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. 2016 Nov 16;16:158. doi: 10.1186/s12874-016-0257-5

Table 2.

Item level completion for assessments that included step 1 (screening) and step 1 (screening) and 2 (full assessment) [8]

Pre-test 1: N items requiring completion p/a Pre-test 1: (TVN/RNs)
Items completed
Pre-test 2: N items requiring completion p/a Pre-test 2: (Staff Nurse)
Items completed
Pre-test 3: N items requiring completion p/a Pre-test 3: (Sisters)
Items completed
Item level completion for assessments that included step 1 (screening)
Mobility 4 100% (24/24) At least 1 of 4 100% (10/10) At least 1 of 4 100% (8/8)
Skin/PU status 2 66.7% (8/12) At least 1 of 4 90% (9/10) At least 1 of 4 100% (8/8)
Decision pathway allocated 1 0% (0/6) 1 100% (10/10) 1 87.5% (7/8)
Total Item completion - 76.2% (32/42) - 96.7% (29/30) - 95.8% (23/24)
Total Item completion where decision pathway allocated - 0% - 96.7% (29/30) - 100% (21/21)
Item level completion for assessments that included step 1 (screening) and 2 (full assessment)
Mobility (1st stage) 4 93.3% (97/104) At least 1 of 4 96.2% (25/26) At least 1 of 4 100% (25/25)
Skin/ PU status (1st stage) 2 98.1% (51/52) AA 100% (3/3) AA 100% (1/1)
Movement Matrix 1 100% (26/26) 1 100% (26/26) 1 96% (24/25)
Sensory Perception 1 96.2% (25/26) 1 of 2 100% (26/26) 1 of 2 100% (25/25)
Current DSA - listed sites 15 71.5% (279/390) 13 75.4% (255/338) 13 97.2% (316/325)
Current DSA – other sites AA 0% (0/0) AA 50.0% (1/2) AA 0% (0/0)
Current PU AA 84.2% (16/19) AA 83.3% (20/24) AA 80.0% (20/25)
Previous PU history AA 75% (9/12) AA 77.8% (7/9) 1 of 2 (if yes 3, AA) 85.3% (29/34)
Scarring 2 55.8% (29/52) AA 100% (1/1) AA 100% (1/1)
Perfusion 2 92.3% (48/52) At least 1 of 3 73.1% (19/26) At least 1 of 3 100% (25/25)
Nutrition 4 76.9% (80/104) At least 1 of 5 100% (26/26) At least 1 of 5 100% (25/25)
Moisture 1 (if yes 2 as applicable) 74.1% (40/54) 1 of 3 84.6% (22/26) 1 of 3 100% (25/25)
Diabetes 1 100% (26/26) As applicable 100% (5/5) 1 of 2 100% (25/25)
Decision pathway allocated 1 of 3 53.8% (14/26) 1 of 3 96.2% (25/26) 1 of 3 100% (25/25)
Total Item completion - 78.5% (740/943) - 81.7% (461/564) - 96.6% (566/586)
Total Item completion
where decision pathway
allocated
- 83.7% (417/498) - 83.7% (452/540) - 96.6% (566/586)

N number, p/a per assessment, AA as applicable, DSA detailed skin assessment, TVN tissue viability nurse, RN research nurse, PU Pressure Ulcer