Development and Pilot Testing of a Patient-Participatory Pressure Ulcer Prevention Care Bundle

Gillespie, Brigid M.; Chaboyer, Wendy; Sykes, Mark Gary; O’Brien, Jennifer; Brandis, Susan

doi:10.1097/ncq.0b013e3182a71d43

Cited by 29 publications

(39 citation statements)

References 15 publications

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“…This results is incongruence with Sathiya et al [17] who stated that regarding the prevention from developing pressure ulcers, nearly three quarters of participants had adequate knowledge about frequent position change and minority of them had adequate knowledge that utilize of pillow/ rolled blanket/air mattress to alleviate continue pressure from developing bedsore. Similar finding was reported by Mohamed and Weheida [18] & and Gillespie et al [19] who stated that majority of caregivers and patients had insufficient knowledge related to basic principles of prevention including devices valuable in pressure ulcer prevention, pressure reducing mattresses and the study concluded that families and caregivers of immobilized patients have unsatisfactory knowledge of pressure ulcer prevention.…”

Section: Discussionsupporting

confidence: 75%

Effect of Educational Guidelines for Prevention of Immobilization Complications on Caregivers' Performance and Patients' Functional Condition

Mersal¹,

Mersal²,

Hussein³

2017

AJNR

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Long immobilization periods lead to overall complication and have been associated with poor functional outcomes. The aim of this study was to evaluate the effect of educational guidelines for prevention of immobilization complications on caregivers' performance and patients' functional condition. Quazi experimental design was utilized for conducting the study. Two purposive samples of 45 immobilized patients and their caregivers from orthopedic wards in El demerdash hospital, Cairo, Egypt, were randomly divided into study and control groups. Data were collected through; Self-Administered Structured Questionnaire to assess demographic characteristics and knowledge. Observational checklist also used to assess caregivers' practice. PULSUSE profile used to assess patients' functional condition. Results: There was statistically significant improvement of caregivers' knowledge and practice regarding prevention of immobilization complications and improvement of patients' functional condition in the study group after implementation of educational guidelines when compared to the control group. Conclusion: Educational guidelines improve the caregivers' knowledge and practice regarding prevention of immobilization complication. Recommendations: It is suggested to apply these educational guidelines on the caregivers of immobilized patients and to replicate the study on a larger study sample in different settings to generalize the results.

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Section: Discussionsupporting

confidence: 75%

Effect of Educational Guidelines for Prevention of Immobilization Complications on Caregivers' Performance and Patients' Functional Condition

Mersal¹,

Mersal²,

Hussein³

2017

AJNR

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“…The positive response of nurses to a PUPCB promoting patient participation in PUP care may be partly due to the PUPCB being developed in collaboration with end users; that is, the views of patients and nurses were sought in a pilot study and their feedback was incorporated into the final design of the intervention [6, 20]. This is in line with an integrated knowledge translation approach, which is used to develop interventions that are likely to be relevant, acceptable and usable to end-users [26].…”

Section: Discussionmentioning

confidence: 99%

“…Nurses have a primary role in PUP; however patients may also contribute through active participation in PUP care [5, 6]. Patient participation in care has been shown to result in improved patient safety [7] and satisfaction with care [8].…”

Section: Introductionmentioning

confidence: 99%

Nurses’ perceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study

et al. 2016

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BackgroundPressure 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. Understanding nurses’ perspectives of such an intervention is imperative when interpreting results and translating evidence into practice. As part of a process evaluation for the main trial, this study assessed nurses’ perceptions of the usefulness and impact of a pressure ulcer prevention care bundle intervention on clinical practice.MethodsThis 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.ResultsEighteen nurses from four hospitals participated in the study. Nurses’ perceptions of the intervention are described in five themes: 1) Awareness of the pressure ulcer prevention care bundle and its similarity to current practice; 2) Improving awareness, communication and participation with the pressure ulcer prevention care bundle; 3) Appreciating the positive aspects of patient participation in care; 4) Perceived barriers to engaging patients in the pressure ulcer prevention care bundle; and 5) Partnering with nursing staff to facilitate pressure ulcer prevention care bundle implementation.ConclusionsOverall, 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.

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“…Thus the intervention is patient-centred and reflects partnership between patients and nurses in the delivery of care. The intervention was previously developed and piloted in an acute tertiary hospital setting Gillespie, 2014, Gillespie et al, 2014). Awareness of the INTACT trial will be raised through a range of strategies such as hospital newsletters, e-mails and forums.…”

Section: Interventionmentioning

confidence: 99%

“…Consequently, an innovative PIP strategy was developed Gillespie, 2014, Gillespie et al, 2014) that is intended to optimise efficacy and sustainability, namely a care bundle that incorporates patient participation in care, easy access to PIP information and nursing staff engagement. This paper reports the protocol currently being used to test this care bundle, namely the INTACT trial (INTroducing A Care bundle To prevent pressure injury in at-risk patients).…”

Section: Introductionmentioning

confidence: 99%

INTroducing A Care bundle To prevent pressure injury (INTACT) in at-risk patients: A protocol for a cluster randomised trial

Chaboyer

Bucknall

Webster

et al. 2015

International Journal of Nursing Studies

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Development and Pilot Testing of a Patient-Participatory Pressure Ulcer Prevention Care Bundle

Cited by 29 publications

References 15 publications

Effect of Educational Guidelines for Prevention of Immobilization Complications on Caregivers' Performance and Patients' Functional Condition

Effect of Educational Guidelines for Prevention of Immobilization Complications on Caregivers' Performance and Patients' Functional Condition

Nurses’ perceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study

INTroducing A Care bundle To prevent pressure injury (INTACT) in at-risk patients: A protocol for a cluster randomised trial

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