Evidence map›Paper›PMID 28833356›Full record

ArticleJournal of advanced nursing2018

Clinical evaluation of a new pressure ulcer risk assessment instrument, the Pressure Ulcer Risk Primary or Secondary Evaluation Tool (PURPOSE T).

Susanne Coleman, Isabelle L Smith, Elizabeth McGinnis, Justin Keen, Delia Muir, Lyn Wilson, Nikki Stubbs, Carol Dealey, Sarah Brown, E Andrea Nelson and 1 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of advanced nursing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07193849 (Impact of Using Zinc Oxide Versus Moist Exposed Wound Ointment), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
10.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07193849 phase4recruitingnot on this mapstarted 2023, after this paper: background citation

Impact of Using Zinc Oxide Versus Moist Exposed Wound Ointment (MEBO) in Treatment of Second Stage Pressure Ulcer: A Randomized Control Clinical Trial

TypeinterventionalSponsorKing Abdullah Medical CityRan2023 to 2025Enrolled76ConditionsPressure Injury, Pressure Injury Stage 2, Bedsore, Pressure Ulcers Stage IIArmsMEBO Wound Ointment, zinc oxide
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Susanne ColemanClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0002-1437-421X
Isabelle L SmithClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
Elizabeth McGinnisClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
Justin KeenLeeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Delia MuirClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
Lyn WilsonClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
Nikki StubbsWound Prevention and Management Service, Leeds Community Healthcare NHS Trust, Leeds, UK.
Carol DealeySchool of Health & Population Sciences, University of Birmingham, Birmingham, UK.
Sarah BrownClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
E Andrea NelsonSchool of Healthcare, University of Leeds, Leeds, UK.
Jane NixonClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
University of Leeds · GBLeeds Community Healthcare NHS Trust · GBUniversity of Birmingham · GB

Funding

Department of Health RP-PG-0407-10056
6 · The paper itself

Abstract

aimTo test the psychometric properties and clinical usability of a new Pressure Ulcer Risk Assessment Instrument including inter-rater and test-retest reliability, convergent validity and data completeness.

backgroundMethodological and practical limitations associated with traditional Pressure Ulcer Risk Assessment Instruments, prompted a programme to work to develop a new instrument, as part of the National Institute for Health Research funded, Pressure UlceR Programme Of reSEarch (RP-PG-0407-10056).

designObservational field test.

methodFor this clinical evaluation 230 patients were purposefully sampled across four broad levels of pressure ulcer risk with representation from four secondary care and four community NHS Trusts in England. Blinded and simultaneous paired (ward/community nurse and expert nurse) PURPOSE-T assessments were undertaken. Follow-up retest was undertaken by the expert nurse. Field notes of PURPOSE-T use were collected. Data were collected October 2012-January 2013.

resultsThe clinical evaluation demonstrated "very good" (kappa) inter-rater and test-retest agreement for PURPOSE-T assessment decision overall. The percentage agreement for "problem/no problem" was over 75% for the main risk factors. Convergent validity demonstrated moderate to high associations with other measures of similar constructs.

conclusionThe PURPOSE-T evaluation facilitated the initial validation and clinical usability of the instrument and demonstrated that PURPOSE-T is suitable of use in clinical practice. Further study is needed to evaluate the impact of using the instrument on care processes and outcomes.

Indexed as

PsychometricsAdultAgedEnglandFemaleHumansMaleMiddle AgedPressure UlcerReproducibility of ResultsRisk AssessmentRisk Factorsnursingpressure ulcerreliabilityrisk assessmenttissue viabilityusabilityvalidity

Identifiers

PMID28833356
PMCPMC5846883
OpenAlexW2747116826

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.