RESUMEN
Critically ill spinal cord injury (SCI) patients are at high risk for pressure ulcers. Research is needed to identify risk factors for pressure ulcers. The aim of this study was to investigate risk factors and outcomes of pressure ulcers in critically ill SCI patients. This is a retrospective cohort study. Data were gathered from medical records of adult patients with SCI admitted to surgical intensive care units. Ninety-four SCI patients participated in this study. Clinical variables associated with pressure ulcers were as follows: fecal management systems, incontinence, acidosis, support surfaces, steroids, and additional equipment. Hypotension was the strongest predictor of pressure ulcers. Nursing interventions may address risk factors and improve patient outcomes.
Asunto(s)
Úlcera por Presión/epidemiología , Úlcera por Presión/enfermería , Especialidades de Enfermería/métodos , Traumatismos de la Médula Espinal/epidemiología , Traumatismos de la Médula Espinal/enfermería , Acidosis/epidemiología , Acidosis/enfermería , Adolescente , Adulto , Anciano , Cuidados Críticos/métodos , Enfermedad Crítica/epidemiología , Enfermedad Crítica/enfermería , Incontinencia Fecal/epidemiología , Incontinencia Fecal/enfermería , Femenino , Humanos , Hipotensión/epidemiología , Hipotensión/enfermería , Masculino , Persona de Mediana Edad , Análisis de Regresión , Estudios Retrospectivos , Factores de Riesgo , Incontinencia Urinaria/epidemiología , Incontinencia Urinaria/enfermería , Adulto JovenRESUMEN
There is little research investigating the expectations and perceptions of graduate nurses. The purpose of this study was to investigate the expectations, perceptions, and satisfaction of graduate nurses. Individual interviews were performed at 1, 6, and 12 months. Results indicate that nurses were fairly satisfied, and two themes emerged: Establishing Relationships and Learning the Job. Findings contribute firsthand accounts of graduate experiences, which are valuable for staff development professionals creating programs to meet the needs of graduate nurses.
