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Predictors of pressure ulcer development in adult critical care patients
Descriptive
TypeOfResource
Text
TitleInfo
(ID = T-1)
Title
Predictors of pressure ulcer development in adult critical care patients
Identifier
ETD_2465
Identifier
(type = hdl)
http://hdl.rutgers.edu/1782.2/rucore10002600001.ETD.000052888
Language
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(type = code)
eng
Genre
(authority = marcgt)
theses
Subject
(ID = SBJ-1);
(authority = RUETD)
Topic
Nursing
Subject
(ID = SBJ-2);
(authority = ETD-LCSH)
Topic
Bedsores
Subject
(ID = SBJ-3);
(authority = ETD-LCSH)
Topic
Critical care medicine
Abstract
The purpose of this study was to examine the relationships between theoretically- and empirically derived risk factors and pressure ulcer development in adult critical care patients. Theoretically-derived risk factors under investigation included mobility, activity, sensory perception, moisture, friction/shear, nutrition, age and arteriolar pressure. Empirically-derived risk factors under investigation included length of intensive care unit stay, severity of illness, vasopressor administration and comorbid conditions. The sample was comprised of 347 patients admitted into a medical surgical intensive care unit from October 2008 through May 2009. Data was abstracted from various sources within the patient’s computerized medical record. Hypotheses testing consisted of both correlational and logistic regression analysis. Significant correlations were found between the following theoretically-derived risk factors: total Braden scale score, representing cumulative risk, mobility, sensory perception, friction/shear, nutrition, age and arteriolar pressure. Empirically-derived risk factors significantly associated with pressure ulcer development were length of ICU stay, severity of illness, norepinephrine, vasopressin and the comorbid conditions of cardiovascular disease and infection. In logistic regression analysis, the variables mobility, age, intensive care unit length of stay and cardiovascular disease explained a significant portion of the variance in pressure ulcer development in this study sample. This study contributed to the body of knowledge regarding pressure ulcer risk factors that confront the critically ill, however, more empirical evidence is needed to further validate these risk factors in the ICU population. Development of an ICU pressure ulcer risk assessment model or refinement of the Braden and Bergstrom conceptual framework is warranted in order to appropriately and more fully explain pressure ulcer development in this population. This risk assessment model may then serve as the basis for the development of a risk assessment tool designed specifically to measure pressure ulcer risk in adult critical care patients.
PhysicalDescription
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electronic resource
Extent
viii, 124 p. : ill.
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application/pdf
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text/xml
Note
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Ph.D.
Note
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Includes bibliographical references, abstract, and vita.
Note
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by
Note
(type = statement of responsibility)
by Jill Cox
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Cox
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Jill
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1960
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author
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Jill Cox
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NamePart
(type = family)
Thomas-Hawkins
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Charlotte
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chair
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Advisory Committee
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Charlotte Thomas-Hawkins
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NamePart
(type = family)
Eller
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(type = given)
Lucille
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internal member
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Advisory Committee
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Lucille Eller
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NamePart
(type = family)
Gardner
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Nancy
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internal member
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Advisory Committee
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Nancy Gardner
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(type = family)
Kolassa
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(type = given)
John
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outside member
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Advisory Committee
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John Kolassa
Name
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NamePart
Rutgers University
Role
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degree grantor
Name
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Graduate School - Newark
Role
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school
OriginInfo
DateCreated
(qualifier = exact)
2010
DateOther
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(type = degree)
2010-05
Place
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xx
Location
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(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
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ETD
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(type = host)
TitleInfo
Title
Graduate School - Newark Electronic Theses and Dissertations
Identifier
(type = local)
rucore10002600001
Identifier
(type = doi)
doi:10.7282/T3X34XKT
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
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The author owns the copyright to this work.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
RightsHolder
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(type = personal)
Name
FamilyName
Cox
GivenName
Jill
Role
Copyright Holder
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(ID = RE-1);
(AUTHORITY = rulib)
Type
Permission or license
DateTime
2010-02-17 16:35:02
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Role
Copyright holder
Name
Jill Cox
Affiliation
Rutgers University. Graduate School - Newark
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Technical
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ETD
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application/pdf
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application/x-tar
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18206720
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