Effectiveness of Repositioning System and Specialty Linens in Preventing Pressure Ulcers: An Annotated Bibliography

Running head: ANNOTATED BIBIOLOGRAPHY
Annotated bibliography
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1ANNOTATED BIBLIOGRAPHY
Annotated bibliography
1. Annotated bibliography for first article
Aim: The main aim of the research by Knibbe et al. (2018) was to assess the operational
feasibility of using repositioning system in reducing reduce pressure ulcer in immobilized bed
ridden patients.
Study design: Research was done in two Flemish nursing homes using case-series based study
design. Reposition system was fixed in six beds for four months and a randomized rotation
schedule was used as a strategy to ensure that all nurse experienced the system for 4 weeks. The
compliance with the individual repositioning protocol was judged based on international
guidelines. Training was also given to staffs in the setting regarding the use of repositioning
system. To ensure optimum data quality, all staffs were explained about data collection process
and a researcher was recruited to monitor data collection activities.
Setting: Two Flemish nursing homes were the setting for the study
Sample: The number of patients participating in the study was 13 and the median age was 86
years. Total sample size was 35,
Results: Assessment of skin condition of patient was done twice a week and it was found that
repositioning system resulted in no changes in skin problem. No incidence of reduction skin
problems or new issues of skin problem was found. The main reason behind this is that all areas
of high bed-skin interface were relieved due to regular positioning. Risk assessment of patient
using the Braden scale revealed that 10 out of 13 patients were at risk of developing pressure

2ANNOTATED BIBLIOGRAPHY
ulcer and four were diagnosed with pressure ulcer prior to the research. The study showed that
single intervention like repositioning system is not effective in preventing pressure ulcer.

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2. Annotated bibliography for second article:
Aim: The aim of the study Freeman et al. (2017) was to investigate about the effectiveness of
speciality linens on controlling pressure injury rates in high risk patients. The specialty linen was
made up of a fabric that addressed the microclimate around the patient.
Study design: By the use of retrospective analysis method, the effect of speciality linen on 24
beds in cardiovascular intensive care unit (CVICU) and 20 beds in surgical intensive care unit
(SICU) was assessed.
Setting: The 24- bed CVICU and a 20-bd SICU unit were the main research setting. After giving
education to staffs regarding the use of the speciality linens, the effect of specialty linen on unit-
acquired pressure injuries was evaluated by the review of patient charts admitted to both units
from April 2014 to October 2015. Excel spreadsheet gave information about the key variables
measured which included patient history, patient demographics and pressure injury assessment
outcome.
Sample: As two different setting was used, the samples in both setting differed. Patient with
vascular, cardiac and thoracic adult patients were found in CVICU and had patients with
extensive nose, ear or throat surgery, kidney and liver transplants, and other urologic operations
were admitted in SICU.
Key findings: The study revealed reduction in pressure injury rates evidence by a decrease in
rate from 7.7% before the intervention to 5.3% after the intervention. This data was the
combined outcome for both the units. The analysis of the two units was done separately too.
Review of rates for SICUs revealed the use of specialty liner was accompanied with a decrease
in total unit-acquired pressure injuries from 7.52% to 4.74%. In case of CVICU, total acquired