Posted by:10 March, 2014
This week’s Behind the Rituals is from Liz Charalambous, staff nurse at Nottingham University Hospital
We have had a discussion on our ward about how two-hourly pressure area care affects sleep. The tissue viability team has introduced a skin bundle, which prescribes care for patients depending on whether they are classed as red, amber or green.
The latest meta-analysis from the Cochrane Collaboration finds no difference in pressure ulcer prevention when a risk assessment tool is used compared with clinical judgement. However, the current scheme does not allow for clinical judgement to supersede the tool.
What do you think?
I am doing a research study into prevention of delirium, and part of the criteria for preventing delirium is sleep hygiene. This involves ensuring patients get enough sleep.
- Should clinical judgement override policies in this situation?
- Is there any evidence to support a decision to do this?
From Behind the Rituals
Why do you do the things you do? How much of nursing practice is based on ritual and myth and how much on sound evidence? If you have a ritual you’d like to discuss here, email firstname.lastname@example.org