Elsevier

Journal of Pediatric Nursing

Volume 28, Issue 6, November–December 2013, Pages 585-595
Journal of Pediatric Nursing

Medical Device-Related Hospital-Acquired Pressure Ulcers in Children: An Integrative Review

https://doi.org/10.1016/j.pedn.2013.05.004Get rights and content

The management, cost, physical and emotional suffering associated with pressure ulcers have a significant impact on the health status of patients—especially infants and children. The purpose of this integrative review was to identify factors associated with medical device-related (MDR) hospital acquired pressure ulcers (HAPUs) in the pediatric population. Pediatric MDR HAPUs are becoming more prevalent and require further exploration in terms of describing devices which cause injury and preventive interventions to improve patient outcomes. Opportunities to uncover new methods for addressing this important problem and to inform and advance the state of the science in this evolving area exist.

Section snippets

Methods

Anticipating the paucity of data-based publications on pediatric MDR HAPUs, we selected an integrative review approach that would allow the inclusion of all available literature on the topic (Whittemore & Knafl, 2005). We completed the integrative review using Cooper's (1982) five stage framework which includes problem formulation (clarifying question to be answered and determining the inclusion and exclusion criteria for the search method), data collection (reviewing the literature and

Discussion

As expected, this integrated review found a paucity of data-based publications specifically addressing MDR HAPU. This review summarizes all available literature published to date, an important step in informing systematic inquiry. Although the mechanism of injury and staging is similar for immobility-related and device-related pressure ulcers, risk assessment and the focus of prevention and management are different (Kohr & Curley, 2010). Failure to differentiate these two phenomena adds

Conclusions

With advances in technology, the use of medical devices is pervasive in the care of hospitalized children. Recognizing that any medical device increases a patient's risk for device-related pressure ulcers is the first step in prevention. Further exploration, in terms of identifying devices which cause injury and preventive interventions to improve outcomes, is needed. Pediatric clinicians have an opportunity to uncover new methods for addressing this important clinical problem, inform practice

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