Aim: The study aim was to evaluate if continual patient position monitoring, taking\ninto account self-turns\nand clinician-assisted\nturns, would increase the percentage of\ntime a patientââ?¬â?¢s position changed at least every 2 hr.\nBackground: While patient turning has clinical benefits, current models to help staff\nremember to turn patients, such as ââ?¬Å?turn clocksââ?¬Â and timers, have not resulted in high\ncompliance with turning protocols. In addition, reminders are based on arbitrary 2-hr\nwindows (such as turning on ââ?¬Å?evenââ?¬Â hours) rather than on individual patient activity,\nincluding self-turns.\nDesign: This is a first inpatient, non-randomized,\npre-/\npostintervention study.\nMethods: Data collection occurred from May 2013ââ?¬â??February 2014 on a 39-bed\nmedical\nunit in a community hospital. Baseline patient turning data were recorded by a\nsensor; however, the patient data were not displayed at the nursesââ?¬â?¢ station to establish\ncompliance with the hospitalââ?¬â?¢s turning protocol. Postintervention, patient position information\nwas wirelessly displayed on nursesââ?¬â?¢ station computer monitors in real time.\nA Student t test was used to compare baseline to postintervention ââ?¬Å?mean time in\ncompliance.ââ?¬Â\nResults: Data from 138 patients (N = 7,854 hr of monitoring) were collected. The\nbaseline phase yielded 4,322 hr of position monitoring data and the postintervention\nphase yielded 3,532 hr of data. Statistically significant improvement was demonstrated\nin the percentage of time a patientââ?¬â?¢s position changed at least every 2 hr from\nbaseline to postintervention.
Loading....