Purpose
This study aimed to identify the incidence, characteristics, and risk factors associated with Medical Device-Related Pressure Injuries (MDRPIs) in neurosurgery patients. Methods: Participants were 160 adult patients who underwent neurosurgery under general anesthesia from September 17, 2019 to August 11, 2020. Data were analyzed using SPSS 20 program. Descriptive statistics were used for general characteristics, clinical characteristics, surgical characteristics, MDRPIs incidence, and medical device related. Independent t-test and x² test were used for differences in general characteristics, clinical characteristics, and surgical characteristics according to the occurrence of MDRPIs.
Results
Among 160 participants, MDRPIs occurred in 72 patients (45.0%). The result of the logistic regression analysis showed that the risk factors associated with MDRPIs were operation time (Odds Ratio [OR]=1.03, 95% Confidence Interval [CI]=1.01~1.04, p=.003), intraoperative blood loss (OR=1.02, 95% CI=1.01~1.03, p=.043).
Conclusion
Of the 160 patients who underwent neurosurgery, 72 (45%) developed MDRPIs. Additionally, the longer the operation time and anesthesia time and the higher the amount of blood loss, the higher the incidence of MDRPIs. Therefore, strategies to increase risk assessment and preventive actions against MDRPIs should be established.

Citations

• Nurses' knowledge, attitude and practice in preventing medical device-related pressure injuries and its influencing factors: A cross-sectional study
  Pingping Fang, Wanfan Deng, Xi Zhu, Ying Cao
  Journal of Tissue Viability.2024; 33(4): 738.     CrossRef

PURPOSE
The purpose of this study was to describe role conflict and job satisfaction of Neurosurgery Clinical Nurse Specialist(NCNS) and to identify associated factors.
METHOD
The target populations was 77 NCNSs from 30 general hospitals. Data were collected with self-administered questionnaires and analyzed using t-test and ANOVA.
RESULTS
The overall mean scores of role conflict and job satisfaction were 3.60(+/-0.54) and 3.04(+/-0.46) respectively. Significant variables affecting role conflict were the working period as NCNS, the number of colleague NCNSs in working hospital, and assignment of prescription rights. The significant variable affecting job satisfaction was assignment of prescription rights. There was no statistically significant correlation between job and role conflict.
CONCLUSION
The variable effecting both role conflict and job satisfaction was the extent of prescription rights. In order to improve the quality of patient care and to protect Neurosurgery Nurse Clinical Specialist, the enactment of law on prescription practice is needed.