidence including nursing interventions on this issue.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 999-1011"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jtv.2024.08.004
Maegan Spiteri , Colin Boyle , Silvia Caggiari , Alexandros Christou , Louise Savine , Peter R. Worsley , Spyros Masouros
Aim
Pressure-ulcer occurrence in the seated patient is understudied. Preventative devices have been developed and are prescribed commonly, but there is little quantitative evidence of their effectiveness. This study explores the concept of a lateral pressure device, a prevention device that applies pressure to the sides of the seated buttocks, to reduce the amount of tissue distortion and blood-vessel occlusion. It is hypothesized that this device will reduce deep tissue injury by reducing the pressure at the bone-muscle interface, as demonstrated computationally in previous research. This study aimed to use oximetry to investigate the efficacy of the device in maintaining transcutaneous gas tensions of the tissue as close to baseline as possible.
Methods
Oximetry electrodes were attached to participants' ischial tuberosity and greater trochanter for different amounts of lateral pressure. The amount of lateral pressure is a given percentage of the pressure due to the participants’ underbody pressure.
Results
The results show that 50 % lateral pressure is sufficient to produce an improvement in participants’ gas tensions at their ischial tuberosity, without negatively impacting the tissue at their greater trochanter, relative to the control of sitting with no application of lateral pressure.
Conclusion
Despite a rudimentary prototype device design, and that participants each placed their own oximetry sensors, results support the application of lateral pressure as a method to maintain transcutaneous gas tensions. Further work should be carried out on a larger sample to consolidate these findings.
{"title":"Exploring the effects of lateral pressure to the soft tissue of the buttocks during seating to preserve tissue perfusion","authors":"Maegan Spiteri , Colin Boyle , Silvia Caggiari , Alexandros Christou , Louise Savine , Peter R. Worsley , Spyros Masouros","doi":"10.1016/j.jtv.2024.08.004","DOIUrl":"10.1016/j.jtv.2024.08.004","url":null,"abstract":"<div><h3>Aim</h3><div>Pressure-ulcer occurrence in the seated patient is understudied. Preventative devices have been developed and are prescribed commonly, but there is little quantitative evidence of their effectiveness. This study explores the concept of a lateral pressure device, a prevention device that applies pressure to the sides of the seated buttocks, to reduce the amount of tissue distortion and blood-vessel occlusion. It is hypothesized that this device will reduce deep tissue injury by reducing the pressure at the bone-muscle interface, as demonstrated computationally in previous research. This study aimed to use oximetry to investigate the efficacy of the device in maintaining transcutaneous gas tensions of the tissue as close to baseline as possible.</div></div><div><h3>Methods</h3><div>Oximetry electrodes were attached to participants' ischial tuberosity and greater trochanter for different amounts of lateral pressure. The amount of lateral pressure is a given percentage of the pressure due to the participants’ underbody pressure.</div></div><div><h3>Results</h3><div>The results show that 50 % lateral pressure is sufficient to produce an improvement in participants’ gas tensions at their ischial tuberosity, without negatively impacting the tissue at their greater trochanter, relative to the control of sitting with no application of lateral pressure.</div></div><div><h3>Conclusion</h3><div>Despite a rudimentary prototype device design, and that participants each placed their own oximetry sensors, results support the application of lateral pressure as a method to maintain transcutaneous gas tensions. Further work should be carried out on a larger sample to consolidate these findings.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 992-998"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jtv.2024.09.004
Tuba Karabey , Serife Karagozoglu , Zeynep Sümer
Context
The fact that the concept of quality in health care services has come to the fore and that evidence-based practices have become widespread made such concepts as patient satisfaction and comfort important and priority parameters in determining the quality of health services.
Objectives
The aim of the study is to determine the effects of using lavender oil in intramuscular injection on injection pain, comfort level, blood pressure, pulse rate and respiratory rate.
Methods
The study was designed as a prospective, single-blind randomized controlled trial. The research was conducted in accordance with the CONSORT Checklist guide. In our study, a total of 160 individuals were included in the sample, 80 of whom were control and 80 were intervention. Structured Information Form, Visual Analog Scale and Comfort Scale were used to collect the data of the research. Mann Whitney U, Kruskal Wallis test and Wilcoxon test were used to evaluate the data.
Results
It was determined that the mean pain scores of the individuals who received intramuscular injection by applying lavender oil were statistically significantly lower than the individuals in the control group. Again, the comfort score averages of the individuals who were applied lavender oil were found to be statistically significantly higher than the control group. It was determined that the blood pressure, pulse rate and respiratory rate before the injection of the individuals in the control group increased statistically significantly according to the post-injection measurements, while the blood pressure, pulse rate and respiratory rate in the lavender oil group decreased significantly after the injection and remained within their normal values.
Conclusion
As a result, it was determined that the application of lavender oil in intramuscular injection had a positive and significant effect on the blood pressure, pulse rate and respiratory rate of the individuals on the injection pain and comfort level.
{"title":"The effect of lavender oil use on pain and comfort level in intramuscular injection administration: A single blind randomized controlled study","authors":"Tuba Karabey , Serife Karagozoglu , Zeynep Sümer","doi":"10.1016/j.jtv.2024.09.004","DOIUrl":"10.1016/j.jtv.2024.09.004","url":null,"abstract":"<div><h3>Context</h3><div>The fact that the concept of quality in health care services has come to the fore and that evidence-based practices have become widespread made such concepts as patient satisfaction and comfort important and priority parameters in determining the quality of health services.</div></div><div><h3>Objectives</h3><div>The aim of the study is to determine the effects of using lavender oil in intramuscular injection on injection pain, comfort level, blood pressure, pulse rate and respiratory rate.</div></div><div><h3>Methods</h3><div>The study was designed as a prospective, single-blind randomized controlled trial. The research was conducted in accordance with the CONSORT Checklist guide. In our study, a total of 160 individuals were included in the sample, 80 of whom were control and 80 were intervention. Structured Information Form, Visual Analog Scale and Comfort Scale were used to collect the data of the research. Mann Whitney U, Kruskal Wallis test and Wilcoxon test were used to evaluate the data.</div></div><div><h3>Results</h3><div>It was determined that the mean pain scores of the individuals who received intramuscular injection by applying lavender oil were statistically significantly lower than the individuals in the control group. Again, the comfort score averages of the individuals who were applied lavender oil were found to be statistically significantly higher than the control group. It was determined that the blood pressure, pulse rate and respiratory rate before the injection of the individuals in the control group increased statistically significantly according to the post-injection measurements, while the blood pressure, pulse rate and respiratory rate in the lavender oil group decreased significantly after the injection and remained within their normal values.</div></div><div><h3>Conclusion</h3><div>As a result, it was determined that the application of lavender oil in intramuscular injection had a positive and significant effect on the blood pressure, pulse rate and respiratory rate of the individuals on the injection pain and comfort level.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 909-915"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142290001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jtv.2024.07.011
Pedro Miguel Garcez Sardo , Inês Fernandes Moreira , Laura Ferreira de Pinho Mouta , Marta Silva Santos , Rita Conceição Ramos
Aim of the study
To map the available evidence on nursing care provided to prevent the development of pressure ulcers/injuries in emergency services.
Material and methods
Scoping review that follows the Preferred Reporting Items for Systematic reviews and the Meta-Analyses extensions for Scoping Reviews and the Joanna Briggs Institute guidelines. The inclusion criteria were based on the PCC mnemonic. The main variables of interest were the nursing care provided to prevent the development of pressure ulcers/injuries (Condition) reported in studies developed in hospital emergency services (Context) with adult participants (Population). The scoping review protocol was registered on the OSF platform.
Results
During the selection process, 175 articles were identified in different databases. Applying the inclusion and exclusion criteria, 20 studies were included in this scoping review. The preventive measures for the development of pressure ulcers/injuries were grouped into 9 categories: “risk factors and risk assessment”, “support surfaces”, “dressings for pressure ulcer/injury prevention”, “skin and tissue assessment”, “repositioning and early mobilization”, “preventive skin care”, “nutrition in pressure ulcer/injury prevention”, “health education” and “vital signs management”. The instruments for assessing the risk of developing pressure ulcers/injuries mentioned in the studies are the Braden, Waterlow and Norton scales. The most documented tool for assessing the risk of developing pressure ulcers/injuries in hospital emergency services was the Braden Scale.
Conclusion
International literature identified several preventive interventions that could be implemented in emergency services to avoid pressure ulcers/injuries development. However, is crucial that those preventive interventions were systematic implemented (in combination) since hospital admission.
{"title":"Pressure ulcers/injuries prevention in emergency services: A scoping review","authors":"Pedro Miguel Garcez Sardo , Inês Fernandes Moreira , Laura Ferreira de Pinho Mouta , Marta Silva Santos , Rita Conceição Ramos","doi":"10.1016/j.jtv.2024.07.011","DOIUrl":"10.1016/j.jtv.2024.07.011","url":null,"abstract":"<div><h3>Aim of the study</h3><div>To map the available evidence on nursing care provided to prevent the development of pressure ulcers/injuries in emergency services.</div></div><div><h3>Material and methods</h3><div>Scoping review that follows the Preferred Reporting Items for Systematic reviews and the Meta-Analyses extensions for Scoping Reviews and the Joanna Briggs Institute guidelines. The inclusion criteria were based on the PCC mnemonic. The main variables of interest were the nursing care provided to prevent the development of pressure ulcers/injuries (Condition) reported in studies developed in hospital emergency services (Context) with adult participants (Population). The scoping review protocol was registered on the OSF platform.</div></div><div><h3>Results</h3><div>During the selection process, 175 articles were identified in different databases. Applying the inclusion and exclusion criteria, 20 studies were included in this scoping review. The preventive measures for the development of pressure ulcers/injuries were grouped into 9 categories: “risk factors and risk assessment”, “support surfaces”, “dressings for pressure ulcer/injury prevention”, “skin and tissue assessment”, “repositioning and early mobilization”, “preventive skin care”, “nutrition in pressure ulcer/injury prevention”, “health education” and “vital signs management”. The instruments for assessing the risk of developing pressure ulcers/injuries mentioned in the studies are the Braden, Waterlow and Norton scales. The most documented tool for assessing the risk of developing pressure ulcers/injuries in hospital emergency services was the Braden Scale.</div></div><div><h3>Conclusion</h3><div>International literature identified several preventive interventions that could be implemented in emergency services to avoid pressure ulcers/injuries development. However, is crucial that those preventive interventions were systematic implemented (in combination) since hospital admission.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 712-719"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.jtv.2024.08.007
Delia Muir , Laura McLarty , Jessica Drinkwater , Carole Bennett , Yvonne Birks , Andrea Broadway-Parkinson , Vanessa Cooksey , Phil Gleeson , Christy Holland , Lisa Ledger , Daniella-Jade Lowe , Andrea McGoverin , Jane Nixon , Tanya Perry , Heidi Sandoz , Brian Rawson , Yvonne Rawson , Nikki Stubbs , Kay Walker , Helen Whitaker , Susanne Coleman
Aim
To develop a Theory of Change (ToC) pathway to facilitate the development of a multi-component intervention package supporting pressure Ulcer (PU) risk identification and management, in partnership with people with Long Term Neurological Conditions (LTNC) who self-manage care and live at home, their informal carers and PAs.
Methods
A participatory approach, with extensive input from those whose lives are the focus of the research, was used throughout the 4 interlinked work packages (WP):
•
WP1 – Development of two co-operative Inquiry Groups (CIGs)
WP3– Professional and strategic stakeholder engagement
•
WP4–Systems mapping and Theory of Change (ToC pathway development
Iterative data analysis was undertaken with emerging findings from each WP informing subsequent stages of the study.
Findings
Overall, 74 participants contributed across the 4 WPs, incorporating 31 Service Users (SU), 8 carers, 9 Personal Assistants (PAs) and 26 professional stakeholders. We identified 8 key themes related to PU prevention, incorporating, learning, safe routines, third sector and peer support, navigating complex systems, adapting and reacting to change, perceptions of risk, risk negotiation and supporting roles. The findings indicate systemic and professional barriers which hamper people's ability to self-care and seek help.
Conclusions
The study highlights the complexities and impact of managing PU prevention activities at home for people with LTNC and areas of learning for health professionals and systems. By understanding these complexities we developed a systems map, identified resource requirements and illustrated a Theory of Change (ToC) pathway, to underpin future work to develop and user test an interactive, multi-component intervention.
{"title":"Pressure ulcer prevention for people with long-term neurological conditions (LTNCs) who self-manage care and live at home","authors":"Delia Muir , Laura McLarty , Jessica Drinkwater , Carole Bennett , Yvonne Birks , Andrea Broadway-Parkinson , Vanessa Cooksey , Phil Gleeson , Christy Holland , Lisa Ledger , Daniella-Jade Lowe , Andrea McGoverin , Jane Nixon , Tanya Perry , Heidi Sandoz , Brian Rawson , Yvonne Rawson , Nikki Stubbs , Kay Walker , Helen Whitaker , Susanne Coleman","doi":"10.1016/j.jtv.2024.08.007","DOIUrl":"10.1016/j.jtv.2024.08.007","url":null,"abstract":"<div><h3>Aim</h3><div>To develop a Theory of Change (ToC) pathway to facilitate the development of a multi-component intervention package supporting pressure Ulcer (PU) risk identification and management, in partnership with people with Long Term Neurological Conditions (LTNC) who self-manage care and live at home, their informal carers and PAs.</div></div><div><h3>Methods</h3><div>A participatory approach, with extensive input from those whose lives are the focus of the research, was used throughout the 4 interlinked work packages (WP):<ul><li><span>•</span><span><div>WP1 – Development of two co-operative Inquiry Groups (CIGs)</div></span></li><li><span>•</span><span><div>WP2 - Semi-structured interviews and/or app participation</div></span></li><li><span>•</span><span><div>WP3– Professional and strategic stakeholder engagement</div></span></li><li><span>•</span><span><div>WP4–Systems mapping and Theory of Change (ToC pathway development</div></span></li></ul></div><div>Iterative data analysis was undertaken with emerging findings from each WP informing subsequent stages of the study.</div></div><div><h3>Findings</h3><div>Overall, 74 participants contributed across the 4 WPs, incorporating 31 Service Users (SU), 8 carers, 9 Personal Assistants (PAs) and 26 professional stakeholders. We identified 8 key themes related to <span>PU</span> prevention, incorporating, learning, safe routines, third sector and peer support, navigating complex systems, adapting and reacting to change, perceptions of risk, risk negotiation and supporting roles. The findings indicate systemic and professional barriers which hamper people's ability to self-care and seek help.</div></div><div><h3>Conclusions</h3><div>The study highlights the complexities and impact of managing PU prevention activities at home for people with LTNC and areas of learning for health professionals and systems. By understanding these complexities we developed a systems map, identified resource requirements and illustrated a Theory of Change (ToC) pathway, to underpin future work to develop and user test an interactive, multi-component intervention.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 753-765"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142224380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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