{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T12:19:40Z","timestamp":1783945180076,"version":"3.55.0"},"reference-count":43,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T00:00:00Z","timestamp":1636416000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A pressure ulcer (PU) is a localized injury to the skin or underlying tissue usually over a bony prominence. The prevention PU per patient per day is costly; therefore, the detection of a PU at its earliest stage is imperative to afford timely interventions. Currently, there are very few clinically useful tools to assist with early PU detection and prevention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>There were two primary aims of this study: (1) to investigate the relationship between activity, mobility, and PU development; and (2) to ascertain the next steps for delineating an algorithm based on activity and mobility for detecting PU risk among older adult residents in long\u2010term care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This quantitative, prospective, descriptive, non\u2010experimental study was conducted between July 2019 and March 2020 among 53 older adult residents who were followed for 4 consecutive days. Participants\u2019 Braden score, Elderly Mobility Scale (EMS) score, Movement Level, and 6\u2010item Cognitive Impairment Test score were assessed. Further, the sacrum and heels were assessed daily using a non\u2010invasive subepidermal moisture (SEM) scanner and visual skin assessment (VSA). SEM values &gt; 0.5 were considered as indicative of the presence of an SEM\u2010PU.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence rate of VSA\u2010PU was 15.1% (<jats:italic>N<\/jats:italic>\u00a0=\u00a08). There was an incidence of 87.5% (<jats:italic>N<\/jats:italic>\u00a0=\u00a042) of SEM\u2010PU damage. According to the Braden subscale, Mobility Braden, most of the participants (62.2%, <jats:italic>N<\/jats:italic>\u00a0=\u00a033) were assessed as having no limitations\/slightly limited mobility, while the EMS indicated that most of the participants (67.9%, <jats:italic>N<\/jats:italic>\u00a0=\u00a036) were classed in an independent category. From the 42 SEM\u2010PUs observed, 62% (<jats:italic>N<\/jats:italic>\u00a0=\u00a026) occurred among the low movers, and 38% (<jats:italic>N<\/jats:italic>\u00a0=\u00a016) occurred among the high movers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Linking Evidence to Action<\/jats:title><jats:p>Using traditional methods for the assessment of movement does not provide insight into the protective nature of the movement. Given that both low\u2010 and high\u2010moving patients can develop tissue damage, it is important to focus on the assessment of movement using more objective measures and algorithms, which enable real\u2010time assessment of the protective nature of the movement. This would enable development of person\u2010centered PU prevention strategies to reduce the burden of this significant healthcare problem.<\/jats:p><\/jats:sec>","DOI":"10.1111\/wvn.12545","type":"journal-article","created":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T08:25:07Z","timestamp":1636446307000},"page":"112-120","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Developing Algorithm Based on Activity and Mobility for Pressure Ulcer Risk Among Older Adult Residents: Implications for Evidence\u2010Based Practice"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7637-1700","authenticated-orcid":false,"given":"Pinar","family":"Avsar","sequence":"first","affiliation":[{"name":"Skin Wounds and Trauma Research Centre The Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aglecia","family":"Budri","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery The Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Declan","family":"Patton","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery The Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences  Dublin Ireland"},{"name":"Fakeeh College of Health Sciences  Jeddah Saudi Arabia"},{"name":"Faculty of Science, Medicine and Health University of Wollongong  Wollongong NSW Australia"},{"name":"Griffith University  Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Walsh","sequence":"additional","affiliation":[{"name":"The Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zena","family":"Moore","sequence":"additional","affiliation":[{"name":"Fakeeh College of Health Sciences  Jeddah Saudi Arabia"},{"name":"Griffith University  Brisbane Qld Australia"},{"name":"The Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences  Dublin Ireland"},{"name":"Faculty of Medicine, Nursing and Health Sciences Monash University  Melbourne Vic Australia"},{"name":"Department of Public Health Faculty of Medicine and Health Sciences Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520350047027"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-349-10128-3_19"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1986.tb04903.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01261.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12869"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12548"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e3181a19e53"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-475X.2008.00359.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000654"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198707000-00002"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.11.019"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.06.006"},{"key":"e_1_2_7_14_1","volume-title":"Prevention and treatment of pressure ulcers\/injuries: Clinical practice guideline","author":"European Pressure Ulcer Advisory Panel","year":"2019"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004650-200409000-00007"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2020.29.Sup2a.S1"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.25270\/owm.2018.9.1227"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000655380.86380.7b"},{"issue":"2","key":"e_1_2_7_19_1","first-page":"34","article-title":"Wound healing in older adults","volume":"99","author":"Gould L.J.","year":"2016","journal-title":"Rhode Island Medical Journal"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1179\/204577211X13209212104141"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1179\/2045772313Y.0000000193"},{"issue":"8","key":"e_1_2_7_22_1","first-page":"222","article-title":"Early detection of pressure injury using a forensic alternate light source","volume":"29","author":"Hettrick H.","year":"2017","journal-title":"Wounds: A Compendium of Clinical Research and Practice"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12435"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.140.6.734"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2018.05.002"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/0018720812474300"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.07.014"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15316"},{"issue":"5","key":"e_1_2_7_29_1","first-page":"S1","article-title":"Exploring the concept of a team approach to wound care: managing wounds as a team","volume":"23","author":"Moore Z.","year":"2014","journal-title":"Journal of Wound Care"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2011.03736.x"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006471.pub4"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12604"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.11124\/jbisrir-2011-84"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2018.06.004"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12790"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129334-200609000-00017"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.5.199"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2018.27.5.342"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12974"},{"key":"e_1_2_7_40_1","doi-asserted-by":"publisher","DOI":"10.1159\/000342344"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(61)91034-0"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2019.28.5.278"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-9406(10)60612-8"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0b013e318230e6ef"}],"container-title":["Worldviews on Evidence-Based Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/wvn.12545","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/wvn.12545","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/wvn.12545","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T22:41:47Z","timestamp":1692484907000},"score":1,"resource":{"primary":{"URL":"https:\/\/sigmapubs.onlinelibrary.wiley.com\/doi\/10.1111\/wvn.12545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,9]]},"references-count":43,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1111\/wvn.12545"],"URL":"https:\/\/doi.org\/10.1111\/wvn.12545","archive":["Portico"],"relation":{},"ISSN":["1545-102X","1741-6787"],"issn-type":[{"value":"1545-102X","type":"print"},{"value":"1741-6787","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,9]]},"assertion":[{"value":"2021-01-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}