1.Guideline for risk assessment and prevention of pressure injury in neonates in NICU
Gansu Provincial Nursing Association ; School of Nursing of Lanzhou University ; Hospital Provincial GANSU ; Lin HAN ; Qiuxia YANG ; Yuxia MA ; Lin LÜ ; Hongyan ZHANG ; Hongxia TAO ; Jiali GUO ; Yutong CUI
Chinese Journal of Nursing 2024;59(16):1962-1965
Objective To develop"a guideline for pressure injury risk assessment and prevention of neonates in NICU",and to provide guidance and references for clinical staff in the implementation of pressure injury assessment and prevention for neonates in NICU.Methods Based on the World Health 0rganization Guideline Development Manual and the results of systematic search for identified clinical problems,the GRADE method was used to evaluate the evidence and grade the recommendations,and the RIGHT report specifications were referred to for writing,and the guideline was developed and revised according to the results and recommendations of the expert review,so as to form the official guideline.Results The guideline included 2 aspects of pressure injury risk assessment and prevention,resulting in 12 clinical questions and 19 recommendations.Conclusion The guideline for risk assessment and prevention of pressure injury of neonates in NICU is an evidence-based guideline based on the best available evidence,clinical practice,and professional judgment,and it can provide a practical basis for scientific decision-making by clinical staff and managers.
2.Guideline for risk assessment and prevention of noninvasive ventilation related facial pressure injuries in adults
Gansu Provincial Nursing Association ; School of Nursing,Lanzhou University ; Hospital Provincial GANSU ; Deyang People's Hospital of Sichuan Province ; Lin HAN ; Juhong PEI ; Yuxia MA ; Hongyan ZHANG ; Lin LÜ ; Hongxia TAO ; Lin HE ; Yuting WEI ; Xiaojing GUO
Chinese Journal of Nursing 2024;59(17):2093-2095
Objective To develop"guideline for risk assessment and prevention of noninvasive ventilation related facial pressure injuries in adults"and to provide a reference for clinical medical staff to evaluate and prevent noninvasive ventilation related facial pressure injuries.Methods Referring to the"WHO Guideline Development Manual",clinical problems were formed through 3 rounds of Delphi expert consultation.The relevant recommendation opinions and evidence were screened,extracted,integrated and evaluated to form a draft consensus.Through a round of Delphi expert consultation and a round of expert consensus meeting,expert opinions were combined to modify and improve the content of each item to form a final draft of the expert consensus.Results Recommendations for the constructed guideline included 7 aspects of risk factors,high-risk sites,assessment tools,assessment timing and content,selection of non-invasive ventilation equipment,selection of dressings,and preventive measures,including 7 clinical questions and 15 recommendations.Conclusion The"guideline for risk assessment and prevention of noninvasive ventilation related facial pressure injuries in adults"was an evidence-based guideline based on the best evidence,Chinese clinical reality,and professional judgment,and it can provide practice bases for scientific clinical decisions making by clinical medical staff and managers.