Open AccessSecurement to prevent device‐related pressure injuries in the intensive care unit: A randomised controlled feasibility study
Author(s) -
Coyer Fiona,
Cook JaneLouise,
Brown Wendy,
Vann Amanda,
Doubrovsky Anna
Publication year - 2020
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.13432
Subject(s) - medicine , pressure injury , psychological intervention , endotracheal tube , intensive care unit , randomized controlled trial , protocol (science) , nursing interventions classification , emergency medicine , medical device , nursing care , intensive care medicine , surgery , intubation , nursing , biomedical engineering , alternative medicine , pathology
Medical device‐related pressure injuries are the most common cause of pressure injuries within the intensive care unit, in particular those caused by nasogastric tubes and endotracheal tubes. There are several known methods, which can alleviate the pressure of these devices on the skin surface to reduce the rate of these injuries. To determine the feasibility of conducting a larger, adequately powered trial testing, several clinically effective interventions to reduce the incidence of medical device‐related pressure injuries caused by these devices. Patients were recruited into both study arms and received one of three different methods of skin protection for both arms. Outcome measures included fidelity to the processes of care protocol, recruitment potential, and the number of medical device‐related pressure injuries. Recruitment (n = 87) was slower than expected with less than 10% of screened potential patients available for enrolment. Fidelity to the process of care for each subgroup was variable with better adherence in the nasogastric tube arm compared to the endotracheal tube arm. This feasibility study has revealed concerns about the intervention designs and effectiveness as well as challenges for the adherence of the nursing staff to the protocol.