Risks for injuries that arrive from the inability to move and injuries that arrive from medical procedures can be predicted with a new, simplified Braden Q Scale, research at the University of Pennsylvania School of Nursing claims.
Until recently, initial predictive validity testing of the Braden Q Scale only included immobility-related pressure injuries in critically ill pediatric patients aged two weeks to eight years.
In a study from the University of Pennsylvania School of Nursing (Penn Nursing), a new, simplified Braden QD Scale now describes combined immobility-related and MDPI risk in a broader, more diverse sample of pediatric patients typically cared for in acute care environments. The multi-center, prospective cohort study is published in The Journal of Pediatrics.
Pressure-related skin injuries, a nurse-sensitive quality indicator in hospitals, are associated with increased morbidity and higher costs of care. There's been much attention focused on hospital-acquired pressure injuries (HAPI) in the adult population. However, while preventable, immobility-related and medical device-related pressure injuries (MDPI) also occur in hospitalized infants and children.
Preventing pressure injury in infants and children requires that clinicians accurately identify at-risk patients and apply reliable prevention strategies for those patients. Often, the Braden Q Scale is used to help identify pediatric patients at risk for developing these pressure-related skin injuries.
"This instrument may be helpful in preventing iatrogenic injury (injuries caused by medical procedures), in facilitating quality monitoring of care, and in helping to guide resource allocation in the prevention of HAPI in hospitalized infants and children."