Article
Geriatrics & Gerontology
Shilpa Krishnan, Ickpyo Hong, Grace Couture, Yi-Ting Tzen, Timothy Reistetter
Summary: This study examines the prevalence, comorbidities, and rehabilitation utilization of pressure injuries (PrIs) among older adults with stroke at skilled nursing facilities (SNFs). The findings suggest that individuals with a longer hospital stay, lower socioeconomic status, higher proportions of comorbidities, and higher functional impairments are more likely to present with PrIs at SNF admission assessment. Deep PrIs are associated with younger age, non-Hispanic Black ethnicity, lower socioeconomic status, shorter hospital stay, intensive care unit stay, higher functional impairments, skin integrity issues, system failure, and infections. The study also reveals differences in therapy utilization between individuals with different stages of PrIs.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Review
Dermatology
Alaa Hamza Hermis, Amirabbas Mollaei, Pooyan Ghorbani Vajargah, Samad Karkhah, Poorya Takasi, Mahbobeh Firooz, Seyed Javad Hosseini, Hamidreza Alizadeh Otaghvar, Yosra Raziani
Summary: The purpose of this review study was to investigate the attitude of nursing students towards the prevention of pressure ulcers (PUs) and related factors. A total of 6454 nursing students participated in ten cross-sectional studies. The majority of nursing students demonstrated a satisfactory attitude towards PU prevention. It is recommended to provide them with necessary knowledge and proper planning to carry out preventive actions according to guidelines.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Dermatology
Mi Yu, Kyung Hee Park, Jiseon Shin, Ji Hyun Lee
Summary: This study investigated the interface pressure (IP) of patients using different support surfaces (standard hospital mattress and polyurethane foam mattress), identified cut-off points for IP in patients with skin changes, and compared the pressure differences between the two mattress types. The results showed that the IP for a standard hospital mattress was significantly higher than that of a polyurethane foam mattress. Individualized interventions based on the cut-off points are recommended to prevent pressure injuries.
INTERNATIONAL WOUND JOURNAL
(2022)
Article
Cell Biology
Alec S. Mccranie, Ryan S. Constantine, Nayun Lee, Elliot L. H. Le, Michael Gehring, Matthew L. Iorio
Summary: This study aimed to identify the patient traits and comorbidities associated with pressure injury recurrence after reconstruction. A retrospective cohort study using an insurance claims database was conducted. Risk factors for recurrence after reconstruction were identified through multiple logistic regression analysis. Hypoalbuminemia, paraplegia, and osteomyelitis were associated with recurrence. Prior to reconstruction, patients with osteomyelitis and hypoalbuminemia should have their nutrition and infection optimized.
WOUND REPAIR AND REGENERATION
(2023)
Article
Dermatology
Pei-Wei Weng, Yen-Kuang Lin, Jang-Dong Seo, Wen-Pei Chang
Summary: This study found that patient age and body mass index were associated with the severity of pressure injuries. Patients placed in the prone position during surgery and those who lost a larger amount of blood were more likely to develop severe pressure injuries. Precautionary measures should be taken for elderly patients who are expected to lose a large amount of blood during surgery to prevent pressure injuries.
INTERNATIONAL WOUND JOURNAL
(2022)
Article
Nursing
Tarja Tervo-Heikkinen, Anniina Heikkila, Marita Koivunen, Tiina Kortteisto, Jaana Peltokoski, Susanne Salmela, Merja Sankelo, Tuija Ylitormanen, Kristiina Junttila
Summary: This study explores the prevention of pressure injuries in Finnish acute inpatient care. The results show that risk assessments and preventive interventions for pressure injuries are irregularly conducted, highlighting the gaps in evidence-based nursing practice.
Review
Nursing
Man-Long Chung, Manuel Widdel, Julian Kirchhoff, Julia Sellin, Mohieddine Jelali, Franziska Geiser, Martin Mucke, Rupert Conrad
Summary: This study is the first meta-analysis on the risk factors for pressure ulcer development in adult patients. The results showed that age and Braden scale are risk factors for pressure ulcer development. However, limitations in study quality and heterogeneity need to be considered, highlighting the need for unifying certain conditions in risk factor research.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Dermatology
Kathryn Vowden, Lisa Hill
Summary: This study found that the COVID-19 pandemic led to a significant increase in pressure ulcer incidence in a large UK teaching hospital, especially among the expanded critical care patient population. Despite a decrease in bed occupancy, there was an increase in the proportion of ungradable PUs.
JOURNAL OF WOUND CARE
(2021)
Review
Computer Science, Information Systems
Gianluca Conte, Cristina Arrigoni, Arianna Magon, Alessandro Stievano, Rosario Caruso
Summary: This scoping review aims to map the literature on embracing digital and technological solutions (DTS) in nursing. The study highlights the crucial role nurses play in introducing, implementing, and using DTS, and emphasizes the importance of cultivating positive attitudes, possessing knowledge and competencies, and displaying appropriate behaviors towards DTS for effective incorporation into nursing practice.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2023)
Article
Green & Sustainable Science & Technology
Qingji Zhou, Zunfeng Du, Jiayue Liu, Jing Liang, Yueqin Jiao
Summary: This study investigates the factors influencing green ship recycling and their effects by analyzing the procedures and pollutants during ship dismantling through structural equation modeling. The findings show that organization and management factor has the largest total effect on green ship recycling, followed by environmental protection facilities and plans factor and ship recycling technology and equipment factor. The study discusses the theoretical and managerial implications for ship recycling companies and policy makers.
JOURNAL OF CLEANER PRODUCTION
(2021)
Article
Environmental Studies
Manuel Luna, Ignacio Llorente, Ladislao Luna
Summary: Aquaculture is a high-risk industry with little attention given to risk sources in research. This study provides a framework of the main risk sources perceived by aquaculture producers, integrating empirical evidence from different countries and productions. The framework consists of eight risk categories, 19 risk types, and 40 risk sources. Producers tend to underestimate important risks such as regulatory or financial ones. The framework is valuable for policy makers, producers, scientists, and stakeholders in addressing the first step of risk management and governance - the identification of risk sources.
Article
Dermatology
Tarja Anita Tervo-Heikkinen, Anniina Heikkila, Marita Koivunen, Tiina-Riitta Kortteisto, Jaana Peltokoski, Susanne Salmela, Merja Sankelo, Tuija Sinikka Ylitormanen, Kristiina Junttila
Summary: This study aims to explore the prevalence of pressure injuries and incidence of hospital-acquired pressure injuries in somatic-specialised inpatient care in Finland. The research found that medical patients are at a higher risk of hospital-acquired pressure injuries compared to surgical patients, with factors such as age, mobility, weight, and skin assessment playing a role in the risk assessment for pressure injuries. It suggests a more systematic assessment of pressure injury risk and skin status in Finnish acute care hospitals.
INTERNATIONAL WOUND JOURNAL
(2022)
Review
Nursing
Josephine Lovegrove, Saroeun Ven, Sandra J. Miles, Paul Fulbrook
Summary: This study compared the outcomes of nursing assessment of pressure injury risk using a structured assessment tool versus clinical judgement. The results showed that different assessment methods can result in different risk statuses, and the linkage between risk status and preventive interventions is weak.
JOURNAL OF CLINICAL NURSING
(2023)
Review
Dermatology
Pooyan Ghorbani Vajargah, Amirabbas Mollaei, Atefeh Falakdami, Poorya Takasi, Zahra Moosazadeh, Shaqayeq Esmaeili, Amir Emami Zeydi, Samad Karkhah
Summary: This systematic review aimed to summarize nurses' practice and related factors toward pressure ulcer (PU) prevention. The study found that the level of nurses' practice toward PU prevention was relatively desirable, but there is still room for improvement. It is suggested that policymakers and nursing managers implement PU prevention education for nurses based on the factors associated with nurses' practice.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Clinical Neurology
Anchalee Techanivate, Nutwara Athibai, Suvimol Siripongsaporn, Weerasak Singhatanadgige
Summary: This study evaluated the incidence and risk factors associated with the development of facial pressure ulcers (FPU) in patients undergoing spine surgery in the prone position. A total of 300 cases were studied, with an incidence of FPU of 27.3% after prone spine surgery exceeding 3 hours. Hypotension, higher temperature, prolonged operation time, and significant crystalloid therapy were identified as independent risk factors for developing FPU.
Review
Nursing
Siobhan O'Connor, Yongyang Yan, Friederike J. S. Thilo, Heike Felzmann, Dawn Dowding, Jung Jae Lee
Summary: The real-world applications of AI in nursing and midwifery are limited, and there is a need for digital health datasets to support testing, use, and evaluation of AI. Training courses should be developed to educate the professions about AI.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Nursing
Susanne Coleman, Faye Wray, Kristian Hudson, Anne Forster, Simon Conroy, Jonathan Tremyl, Susan D. Shenkin, Jane Nixon, Mandy Fader, Victoria A. Goodwin, Danielle Woods, Shelley Crossland, Rachel Holt, Louise Mcgregor, Rebecca Maud, Zoe Wyrko, Sarah E. Lamb, Elizabeth Teale
Summary: The study aimed to reach a consensus on modifiable risk factors for a new system of care addressing frailty manifestations in hospitalized older adults. It was found that 44 risk factors, including patient, organizational, and environmental factors, were modifiable and should be included in the new care system.
Article
Infectious Diseases
Akbar Ullah, William Whittaker, Fay Bradley, Pauline A. A. Nelson, Dawn Dowding, Marcello Morciano, Nicky Cullum
Summary: This study examined the factors associated with the use of a digital COVID-19 symptom tracker in care homes in Greater Manchester, UK, and its impact on controlling the spread of COVID-19. The study found that the use of the tracker significantly decreased after one year of adoption, with the highest usage in the locality where the project was initiated. The adoption of the tracker did not show any effect on controlling COVID-19 spread.
BMC INFECTIOUS DISEASES
(2023)
Article
Dermatology
Amit Gefen, Paulo Alves, Dimitri Beeckman, Jose Luis Lazaro-Martinez, Hadar Lev-Tov, Bijan Najafi, Terry Swanson, Kevin Woo
Summary: The mechanical performance of foam materials in foam-based wound dressings plays a crucial role in the clinical outcomes and cost of care. This article provides a comprehensive overview of the theoretical and practical considerations related to the mechanical performance of foams in wound dressings, based on published research and clinical experience. This information is important for clinicians, researchers, regulators, and buyers in the wound care field.
INTERNATIONAL WOUND JOURNAL
(2023)
Editorial Material
Gastroenterology & Hepatology
David Gunn, Alexander Ford, Amanda Farrin, Robin Spiller
Summary: This article is related to the papers by Gunn et al.
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2023)
Article
Neurosciences
Hadar Shaulian, Amit Gefen, Hen Biton, Alon Wolf
Summary: This study investigates a novel graded-stiffness offloading method for diabetic heel ulcers, which can effectively redistribute heel pressure and reduce focal stress concentration areas. The results show that the graded-stiffness offloading solution is more effective in reducing and redistributing peak pressure and pressure dose compared to existing solutions.
Article
Dermatology
Tomer Katz, Amit Gefen
Summary: Support surfaces play a crucial role in preventing pressure ulcers/injuries for at-risk patients. Hybrid support surfaces, combining reactive and active properties, provide pressure redistribution through the use of high-quality foam material inside inflatable air cells. This study uses computational modelling and simulations to investigate the effects of static and dynamic modes of a hybrid support surface on soft tissue loading at the buttocks. Results show that the dynamic mode effectively relieves deep tissue pressure under the sacral bone and generates a deep tissue offloading effect by shifting the loading towards the coccyx.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Dermatology
Charlotte Raepsaet, Paulo Alves, Breda Cullen, Amit Gefen, Jose Luis Lazaro-Martinez, Hadar Lev-Tov, Bijan Najafi, Nick Santamaria, Andrew Sharpe, Terry Swanson, Kevin Woo, Dimitri Beeckman
Summary: The aim of this project was to develop a core outcome set (COS) for clinical effectiveness studies of bordered foam dressings in the treatment of complex wounds. The project followed the COMET initiative and consisted of two phases. The outcomes were generated through a systematic review, qualitative study, Delphi consensus study, and consensus meeting.
JOURNAL OF TISSUE VIABILITY
(2023)
Article
Health Care Sciences & Services
Brian McMillan, Gail Davidge, Fatima Nadeem, Dawn Dowding, Kurt Wilson, Angela Davies
BMJ HEALTH & CARE INFORMATICS
(2023)
Article
Computer Science, Information Systems
Norina Gasteiger, Sabine N. van der Veer, Paul Wilson, Dawn Dowding
Summary: This study evaluates the feasibility and effectiveness of virtual reality (VR) and augmented reality (AR) smartphone applications for upskilling care home workers in hand hygiene. The results show that immersive VR and AR training had good usability and acceptability, while non-immersive VR training had poor usability. Virtual reality technology can improve hand hygiene technique through mechanisms such as repeated practice, task realism, and feedback and reminding.
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
(2023)
Article
Dermatology
Aleksei Orlov, Marino Ciliberti, Rosa Somma, Amit Gefen
Summary: In this study, we compared the fluid handling performance of different wound care products using advanced robotic technology. The single-use negative pressure wound therapy system emerged as the leading treatment option, while the foam dressing exhibited the poorest fluid handling performance.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Dermatology
Mai Dabas, Ida Kreychman, Tomer Katz, Amit Gefen
Summary: We investigated the reactions of healthy sacral skin to sustained mechanical loading by measuring inflammatory and thermal responses. Infrared thermography outperformed digital photography in detecting skin irritation trends. Polymeric membrane dressings were more effective in reducing inflammation and managing microclimate compared to polyurethane foam. Infrared thermography is a feasible method for monitoring skin health and risk for pressure ulcers.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Dermatology
Suzanne Kapp, Marie Gerdtz, Charne Miller, Amit Gefen, William Padula, Lauren Wilson, Michael Woodward, Nick Santamaria
Summary: Pressure injuries are common in aged care facilities and have a significant impact on healthcare systems. Remote expert wound nurse consultation shows potential in improving pressure injury outcomes, but more research is needed to determine its effectiveness and cost-effectiveness in residential aged care. This study describes a pilot randomized controlled trial investigating the intervention, with outcomes including wound healing rate, infection, quality of life, and cost of treatment. The results will inform future trials evaluating the clinical and economic benefits of remote expert wound nurse consultation in this setting.
INTERNATIONAL WOUND JOURNAL
(2023)
Article
Public, Environmental & Occupational Health
Norina Gasteiger, Sabine N. van der Veer, Paul Wilson, Dawn Dowding
Summary: This qualitative study aimed to explore the theories and perspectives of care home workers regarding the effectiveness and implementation of AR/VR training for promoting hand hygiene practice. The interviews revealed that repeated practice, interactive learning, feedback, reminding, and task realism were important factors for hand hygiene improvement. However, there were mixed opinions regarding other mechanisms and the perceived realism of the AR/VR imagery and environment. Contextual factors such as learner preferences, care home policies, and technological considerations were also identified as important for successful implementation. Future research should focus on testing these mechanisms and technologies in care homes, and providing appropriate support and alternative options for implementation.
HEALTH & SOCIAL CARE IN THE COMMUNITY
(2023)
Article
Health Care Sciences & Services
Lynn McVey, Natasha Alvarado, Frances Healey, Jane Montague, Chris Todd, Hadar Zaman, Dawn Dowding, Alison Lynch, Basma Issa, Rebecca Randell
Summary: This research aims to explore spoken communication between hospital staff about fall prevention and its importance in supporting multifactorial fall prevention practice. The study found that staff engaged in "multifactorial talk" to address patients' modifiable risk factors, while also using "categorisation talk" to focus on patients' levels of fall risk. Staff navigated tensions between these approaches through frequent "hybrid talk".
BMJ QUALITY & SAFETY
(2023)