EFFECT OF SKIN INTEGRITY BUNDLE APPLICATION ON PRESSURE ULCER OCCURRENCE FOR PATIENTS IN CRITICAL CARE UNITS
Bibliographic record
Abstract
Abstract Background: Pressure ulcers (PUs) have been identified as a worldwide problem that contribute significantly to increasing health care costs, compromise an individual’s health, and in some cases contribute to mortality. Generally, PUs is considered predictable and preventable, thus making them a priority patient safety and risk management issue. Aim: This study aimed to find out the effect of skin integrity care bundle on patient pressure ulcer occurrence in the critical care unit. Design: Quasi-experimental research design (study & control group) was carried out to meet the aim of this study. Setting: This study was conducted in the intensive care units at Sabya General hospital (SGH), Gizan, south region of Kingdome of Saudi Arabia (KSA). Subject: Purposive samples of 120 adult patients were divided into two equal groups; the control group and the study group with 60 patients in each group of both genders. Data collection tools: Data were obtained using three tools; Patient assessment record, Pressure ulcer staging and the Braden Scale score. Results. The results reveals that the highest percentage of subjects their age more than 60 years. In addition, 56.7% of study group & 66,7% of control group subjects were males. There was statistical significant difference between study and control group after the skin care bundle application regarding pressure ulcer stage (p=0.047), mobility (p=0.02), nutrition (0.02), Also, the total Braden scale reveals a statically significant difference between study and control group at one and two weeks after admission Conclusion: this study concluded that skin integrity care bundle had a positive effect in preventing the development of pressure ulcer of patients in critical care unit. Recommendations: Hospitals' policy should enforce the application of skin integrity bundle to prevent the occurrence of pressure ulcer. Also, motivate critical care nurses to attend conferences and workshops to update their knowledge and practice regarding the application of skin integrity bundle.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.004 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".