Search

Aim: To determine the incidence of pressure injuries from medical devices in children. Background: Medical devices can cause pressure injuries on skin and soft tissues. Design: A prospective, descriptive study adhering to STROBE guidelines. Methods: This study was conducted in the third‐level Paediatric Intensive Care Unit of Ege University Hospital in İzmir, Türkiye between April 2019 and October 2019 in Türkiye. Patients aged between 1 month and 18 years with medical devices were observed for pressure injuries using Braden scales and a specific monitoring form. Results: In this study, we followed 522 medical devices applied to 96 patients. The three most commonly used medical devices were the ECG probe (21%), the blood pressure cuff (16%) and the saturation probe. Out of the 522 medical devices followed, 36 caused pressure injuries (6.8%). Conclusion: The incidence of medical device‐related pressure injuries was found to be high. Effective training and implementation strategies need to be devised for paediatric nurses to prevent pressure injuries associated with medical devices. Relevance to Clinical Practice: The results of this study reveal that pressure injuries related to medical devices are an important health problem in paediatric hospitals. Therefore, awareness‐raising and educational activities among health professionals and nurses should be accelerated. Patient or Public Contribution: No patient or public contribution in the study. [ABSTRACT FROM AUTHOR]

Aim: Prevention of infiltration/extravasation (I/E) in pediatric patients is important. This study has examined the effect of an education program, which aims to prevent and manage pediatric I/E, on I/E rates in pediatric patients. Materials and Methods: This is a semi-experimental study with a single group pre-test/post-test design. A sample of 79 nursing staff and 289 IV catheters of 150 pediatric patients was investigated. Pediatric I/E training was given to the nurses and the effectiveness of the training program and I/E rates before and after the training were evaluated. Results: Compared to the pre-education phase, there was a significant increase in the mean scores of the nurses' knowledge in the posteducation phase (t: 7,328; p<0.001). The education program was implemented based on the probability rate that was calculated by the researchers; this enabled a 12-fold reduction of pediatric I/E (odds ratio: 12,214, 95% confidence interval). Conclusion: This study has led to an improvement in nursing care, an improvement in the quality of patient care and has helped progress toward increased patient safety. [ABSTRACT FROM AUTHOR]