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An investigation into night-time self-turning by nursing home residents

An investigation into night-time self-turning by nursing home residents
An investigation into night-time self-turning by nursing home residents
Repositioning (turning) remains a standard recommendation for pressure ulcer prevention (European Pressure Ulcer Advisory Panel, 1998). However, the need for turning some 'at risk' nursing home patients has been questioned by Schnelle et al. (1993) in a US study. They found that, although two-thirds of residents in nursing homes turned themselves during the night, care staff managed them in the same way as the third who did not turn themselves. Furthermore, they found that residents who turned themselves were more likely to be turned by staff. Schnelle and colleagues studied their subjects indirectly by monitoring their arm movements, using wrist actigraphy, and hip and shoulder movements, using pressure-sensitive film on the mattress. They did not use direct observation and were therefore unable to determine if any detected movements resulted in a sustained change in position or to discover why staff were more likely to turn self-turners than other residents. The aim of this study was to investigate the occurrence of night-time self-turning by residents in nursing homes.
pressure ulcers, prevention, self-turning, nursing, night-time, home residents
0962-1067
147-148
Fader, Mandy
c318f942-2ddb-462a-9183-8b678faf7277
Clarke-O'Neill, Sinead
6abe0c43-c0e7-4c8d-bc4c-cbaa549d1a5f
Cook, Dawn
4a442b8c-5fa5-44db-aad7-80cd7b0d8fd4
Cottenden, Allen
b1e04bfd-d25b-49d0-bf64-24b62a2de1ed
Malone-Lee, James
1c92575a-0dec-475c-9bd2-8ff858875356
Fader, Mandy
c318f942-2ddb-462a-9183-8b678faf7277
Clarke-O'Neill, Sinead
6abe0c43-c0e7-4c8d-bc4c-cbaa549d1a5f
Cook, Dawn
4a442b8c-5fa5-44db-aad7-80cd7b0d8fd4
Cottenden, Allen
b1e04bfd-d25b-49d0-bf64-24b62a2de1ed
Malone-Lee, James
1c92575a-0dec-475c-9bd2-8ff858875356

Fader, Mandy, Clarke-O'Neill, Sinead, Cook, Dawn, Cottenden, Allen and Malone-Lee, James (2003) An investigation into night-time self-turning by nursing home residents. Journal of Clinical Nursing, 12 (1), 147-148. (doi:10.1046/j.1365-2702.2003.00734.x).

Record type: Article

Abstract

Repositioning (turning) remains a standard recommendation for pressure ulcer prevention (European Pressure Ulcer Advisory Panel, 1998). However, the need for turning some 'at risk' nursing home patients has been questioned by Schnelle et al. (1993) in a US study. They found that, although two-thirds of residents in nursing homes turned themselves during the night, care staff managed them in the same way as the third who did not turn themselves. Furthermore, they found that residents who turned themselves were more likely to be turned by staff. Schnelle and colleagues studied their subjects indirectly by monitoring their arm movements, using wrist actigraphy, and hip and shoulder movements, using pressure-sensitive film on the mattress. They did not use direct observation and were therefore unable to determine if any detected movements resulted in a sustained change in position or to discover why staff were more likely to turn self-turners than other residents. The aim of this study was to investigate the occurrence of night-time self-turning by residents in nursing homes.

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More information

Published date: 2003
Keywords: pressure ulcers, prevention, self-turning, nursing, night-time, home residents

Identifiers

Local EPrints ID: 41960
URI: http://eprints.soton.ac.uk/id/eprint/41960
ISSN: 0962-1067
PURE UUID: 3258625d-175a-49cf-85ec-928a970a5f35

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Date deposited: 20 Oct 2006
Last modified: 15 Mar 2024 08:41

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Contributors

Author: Mandy Fader
Author: Sinead Clarke-O'Neill
Author: Dawn Cook
Author: Allen Cottenden
Author: James Malone-Lee

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