Title: Exploring the optimum re-positioning interval for safe and cost effective pressure ulcer prevention
Authors: Tracey L. Yap, PhD, RN, FAAN1, Susan Kennerly, PhD, RN, FAAN2
1Duke University, 2East Carolina University
The universally accepted approach to pressure ulcer prevention is to minimize pressure exposure through frequent repositioning; however optimal repositioning intervals have yet to be determined. A cluster randomized clinical trial (National Institute of Nursing Research/National Institute of Aging R01 NR016001-01A1) investigated repositioning at 2, 3, and 4 hour intervals and examined the cost effectiveness in use of each repositioning interval in light of changes in pressure ulcer occurrence in nursing homes (NH). Preliminary results are examined for one 3-NH cluster in which each NH used resident activity monitoring technology to schedule and document repositioning and implemented standardized protocols for risk assessment (Braden Scale Score > 10) and visco-elastic surface use. Comparisons are made for repositioning interval groups according to repositioning compliance and incidence of new pressure ulcers. Cost effectiveness is examined according to intervention resource cost elements including surfaces, repositioning monitoring, and fixed and variable labor costs for training and repositioning.
(Clinical Trials.gov; # NCT02996331: https://clinicaltrials.gov/ct2/results?cond=&term=NCT02996331&cntry1=&state1=&recrs=)