{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T13:42:05Z","timestamp":1782481325915,"version":"3.54.5"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2018,7,6]],"date-time":"2018-07-06T00:00:00Z","timestamp":1530835200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"},{"start":{"date-parts":[[2018,7,6]],"date-time":"2018-07-06T00:00:00Z","timestamp":1530835200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951118000975_abs1\" sec-type=\"general\"><jats:title>Background<\/jats:title><jats:p>The description of pressure injury development is limited in children with CHD. Children who develop pressure injuries experience pain and suffering and are at risk for additional morbidity.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951118000975_abs2\" sec-type=\"objectives\"><jats:title>Objectives<\/jats:title><jats:p>The objective of this study was to develop a standardized clinical assessment and management plan to describe the development of pressure injury in paediatric cardiac surgical patients and evaluate prevention strategies.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951118000975_abs3\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Using a novel quality improvement initiative, postoperative paediatric cardiac surgical patients were started on a nurse-driven pressure injury prevention standardized clinical assessment and management plan on admission. Data were recorded relevant to nursing assessments and management based on pre-defined targeted data statements and algorithm. Nursing feedback regarding diversions was recorded and analysed.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951118000975_abs4\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Data on 674 congenital paediatric cardiac surgical patients who met criteria were collected between May, 2011 and June, 2012. In 5918 patient days, a total of 4603 skin assessments were completed by nurses from the cardiac ICU and the cardiac inpatient unit, representing 77% of the expected assessments. The majority (70%, 21\/30) of the 30 pressure injuries were medical-device-related and 30% (9\/30) were immobility-related. The overall incidence of pressure injury was 4.4%: device-related was 3.1% and immobility-related was 1.3%. Most pressure injuries were Stage 1 (40%), followed by Stage 2 (26.7%), mucosal membrane injury (26.7%), and suspected deep tissue injuries (6.7%).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951118000975_abs5\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>A nurse-driven pressure injury prevention standardized clinical assessment and management plan supported a programme-based evaluation of nursing practice and patient outcomes. Review of practices highlighted opportunities to standardise and focus prevention practices and ensure communication of patient vulnerabilities.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951118000975","type":"journal-article","created":{"date-parts":[[2018,7,6]],"date-time":"2018-07-06T09:53:35Z","timestamp":1530870815000},"page":"1151-1162","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":17,"title":["Pressure injury prevention for paediatric cardiac surgical patients using a nurse-driven standardized clinical assessment and management plan"],"prefix":"10.1017","volume":"28","author":[{"given":"Lindyce A.","family":"Kulik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean A.","family":"Connor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dionne A.","family":"Graham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia A.","family":"Hickey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2018,7,6]]},"reference":[{"key":"S1047951118000975_ref31","unstructured":"Institute for Healthcare Improvement. 5 million lives getting started kit: prevent pressure ulcers, how to guide, 2007. 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