Current Risk Factors for Iatrogenic Pressure Injuries in Neonates : A Literature Review
Van Der Kuip, Durk; Opperbeck, Annika (2016)
Jyväskylän ammattikorkeakoulu
2016
All rights reserved
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2016121921041
https://urn.fi/URN:NBN:fi:amk-2016121921041
Tiivistelmä
Even though ‘never events’ like hospital acquired (iatrogenic) pressure injuries (PI) in neonates exist, there is a paucity of evidence-based knowledge. Neonates and especially preterm newborns are at risk for skin breakdown due to their anatomic, physiologic and developmental characteristics. PI prevalences were reported to be >50%, causing pain, lengthy hospital stays, emotional and financial burden.
It was aimed at determining current risk factors for iatrogenic PI’s in neonates, to raise awareness on the issue among nurses and point out the need for further research on neonate-specific risk factor. Providing up-to-date knowledge and an impulse to create an efficient assessment tool to help nurses reduce iatrogenic pressure injuries in neonatal care settings was intended.
Four databases (CINAHL, PubMed, Academic Search Elite and Google Scholar) were browsed to collect all relevant articles meeting the inclusion criteria. A qualitative content analysis was conducted to analyze the data found from 15 articles. After extraction, data was organized by formulating subcategories and finally abstracted to main, general categories. The following main categories of risk factors were created; medical devices, medical condition of the neonate, length of stay and care practice.
The results of this review clearly showed the need for further research on risk factors underlying neonatal PIs. The increasing use of medical devices posed an evident threat though risk factors seem naturally interrelated. The existence of a coercible need for raising awareness among paediatric nurses on PI existence and continuous evidence-based education of nursing staff was recognized and the development of a specific assessment tool recommended.
It was aimed at determining current risk factors for iatrogenic PI’s in neonates, to raise awareness on the issue among nurses and point out the need for further research on neonate-specific risk factor. Providing up-to-date knowledge and an impulse to create an efficient assessment tool to help nurses reduce iatrogenic pressure injuries in neonatal care settings was intended.
Four databases (CINAHL, PubMed, Academic Search Elite and Google Scholar) were browsed to collect all relevant articles meeting the inclusion criteria. A qualitative content analysis was conducted to analyze the data found from 15 articles. After extraction, data was organized by formulating subcategories and finally abstracted to main, general categories. The following main categories of risk factors were created; medical devices, medical condition of the neonate, length of stay and care practice.
The results of this review clearly showed the need for further research on risk factors underlying neonatal PIs. The increasing use of medical devices posed an evident threat though risk factors seem naturally interrelated. The existence of a coercible need for raising awareness among paediatric nurses on PI existence and continuous evidence-based education of nursing staff was recognized and the development of a specific assessment tool recommended.