Adherence to Pressure Ulcer Prevention Guidelines: Implications for Nursing Home Quality

Saliba, Debra; Rubenstein, Lisa V.; Simón, Barbara; Hickey, Elaine C.; Ferrell, Bruce A.; Czarnowski, Elaine; Berlowitz, Dan R.

doi:10.1034/j.1601-5215.2002.51010.x

Cited by 62 publications

(42 citation statements)

References 34 publications

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“…Low overall documentation of adherence to PU prevention protocols was already a concern in LTC facilities. 49 Previous studies using thigh monitoring of resident limb movements showed poor correlation of documentation with movement.…”

Section: Discussionmentioning

confidence: 99%

Multidimensional Team‐Based Intervention Using Musical Cues to Reduce Odds of Facility‐Acquired Pressure Ulcers in Long‐Term Care: A Paired Randomized Intervention Study

Yap

Kennerly

Simmons

et al. 2013

J American Geriatrics Society

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Section: Discussionmentioning

confidence: 99%

Multidimensional Team‐Based Intervention Using Musical Cues to Reduce Odds of Facility‐Acquired Pressure Ulcers in Long‐Term Care: A Paired Randomized Intervention Study

Yap

Kennerly

Simmons

et al. 2013

J American Geriatrics Society

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“…These could be lack of specific education on PU care, understaffed nursing teams, large number of patients, and lack of time and equipments. Saliba et al (2003) explored the application of PU prevention recommendations in 35 nursing homes in the United States. Disappointingly, the recommendations were followed only 41% of the time, with high variation existing between participating homes.…”

Section: Strategies For Pu Preventionmentioning

confidence: 99%

Exploring Pressure Ulcer Care in Jordan

Tubaishat

Aljezawi

2014

Journal of the Dermatology Nurses' Association

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Background: A number of studies have been conducted on pressure ulcer (PU) risk assessment and prevention, and several sets of prevention guidelines have been produced. However, in Jordan, where no such research has previously been carried out, there appears to be a gap between nurses' knowledge and practice in this area, which needs to be addressed. Aim: The purpose of this study was to explore Jordanian nurses' knowledge of PU risk factors and preventive modalities. In addition, their current reported preventive practice was investigated. Methods: A cross-sectional study was carried out in three hospitals in Jordan. The registered and associate nurses working at these sites were requested to complete a self-administered questionnaire. Results: The nurses' knowledge of PU risk factors was good. Although there was a high level of agreement regarding the preventive methods judged as ''always useful'', there was a lesser degree of agreement regarding those which should be used only in individual cases and those which should not be used. A significant number of nurses were unaware that some outdated methods such as ''massage'' were no longer used. Nurses applied such methods without enough prior knowledge about their usefulness. Conclusions: Findings from this study suggest that the knowledge and practice of PU prevention among Jordanian nurses needs to be improved, particularly since some methods that are acknowledged to be harmful were still found to be in use. It is recommended that national PU prevention guidelines are adopted in Jordan, especially since nurses seem to rely on past practices that are not evidence based.

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“…28 In the authors’ analyses for this study’s sample selection, they found that the performance variation continued. Taking advantage of this natural variation, the authors conducted semistructured interviews with staff from 6 CLCs representing a range of PrU prevention performance to identify contextual factors important in prevention.…”

Section: Discussionmentioning

confidence: 79%

Contextual Facilitators of and Barriers to Nursing Home Pressure Ulcer Prevention

Hartmann

Solomon

Palmer

et al. 2016

Advances in Skin &Amp; Wound Care

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OBJECTIVE Important gaps exist in the knowledge of how to achieve successful, sustained prevention of pressure ulcers (PrUs) in nursing homes. This study aimed to address those gaps by comparing nursing leadership and indirect care staff members’ impressions about the context of PrU prevention in facilities with improving and declining PrU rates. SETTING The study was conducted in a sample of 6 Veterans Health Administration nursing homes (known as community living centers) purposively selected to represent a range of PrU care performance. DESIGN AND PARTICIPANTS One-time 30-minute semistructured interviews with 23 community living center staff were conducted. Qualitative interview data were analyzed using an analytic framework containing (a) a priori analytic constructs based on the study’s conceptual framework and (b) sections for emerging constructs. MAIN RESULTS Analysis revealed 6 key concepts differentiating sites with improving and declining PrU care performance. These concepts were (1) structures through which the change effort is initiated; (2) organizational prioritization, alignment, and support; (3) improvement culture; (4) clarity of roles and responsibilities; (5) communication strategies; and (6) staffing and clinical practices. Results also pointed to potential contextual facilitators of and barriers to successful PrU prevention. CONCLUSIONS Leadership’s visible prioritization of and support for PrU prevention and the initiation of PrU prevention activities through formal structures were the most striking components represented at sites with improving performance, but not at ones where performance declined. Sites with improving performance were more likely to align frontline staff and leadership goals for PrU prevention.

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Adherence to Pressure Ulcer Prevention Guidelines: Implications for Nursing Home Quality

Cited by 62 publications

References 34 publications

Multidimensional Team‐Based Intervention Using Musical Cues to Reduce Odds of Facility‐Acquired Pressure Ulcers in Long‐Term Care: A Paired Randomized Intervention Study

Multidimensional Team‐Based Intervention Using Musical Cues to Reduce Odds of Facility‐Acquired Pressure Ulcers in Long‐Term Care: A Paired Randomized Intervention Study

Exploring Pressure Ulcer Care in Jordan

Contextual Facilitators of and Barriers to Nursing Home Pressure Ulcer Prevention

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