Evaluation of the Braden Scale Implementation by nurses: A Case Study in a Specialized Hospital in the Dhaka City.
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Date
2014-10
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Abstract
Objective: The aim of this routine to research (R to R) developmental study was to implement
the Braden Scale (BS) to identify risks of pressure ulcer (PU) development among hospitalized
patients with spinal cord injury admitted in National Institute of Traumatology and Orthopedic
Rehabilitation (NITOR), Bangladesh. Methods: Roger’s Diffusion of Innovation Theory and
PU related literature were used to guide the development of the implementation. The subjects
were 10 nurses and 13 doctors who were working at the NITOR. Different strategies were
provided for the implementation of the BS including workshops to provide knowledge,
persuasion, and decision making to implement the BS for the nurse participants. The outcomes
of this study were to determine: (a) nurses’ adoption in terms of the rate of using the BS and
the accuracy of using the BS to identify PU risks, (b) nurses’ satisfaction to use the BS, and (c)
doctors’ satisfaction on the implication of the BS to identify the risks of PUs in hospitalized
adult patients with paraplegia. Data were analyzed by descriptive statistics and percentage of
agreement. Results: Weekly proportions of nurses’ adoption in terms of the rate of using the
BS ranged from 96% to 100%. The accuracy of using the BS yielded percentage of agreement
between 70.6% to 100% for each item of the BS. Nurses’ and doctors’ satisfactions were at
very high levels. Mean score of nurses’ satisfaction was 98.5% (SD=1.23) and mean score of
doctors’ satisfaction was 89.79% (SD=4.17). Conclusion: Nurses are capable to assess PU
risks of paraplegic patients independently by using the BS and may be incorporated to identify
PU risks in addition to their work protocol. After identifying the PU risks, effective nursing
care should be implemented to the patients in order to prevent the PU formation.
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Keywords
pressure ulcer, Braden Scale, risk assessment tool, Roger’s Diffusion of Innovation Theory, spinal cord injury
Citation
Banu A, Sia WS, Khupantavee N. Evaluation of the Braden Scale Implementation by nurses: A Case Study in a Specialized Hospital in the Dhaka City. Bangladesh Journal of Medical Science. 2014; 13(4): 411-414.