Journal
CLINICAL NURSING RESEARCH
Volume 26, Issue 4, Pages 484-503Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1054773816629689
Keywords
acute care setting; clinical research prevention; pressure injury; ulcer; quantitative; randomized controlled trial study; silicone foam border dressing
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Funding
- National Health and Medical Research Council's Centre of Research Excellence in Nursing
- Early Career Researcher Mentored Grant from the Centre from Health Practice Innovation, Griffith University
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This pilot randomized controlled trial examined the effect of prophylactic dressings to minimize sacral pressure injuries (PIs) in high-risk hospitalized patients and assessed feasibility criteria to inform a larger study. Eighty patients were recruited at admission points (the emergency department and surgical care unit) or directly from participating wards in the general medical-surgical setting following the assessment of high risk of sacral PI. Participants were randomized into either the routine care or routine care and silicone foam border dressing group. Outcome assessment comprised digital photographs of each participant's sacrum every 72 hr for evaluation by a blind-to-intervention assessor. Sixty-seven participants had at least one sacral photograph taken and assessed by a blind-to-intervention assessor. Three participants were assessed as having a Stage I PI. Although the use of photography was effective, feasibility criteria identified challenges related to bias, blinding, weight assessment, preparation of nursing staff, and sample size estimation.
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