Skip to main navigation menu Skip to main content Skip to site footer
Padjadjaran of Nursing Journal

Perspective

Vol. 12 No. 1 (2024): Jurnal Keperawatan Padjadjaran

Critical thinking of repositioning practice as a quality of nursing care indicator

DOI
https://doi.org/10.24198/jkp.v12i1.2357
Submitted
August 14, 2023
Published
2024-04-30

Abstract

Repositioning is all nursing activities that aim to change the posture of bedridden patients from one side to another during the hospital stay to minimize the pressure load on bony prominences and prevent pressure ulcers or injuries from developing. This is a discussion paper based on nursing and healthcare quality literature references. This paper describes the importance of repositioning practice based on the empirical study and experience as nurses and nurse managers. This perspective supports the existing literature to link repositioning practice and the quality of nursing care process indicators. Repositioning practice could be considered as an indicator of the process of care. This paper emphasizes repositioning practice as a fundamental nursing intervention and how it becomes meaningful for nursing indicators. Nurses need a standard of repositioning and its measurement at the international level.

Article Matrics
Abstract views : 566 times PDF Downloads: 356

Downloads

Download data is not yet available.

References

  1. Al-Dorzi, H. (2017). Pressure ulcers in critically III patients in Saudi Arabia: An opportunity for collaborative research on an ugly disease [Review Article]. Saudi Critical Care Journal, 1(6), 14–16. https://doi.org/10.4103/sccj.sccj_24_17
  2. Ali, K. A. G., Helal, W., Salem, F. A., & Attia, H. (2018). Applying interdisciplinary team approach for pressure ulcer assessment, prevention and management. International Journal of Novel Research in Healthcare and Nursing, 5(3), 640-658.
  3. Avsar, P., Patton, D., O'Connor, T., & Moore, Z. (2019). Do we still need to assess nurses' attitudes towards pressure ulcer prevention? A systematic review. Journal of Wound Care, 28(12), 795–806. https://doi.org/10.12968/jowc.2019.28.12.795
  4. Ayanian, J. Z., & Markel, H. (2016). Donabedian's lasting framework for health care quality. The New England journal of medicine, 375(3), 205. https://doi.org/10.1056/NEJMp1605101
  5. Ayello, E. A., Zulkowski, K., Capezuti, E., Jicman, W. H., & Sibbald, R. G. (2017). Educating nurses in the United States about pressure injuries. Adv Skin Wound Care, 30(2), 83-94. https://doi.org/10.1097/01.ASW.0000511507.43366.a1
  6. Beeckman, D., Defloor, T., Demarré, L., Van Hecke, A., & Vanderwee, K. (2010). Pressure ulcers: Development and psychometric evaluation of the Attitude towards Pressure ulcer Prevention instrument (APuP). International Journal of Nursing Studies, 47(11), 1432-1441. https://doi.org/10.1016/j.ijnurstu.2010.04.004
  7. Beeckman, D., Defloor, T., Schoonhoven, L., & Vanderwee, K. (2011). Knowledge and attitudes of nurses on pressure ulcer prevention: A cross-sectional multicenter study in Belgian hospitals. Worldviews Evid Based Nurs, 8(3), 166-176. https://doi.org/10.1111/j.1741-6787.2011.00217.x
  8. Best, M., & Neuhauser, D. (2004). Avedis Donabedian: Father of quality assurance and poet. BMJ Quality & Safety, 13(6), 472-473. https://doi.org/10.1136/qshc.2004.012591
  9. Braden, B., & Bergstrom, N. (1987). A conceptual schema for the study of the etiology of pressure sores. Rehabil Nurs, 12(1), 8-12. https://doi.org/10.1002/j.2048-7940.1987.tb00541.x
  10. Brunner, L. S. (2010). Brunner & Suddarth's textbook of medical-surgical nursing (Vol. 1). Lippincott Williams & Wilkins: Philadelphia.
  11. Burston, S., Chaboyer, W., & Gillespie, B. (2014). Nurse-sensitive indicators suitable to reflect nursing care quality: A review and discussion of issues. J Clin Nurs, 23(13-14), 1785-1795. https://doi.org/10.1111/jocn.12337
  12. Ersek, Mary PhD, RN, Reviewer. (2003). Nursing Interventions classification (NIC) (3rd ed.). Journal of Hospice & Palliative Nursing 5(1):p 20. https://doi.org/10.1097/00129191-200301000-00011
  13. Cameron, R., Rodgers, A., Welsh, L., & McGown, K. (2014). Developing eLearning for pressure ulcer prevention and management. British Journal of Nursing, 23(Sup15), S16-S23. https://doi.org/10.12968/bjon.2014.23.Sup15.s16
  14. Casey, G. (2013). Pressure ulcers reflect quality of nursing care. Nurs N Z, 19(10), 5.
  15. Closs, S. J., & Tierney, A. J. (1993). The complexities of using a structure, process and outcome framework: The case of an evaluation of discharge planning for elderly patients. Journal of Advanced Nursing, 18(8), 1279-1287. https://doi.org/10.1046/j.1365-2648.1993.18081279.x
  16. Collier, & Moore, Z. (2006). Etiology and risk factors. In Science and practice of pressure ulcer management (pp. 27-36). Springer: London.
  17. Courvoisier, D. S., Righi, L., Béné, N., Rae, A.-C., & Chopard, P. (2018). Variation in pressure ulcer prevalence and prevention in nursing homes: A multicenter study. Applied Nursing Research, 42, 45-50. https://doi.org/10.1016/j.apnr.2018.06.001
  18. Crumbley, D. R., & Kane, M. A. (2010). Development of an evidence-based pressure ulcer program at the National Naval Medical Center: Nurses' role in risk factor assessment, prevention, and intervention among young service members returning from OIF/OEF. Nurs Clin North Am, 45(2), 153-168. https://doi.org/10.1016/j.cnur.2010.02.009
  19. Donabedian, A. (1966). Evaluating the quality of medical care. The Milbank memorial fund quarterly, 44(3), 166-206. https://doi.org/10.2307/3348969
  20. Donabedian, A. (1988). The quality of care: How can it be assessed? Jama, 260(12), 1743-1748. https://doi.org/10.1001/jama.260.12.1743
  21. Du, H., Yang, Y., Wang, X., & Zang, Y. (2020). A cross-sectional observational study of missed nursing care in hospitals in China. J Nurs Manag, 28(7), 1578-1588. https://doi.org/10.1111/jonm.13112
  22. Duncan, K. D. (2007). Preventing pressure ulcers: The goal is zero. The Joint Commission Journal on Quality and Patient Safety, 33(10), 605-610. https://doi.org/10.1016/s1553-7250(07)33069-9
  23. Elliot, G. S. (1896). The nursing of imbeciles under the asylums board. British Medical Journal, 2(1871), 1414-1415. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2510964/
  24. European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, & Alliance., P. P. P. I. (2019). Prevention and treatment of pressure ulcers/ injuries: Clinical practice guideline. The International Guideline. European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance. https://doi.org/https://www.epuap.org/pu-guidelines/
  25. Fossum, M., Ehnfors, M., Svensson, E., Hansen, L. M., & Ehrenberg, A. (2013). Effects of a computerized decision support system on care planning for pressure ulcers and malnutrition in nursing homes: An intervention study. International journal of medical informatics, 82(10), 911-921. https://doi.org/10.1016/j.ijmedinf.2013.05.009
  26. Gefen, A. (2018). The future of pressure ulcer prevention is here: Detecting and targeting inflammation early. Journal of the European Wound Management Association, 19(2), 7-13.
  27. Giesbers, A. S., Schouteten, R. L., Poutsma, E., van der Heijden, B. I., & van Achterberg, T. (2016). Nurses’ perceptions of feedback to nursing teams on quality measurements: An embedded case study design. International Journal of Nursing Studies, 64, 120-129. https://doi.org/10.1016/j.ijnurstu.2016.10.003
  28. Gillespie, B. M., Chaboyer, W. P., McInnes, E., Kent, B., Whitty, J. A., & Thalib, L. (2014). Repositioning for pressure ulcer prevention in adults. Cochrane Database of Systematic Reviews(4). https://doi.org/10.1002/14651858.CD009958.pub2
  29. Hartmann, C. W., Solomon, J., Palmer, J. A., & Lukas, C. V. (2016). Contextual facilitators of and barriers to nursing home pressure ulcer prevention. Advances in skin & wound care, 29(5), 226. https://doi.org/10.1097/01.ASW.0000482113.18800.1c
  30. Heslop, L., Lu, S., & Xu, X. (2014). Nursing-sensitive indicators: A concept analysis. J Adv Nurs, 70(11), 2469-2482. https://doi.org/10.1111/jan.12503
  31. Hinkle, J. L., & Cheever, K. H. (2018). Brunner and Suddarth’s textbook of medical-surgical nursing. Wolters kluwer india Pvt Ltd: Haryana.
  32. Howe, L. (2008). Education and empowerment of the nursing assistant: Validating their important role in skin care and pressure ulcer prevention, and demonstrating productivity enhancement and cost savings. Adv Skin Wound Care, 21(6), 275-281. https://doi.org/10.1097/01.ASW.0000323505.45531.92
  33. Iblasi, A. S., Aungsuroch, Y., Gunawan, J., & Juanamasta, I. G. (2022). Clarifying repositioning in a pressure injury context: A scoping review. Pacific Rim International Journal of Nursing Research, 27(1), 34-49. https://doi.org/10.60099/prijnr.2023.260331
  34. Iblasi, A. S., Aungsuroch, Y., Gunawan, J., Juanamasta, I. G., & Carver, C. (2022). Repositioning practice of bedridden patients: An evolutionary concept analysis. SAGE Open Nurs, 8, 23779608221106443. https://doi.org/10.1177/23779608221106443
  35. Jankowski, I. M., & Nadzam, D. M. (2011). Identifying gaps, barriers, and solutions in implementing pressure ulcer prevention programs. The Joint Commission Journal on Quality and Patient Safety, 37(6), 253-264. https://doi.org/10.1016/s1553-7250(11)37033-x
  36. Joint Commission on Accreditation of Healthcare Organizations [JCI]. (2014). Joint Commission International accreditation standards for hospitals. Joint Commission Resources.
  37. Juanamasta, I. G., Aungsuroch, Y., & Gunawan, J. (2021). A concept analysis of quality nursing care. Journal of Korean Academy of Nursing, 51(4), 430-441. https://doi.org/10.4040/jkan.21075
  38. Källman, U., Bergstrand, S., Ek, A. C., Engström, M., & Lindgren, M. (2016). Nursing staff induced repositionings and immobile patients' spontaneous movements in nursing care. International Wound Journal, 13(6), 1168-1175. https://doi.org/10.1111/iwj.12435
  39. Mainz, J. (2003). Defining and classifying clinical indicators for quality improvement. Int J Qual Health Care, 15(6), 523-530. https://doi.org/10.1093/intqhc/mzg081
  40. Montalvo, I. (2007). The national database of nursing quality indicatorsTM (NDNQI®). OJIN: The Online Journal of Issues in Nursing, 12(3), 112-214. https://doi.org/10.3912/OJIN.Vol12No03Man02
  41. Moore, Z. (1988). Pressure area care and tissue viability. Perioperative Care, 151.
  42. Moore, Z. (2010). Bridging the theory–practice gap in pressure ulcer prevention. British Journal of Nursing, 19(15), S15-S18. https://doi.org/10.12968/bjon.2010.19.Sup5.77703
  43. Moore, Z., & Van Etten, M. (2014). Ten top tips: Repositioning a patient to prevent pressure ulcers. Wounds International, 5(3), 6-9.
  44. National Council of State Boards of Nursing. (2010). Report of findings from the comparison of entry-level registered nurses in the US and British Columbia, Canada. NCSBN Research Brief, 48.
  45. Nelson, G. B. (1954). Device for transporting bedridden patients. In: Google Patents.
  46. Pasquale, P. (2008). Reclaiming our 'nursing fundamentals'. Am J Nurs, 108(10), 11. https://doi.org/10.1097/01.NAJ.0000337715.87925.5f
  47. Powell-Cope, G., Rugs, D., Ialynytchev, A., Devine, D., McCoskey, K., Zhang, Y., & Deter, L. (2018). CE: Original research: Patient handling and mobility course content: A national survey of nursing programs. Am J Nurs, 118(11), 22-31. https://doi.org/10.1097/01.NAJ.0000547636.03211.28
  48. Renganathan, B. S., Nagaiyan, S., Preejith, S. P., Gopal, S., Mitra, S., & Sivaprakasam, M. (2019). Effectiveness of a continuous patient position monitoring system in improving hospital turn protocol compliance in an ICU: A multiphase multisite study in India. J Intensive Care Soc, 20(4), 309-315. https://doi.org/10.1177/1751143718804682
  49. Scanlan, J. (1886). On decubitus acutus (acute bed-sore), with an unusual case. Glasgow medical journal, 26(4), 269-274.
  50. Schutt, S. C., Tarver, C., & Pezzani, M. (2018). Pilot study: Assessing the effect of continual position monitoring technology on compliance with patient turning protocols. Nurs Open, 5(1), 21-28. https://doi.org/10.1002/nop2.105
  51. Selanders, L. C. (2001). Florence Nightingale and the transvisionary leadership paradigm. Nursing leadership forum, 6(1), 12-16. http://europepmc.org/abstract/MED/12152455
  52. Tannen, A., Dassen, T., & Halfens, R. (2008). Differences in prevalence of pressure ulcers between the Netherlands and Germany--associations between risk, prevention and occurrence of pressure ulcers in hospitals and nursing homes. J Clin Nurs, 17(9), 1237-1244. https://doi.org/10.1111/j.1365-2702.2007.02225.x
  53. Tayyib, N., & Coyer, F. (2017). Translating pressure ulcer prevention into intensive care nursing practice: Overlaying a care bundle approach with a model for research implementation. J Nurs Care Qual, 32(1), 6-14. https://doi.org/10.1097/NCQ.0000000000000199
  54. Tayyib, N., Coyer, F., & Lewis, P. (2016). Saudi Arabian adult intensive care unit pressure ulcer incidence and risk factors: A prospective cohort study. International Wound Journal 13(5), 912-919. https://doi.org/10.1111/iwj.12406