Evaluation of a multifactorial approach to reduce the prevalence of pressure injuries in regional Australian acute inpatient care settings

Smith, Stuart F.; Ashby, Samantha; Thomas, Lynette M; Williams, Felicity

doi:10.1111/iwj.12840

Cited by 18 publications

(14 citation statements)

References 44 publications

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“…It is also necessary to change the policies for best practice, evidence of pressure ulcers prevention strategies, equipment for prevention, and treatment of pressure ulcers, documentation of standardised assessments, wound management to achieve best practice and communication to facilitate improvements 24 …”

Section: Discussionmentioning

confidence: 99%

Prevalence of acute and chronic wounds – with emphasis on pressure ulcers – in integrated continuing care units in Alentejo, Portugal

Furtado

Infante

Sobral

et al. 2020

International Wound Journal

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The aim of the study was to describe the prevalence and general characteristics of acute and chronic wounds in 2018 in Alentejo (Portugal) continuing care units. In order to look at associations, wound characteristics studied were location, type, place of acquisition, number, and duration, and patient characteristics were sex, age, and presence of risk factors. During the first 2 weeks of February 2018, a total of 770 patients were assessed at continuing care units of Alentejo. Of these, 135 exhibited wounds, a prevalence of 17.5%. Almost two out of three patients (63%) had arterial hypertension, slightly more than one in three (37%) had a stroke and/or immobility and 30% had diabetes. Of the total wounds identified, 18% were acute wounds and 82% were chronic wounds. Of the 24 acute wounds, traumatic wounds (76%), and surgical wounds (22%) were the most prevalent. The four types of pressure ulcers represented 80% of the chronic wounds. The median duration of the pressure ulcers was 5.5 months and 25% had duration over 10 months.

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Section: Discussionmentioning

confidence: 99%

Prevalence of acute and chronic wounds – with emphasis on pressure ulcers – in integrated continuing care units in Alentejo, Portugal

Furtado

Infante

Sobral

et al. 2020

International Wound Journal

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“…Included in the new International guideline are implementation considerations that provide additional information on how recommendations could be introduced, and outcomes evaluated. For example, the International guideline details resources that have been successfully used in the reported research to achieve this goal, including benchmarking tools 5,6 , electronic tracking systems [7][8][9] , computerised care planning 10 , and regular surveillance 7,[11][12][13][14][15][16] .…”

Section: Figure 2 Respondents' Primary Clinical Backgroundmentioning

confidence: 99%

Implementing the 2019 International Guideline: consultation on barriers, facilitators, challenges and resource needs

Haesler¹,

Carville²

2020

WPR

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In November 2019, the third edition of the International guideline was published. Dissemination of clinical guidelines and translation into practice is shown to be facilitated by resources to support the guideline and address of barriers to implementation. To identify the barriers, facilitators and challenges that influence translation of the recommendations in the International guideline into practice, and resources that might be useful to health professionals, two consultation forums were undertaken. This paper outlines the outcomes from these consultation forums and identifies resources that are considered important for translating recommendation into practice.

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“…Smith et al [55] measured pressure ulcer prevalence in the Australian population using the Waterlow scale. Their analysis included 1,407 participants from 2008, 1,331 participants from 2010, to 1,199 participants from 2014.…”

Section: Pressure Ulcer Risk Assessment With the Waterlow Scalementioning

confidence: 99%

Assessment of pressure ulcers in physically handicapped patients

Neugebauer

Tóthová

2020

DHS

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PurposeAssessment of pressure ulcers is an indicator of nursing care quality. In physically handicapped patients, the risk is elevated, due to the neuropathy and incontinence that frequently accompany paresis and paralysis. We conducted a systematic review of 4 assessment scales to assess their use and usefulness for these patients.Materials/methodsWe searched 5 databases for articles published between 2016 and 2018 that included terms related to the risk of pressure ulcers in physically handicapped patients, including the names of 4 assessment scales (Norton, Braden, Waterlow and Spinal Cord Injury Pressure Ulcer Scale). One hundred and three sources were returned, from which we selected 10. We also selected an earlier source, for a total of 11.ResultsThe Braden and Waterlow scales are popular in clinical practice. The Norton scale is used for scientific comparisons and in clinical practice only sporadically. Expert opinion suggests that acceptance of the Spinal Cord Injury Pressure Ulcer Scale could reduce the incidence of pressure ulcers in physically handicapped patients.ConclusionsIntroduction of a scale designed for handicapped patients, combined with better preventive measures, could result in the bedsore reduction of pressure ulcers. Research testing the effectiveness of the Spinal Cord Injury Pressure Ulcer Scale in the Czech population is needed to validate its use in clinical practice.

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Evaluation of a multifactorial approach to reduce the prevalence of pressure injuries in regional Australian acute inpatient care settings

Cited by 18 publications

References 44 publications

Prevalence of acute and chronic wounds – with emphasis on pressure ulcers – in integrated continuing care units in Alentejo, Portugal

Prevalence of acute and chronic wounds – with emphasis on pressure ulcers – in integrated continuing care units in Alentejo, Portugal

Implementing the 2019 International Guideline: consultation on barriers, facilitators, challenges and resource needs

Assessment of pressure ulcers in physically handicapped patients

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