Modeling hospital-acquired pressure ulcer prevalence on medical-surgical units: nurse workload, expertise, and clinical processes of care.

ABSTRACT:

Objective

This study modeled the predictive power of unit/patient characteristics, nurse workload, nurse expertise, and hospital-acquired pressure ulcer (HAPU) preventive clinical processes of care on unit-level prevalence of HAPUs.

Data sources

Seven hundred and eighty-nine medical-surgical units (215 hospitals) in 2009.

Study design

Using unit-level data, HAPUs were modeled with Poisson regression with zero-inflation (due to low prevalence of HAPUs) with significant covariates as predictors.

Data collection/extraction methods

Hospitals submitted data on NQF endorsed ongoing performance measures to CALNOC registry.

Principal findings

Fewer HAPUs were predicted by a combination of unit/patient characteristics (shorter length of stay, fewer patients at-ri

SUBMITTER: Aydin C 

PROVIDER: S-EPMC4369213 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature