Nurses Perceptions Of A Pressure Ulcer Prevention - amazonia.fiocruz.br

Nurses Perceptions Of A Pressure Ulcer Prevention Video

Metrics details. Pressure ulcer prevention is a critical patient safety indicator for acute care hospitals.

An innovative pressure ulcer prevention care bundle targeting patient participation in their care was recently tested in a cluster randomised trial in eight Australian hospitals. This qualitative descriptive study involved semi-structured interviews with nursing staff at four Australian hospitals that were intervention sites for a cluster randomised trial testing a pressure ulcer prevention care bundle. Four to five participants were purposively sampled at each site. A trained interviewer used a semi-structured interview guide to question participants about their perceptions of the care bundle.

Interviews were digitally recorded, transcribed and analysed using thematic analysis. Eighteen nurses from four hospitals participated in the study. Overall, nurses found the care bundle feasible and acceptable. They identified a number of benefits from the bundle, including improved communication, awareness and participation in pressure ulcer prevention care among patients and staff. However, nurses thought the care bundle was not appropriate or effective for all patients, such as those who were cognitively impaired. Perceived enablers to implementation of the bundle included facilitation through effective communication and dissemination of evidence about the care bundle; strong leadership and ability to influence staff behaviour; and simplicity of the care bundle. Nurses Perceptions Of A Pressure Ulcer Prevention

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Peer Review reports. Pressure ulcer prevention PUP is a significant priority in hospitals given the high incidence of pressure ulcers PUs [ 1 ], the severe consequences they have for patients [ 2 ], and the large costs they incur to the health care system [ 34 ]. Nurses have a primary role in PUP; however patients may also contribute through active participation in PUP care [ 56 ].

Patient participation in care has been shown to result in improved patient safety [ 7 ] and satisfaction with care [ 8 ]. Patient participation is endorsed by the World Health Organisation [ 9 ] and is included Pressuure health service standards internationally [ 1011 ]. Nurses partnering with patients in PUP may be an effective strategy for reducing pressure ulcers PU among at-risk individuals.

Good clinical practice in wound prevention and management

Our team developed a pressure ulcer prevention care bundle PUPCB targeted at both patients and nurses, encouraging patient participation in PUP care with three simple evidence-based messages: 1 Keep moving; 2 Look after your skin; and 3 Eat a healthy diet [ 12 ]. These messages were delivered to patients with a poster, brochure and DVD. Nurses received training on how to partner with patients in PUP by encouraging active participation in their care. Medical, surgical and rehabilitation wards considered to have a high number of patients at risk of PU were included in the study.

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The INTACT trial showed a significant reduction in PU incidence in the intervention group at the hospital cluster level, but this difference was not significant at the individual patient level. Whilst there are many possible reasons for these findings, the research team concluded the study was underpowered [ 13 ]. Given this, it seems logical to further investigate the processes relating to the intervention itself and its Nurses Perceptions Of A Pressure Ulcer Prevention. The success or failure of interventions, or the extent to which they work, may in part be explained by processes relating to implementation [ 14 ].

Process evaluations provide an understanding to assist with future implementation of interventions, recognising that moving research into routine practice is difficult [ 15 ]. Grant et al. This paper reports in detail on the response Nurses Perceptions Of A Pressure Ulcer Prevention nursing staff clusters to the intervention; one domain of the process evaluation framework. Their perspectives of the intervention and the evidence around it, the context in which it used, and characteristics of nurses themselves are likely to influence its adoption in practice and ultimately, its effect click here 17 ].

This qualitative descriptive study [ 18 ] involved semi-structured interviews with nursing staff working on wards where the PUPCB was implemented, in four acute care hospitals public and private that were intervention sites for the cluster randomised trial across two Australian states. Ethical approval was gained at each hospital intervention site and from the participating university.

With assistance from the nurse unit manager, potential participants meeting inclusion criteria were identified. All nurse participants were provided with a participant information sheet and written informed consent was gained from those agreeing to participate.]