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July 1, 1987Nursing Research

The Braden Scale for Predicting Pressure Sore Risk

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Authors

BBBarbara BradenUniversity Hospital MünsterALA LaguzzaCreighton UniversityVHVictoria HolmanCreighton University

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Implication

Prospective validation study demonstrates high reliability and predictive accuracy across nursing staff, indicating effective early identification of pressure sore risk.

Key Points

  • To develop and establish the reliability and predictive validity of the Braden Scale for early identification of pressure sore risk.
  • Evaluated an assessment tool structured across six subscales: sensory perception, skin moisture, activity, mobility, friction and shear, and nutritional status.
  • Conducted three reliability studies examining raters across diverse geographic regions and education levels, including nurses' aides, licensed practical nurses, and registered nurses.
  • Completed two prospective predictive validity studies to evaluate the sensitivity and specificity of the instrument across multiple cutoff thresholds.
  • Interrater reliability ranged from r = .83 to r = .94 among nurses' aides and licensed practical nurses, increasing to r = .99 when assessments were conducted by registered nurses.
  • At a cut-off score of 16, the scale demonstrated 100% sensitivity in both prospective studies, with specificity ranging from 64% to 90%.

Cite This Study

Braden et al. (1987) studied this question.

synapsesocial.com/papers/6a7ca121d8712010ad4c7417https://doi.org/10.1097/00006199-198707000-00002
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Also Consider

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  5. 5Construct validity of the Braden scale in acute- and long-term care settings in Austria: A structural equation modeling analysis2024 · 1 citations