Nursing care missed in patients at risk of or having pressure ulcers.
Jonathan Hermayn Hernández Valles, María Guadalupe Moreno Monsiváis, Ma Guadalupe Interial Guzmán and 1 others
PMID 27878218WHAT IT FOUND
Nurses’ self-reported missed care did not match what patient assessments showed.
Pressure relief on bony prominences was missed in 58.6% of patient assessments, and skin/wound care was missed in 38.5% of nurses’ reports.
Key findings
01The nurses' own reports of missed care did not line up with the patient assessments of missed care.
02In patient assessments, pressure relief on bony prominences and drainage tubes fixed without interfering with movement were the most commonly missed care, each in 58.6% of assessments.
03According to nurses, skin care or wound care was the most missed element, in 38.5% of cases, and human resource factors were rated highest, with a mean of 85.61 on a 0-100 index.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
It was done in one public tertiary hospital in Monterrey, Mexico, so other settings may differ. Nurses reported their own care, and the study found that staff reports were lower than objective patient assessments and did not line up with them, so self-report may miss omissions. The study was descriptive and correlational, so it cannot show that the reported factors caused missed care or that fixing them would prevent pressure ulcers. Patients were selected only if they were adult inpatients at medium or high risk of pressure ulcers or already had one, so results do not apply to lower-risk inpatients or other populations.
The easy way to misread this
Do not assume nurses' self-reports are enough to find missed pressure-ulcer care. The study found that what nurses said was missed did not line up with what patient assessments showed.