Incidence of medical device-related pressure injuries and identification of risk factors in the neonatal unit

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2024

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Tissue Viability Society

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Department of Mechanical Engineering
(2016)
The Mechanical Engineering Doctoral Program has started in 2016-2017 academic year. We have highly qualified teaching and research faculty members and strong research infrastructure in the department for graduate work. Research areas include computational and experimental research in fluid and solid mechanics, heat and mass transfer, advanced manufacturing, composites and other advanced materials. Our fundamental mission is to train engineers who are able to work with advanced technology, create innovative approaches and authentic designs, apply research methods effectively, conduct research and develop high quality methods and products in space, aviation, defense, medical and automotive industries, with a contemporary education and research infrastructure.
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Nursing
(2018)
Atılım University Department of Nursing opened in 2018. The department is among the few in our Turkey with a program that is 100% in English. In this aspect, the department is also the first and the only one in Ankara. Nurses are some of the key players among healthcare professionals protecting the health of individuals, families and the public, and offering care in line with the principles of holistic and family-based healthcare. Prepared with respect to the changes in Turkey and the world, as well as the developments in the global health sector, course content is presented through technological and innovative methods in education. Hybrid and simulation laboratories armed with cutting-edge equipment are used for skill training as an important portion of the education for nursing. As the field most in demand by nursing and midwifery schools in Turkey, our thesis graduate program for the field Obstetrics and Gynecology shall start in 2020. Holding pedagogical formation certificates and qualifications accredited nationally, and internationally, our academic staff not only offers training in professional skills (cognitive and psychomotor skills) and foreign languages to students, but also prepares students as health professionals for the future, making use of programs such as those on social responsibility, as well as student network activities and international exchange projects.

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Aim: This study was conducted to investigate the incidence of medical device-related pressure injuries (MDRPIs) and the risk factors influencing their occurrence in the neonatal intensive care unit (NICU). Method: This study is a prospective, descriptive study. The research was conducted with 116 newborns between June 1, 2022, and June 1, 2023. Newborns who stayed in the neonatal intensive care unit for at least 24 h were observed daily for medical device-related pressure injuries under and around each medical device throughout their stay in the intensive care unit. The “Case Report Form,” "MDRPIs Monitoring Form," “Braden Q scale for children,” National Pressure Injury Advisory Panel (NPIAP) Pressure Grading, and Glasgow Coma Scale were used in the research. Results: The incidence of medical device-related pressure injuries is 35.3 % (41/116). It was found that 38.1 % (16/42) of medical device-related pressure injuries developed due to Near-Infrared Spectroscopy (NIRS) probes, and 33.5 % (14/42) developed due to medical devices related to the respiratory system. In terms of anatomical location, 38.1 % occurred on the forehead, and 23.8 % on the arm/leg. The difference between birth weight, gestational age, development of MDRPIs in newborns receiving sedation and inotropes was found to be statistically significant. Regression analysis identified gestational age (p = 0.040, OR = 0.795, 95%CI = [0.632–1.000]) as an independent risk factor for the occurrence of medical device-related pressure injuries. Conclusions: The incidence of medical device-related pressure injuries in newborns was relatively high in this study, with gestational age being the most significant risk factor for MDRPIs formation. It is crucial for neonatal intensive care nurses to consider associated risk factors while providing newborn care and implement appropriate preventive measures to reduce the incidence of MDRPIs. © 2024 Tissue Viability Society / Society of Tissue Viability

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Medical device-related pressure injuries, Neonatal intensive care unit, Newborn, Nursing

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Journal of Tissue Viability

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https://doi.org/10.1016/j.jtv.2024.09.005
 https://hdl.handle.net/20.500.14411/9588

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