Abstract:

Background: Pressure injury results in significant physical, social and physiological problems for patients. It is important to implement strategies that prevent pressure injury development in burn patients. A care bundle is a structured group of interventions based on clinical practice guidelines that improve processes of care, encourage compliance to guidelines, and have been shown to improve patient outcomes.

Aim: To evaluate the effect of implementing evidence-based care bundle on prevention of pressure injury in dependent burned patients.

Methods: Quasi-experimental research design was utilized. A purposive sample of 50 burned patients were assigned into 2 equal groups; a control group received routine nursing care and a study group experienced the evidence-based pressure ulcer care bundle.

Results: All items of comprehensive skin assessment namely; temperature, color, moisture, turgor, integrity and tissue perfusion were significantly improved post implementation of evidence-based pressure ulcer care bundle in the study group. A significant difference was found between the study and control group regarding Braden risk assessment in the fourth and seventh days of follow up. Conclusion: It can be concluded that implementing the evidence-based pressure ulcer care bundle significantly reduced the development of pressure ulcer in burned patients.

Keywords: Care bundle, Pressure injury, Burn, Evidence based skin care bundle, Braden scale.

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