Llagostera-Reverter Irene, Luna-Aleixos David, Valero-Chillerón María Jesús, Martínez-Gonzálbez Rafael, Mecho-Montoliu Gema, González-Chordá Víctor M
Nursing Research Group (GIENF Code 241), Nursing Department, Universitat Jaume I, 12071 Castellón, Spain.
Hospital Universitario de La Plana, Vila-Real, 12520 Castellón, Spain.
Nurs Rep. 2023 Aug 23;13(3):1148-1159. doi: 10.3390/nursrep13030099.
The main objective of this study was to analyze the impact of a multifaceted strategy to improve the assessment of functional capacity, risk of pressure injuries, and risk of falls at the time of admission of patients in adult hospitalization units. This was a secondary analysis of the VALENF project databases during two periods (October-December 2020, before the strategy, and October-December 2021, after the strategy). The quantity and quality of nursing assessments performed on patients admitted to adult hospitalization units were evaluated using the Barthel index, Braden index, and Downton scale. The number of assessments completed before the implementation of the new strategy was = 686 (28.01%), versus = 1445 (58.73%) in 2021 ( < 0.001). The strategy improved the completion of the evaluations of the three instruments from 63.4% ( = 435) to 71.8% ( = 1038) ( < 0.001). There were significant differences depending on the hospitalization unit and the assessment instrument ( < 0.05). The strategy employed was, therefore, successful. The nursing assessments show a substantial improvement in both quantity and quality, representing a noticeable improvement in nursing practice. This study was not registered.
本研究的主要目的是分析一项多方面策略对改善成年住院病房患者入院时功能能力评估、压疮风险评估和跌倒风险评估的影响。这是对VALENF项目数据库在两个时期（2020年10月至12月，策略实施前；2021年10月至12月，策略实施后）的二次分析。使用巴氏指数、布拉登指数和唐顿量表对成年住院病房患者进行的护理评估的数量和质量进行了评估。新策略实施前完成的评估数量为 = 686（28.01%），而2021年为 = 1445（58.73%）（<0.001）。该策略将三种评估工具的评估完成率从63.4%（ = 435）提高到了71.8%（ = 1038）（<0.001）。根据住院病房和评估工具的不同存在显著差异（<0.05）。因此，所采用的策略是成功的。护理评估在数量和质量上都有显著改善，这代表了护理实践的明显进步。本研究未进行注册。
