Publications by authors named "Phoebe D Sharkey"
Article Synopsis
- The study focuses on creating a Nursing Home Severity Index to help assess and predict clinical outcomes for nursing home residents, aiming to enhance treatment planning.
- Using a retrospective design, researchers analyzed data from nine nursing homes to develop and validate this index, particularly in relation to preventing pressure injuries.
- Validation involved statistical modeling of residents' health records to evaluate the index's ability to predict the risk of pressure injuries, confirming its reliability and discriminating capacity.
Nursing staff assessment to accurately identify pressure injury (PrI) risk is a hallmark in PrI prevention care. Risk scores from the Braden Scale for Predicting Pressure Sore Risk (hereafter Braden), a commonly used tool for assessing PrI risk, signal the need for preventative care. Braden Mobility, Activity, and Sensory Perception subscale subgroups associated with repositioning movement features help identify preventative strategies that minimize pressure intensity and duration.
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- The study analyzed movement patterns in nursing home residents using 28 days of accelerometer data from 1,100 individuals in a clinical trial focused on ulcer prevention.
- Findings showed that residents changed positions for longer durations (prolonged events) nearly three times per hour, while shorter movements (transient events) occurred almost eight times an hour, with the least activity during night shifts.
- The results highlight complex movement behaviors in residents, providing valuable insights for understanding pressure injury prevention and how residents naturally move in their daily lives.
Characteristics of Nursing Home Resident Movement Patterns: Results from the TEAM-UP Trial.
Adv Skin Wound Care
May 2022
Objective: To determine movement patterns of nursing home residents, specifically those with dementia or obesity, to improve repositioning approaches to pressure injury (PrI) prevention.
Methods: A descriptive exploratory study was conducted using secondary data from the Turn Everyone And Move for Ulcer Prevention (TEAM-UP) clinical trial examining PrI prevention repositioning intervals. K-means cluster analysis used the average of each resident's multiple days' observations of four summary mean daily variables to create homogeneous movement pattern clusters.
Objective: To investigate the clinical effectiveness of three nursing-home-wide repositioning intervals (2-, 3-, or 4-hour) without compromising pressure injury (PrI) incidence in 4 weeks.
Methods: An embedded pragmatic cluster randomized controlled trial was conducted in nine nursing homes (NHs) that were randomly assigned to one of three repositioning intervals. Baseline (12 months) and 4-week intervention data were provided during the TEAM-UP (Turn Everyone And Move for Ulcer Prevention) study.