A prospective observational study of patient positioning in a Saudi intensive care unit

Tayyib, Nahla, Lewis, Peter A., & Coyer, Fiona M. (2013) A prospective observational study of patient positioning in a Saudi intensive care unit. Middle East Journal of Nursing, 7(1), pp. 26-34.

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Aim: To describe the positioning of patients managed in an intensive care unit (ICU); assess how frequently these patients were repositioned; and determine if any specific factors influenced how, why or when patients were repositioned in the ICU.

Background: Alterations in body position of ICU patients are important for patient comfort and are believed to prevent and/or treat pressure ulcers, improve respiratory function and combat the adverse effects of immobility. There is a paucity of research on the positioning of critically ill patients in Saudi Arabian ICUs.

Design and Methods: A prospective observational study was undertaken. Participant demographic data were collected as were clinical factors (i.e. ventilation status, primary diagnosis, co-morbidities and Ramsay sedation score) and organizational factors (i.e. time of day, type of mattress or beds used, nurse/patient ratio and the patient's position). Clinical and some organization data were recorded over a continuous 48 hour period.

Result: Twenty-eight participants were recruited to the study. No participant was managed in either a flat or prone position. Obese participants were most likely to be managed in a supine position. The mean time between turns was two hours. There was no significant association between the mean time between turns and the recorded variables related to patients' demographic and organizational considerations.

Conclusion: Results indicate that patient positioning in the ICU was a direct result of unit policy - it appeared that patients were not repositioned based upon evaluation of their clinical condition but rather according to a two-hour ICU timetable

Impact and interest:

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ID Code: 59256
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Intensive care unit , positioning , repositioning, Saudi Arabia , Critical ill patient
ISSN: 1834-8742
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Copyright Owner: Copyright 2013 medi+WORLD International Pty. Ltd.
Deposited On: 23 Apr 2013 01:49
Last Modified: 24 Apr 2013 02:19

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