Healthy Skin Wins: A Glowing Pressure Ulcer Prevention Program That Can Guide Evidence‐Based Practice

Martin, Donna; Albensi, Lisa; Haute, Stephanie Van; Froese, Maria; Montgomery, Mary W; Lam, Mavis; Gierys, Kendra; Lajeunesse, Rob; Guse, Lorna; Basova, Nataliya

doi:10.1111/wvn.12242

Cited by 24 publications

(27 citation statements)

References 33 publications

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“…The most common study design was RCTs ( n = 6). Regarding the PU preventive interventions, most of the featured studies focused on support surfaces, health professional's education, multiple intervention programmes, repositioning and early mobilisation, preventive skincare, prophylactic dressings, remind systems on patient care plan, and risk‐assessment tools . According to the care setting where the studies were carried out, most of them ( n = 17) were developed in intensive care units (ICU) followed by medicine ( n = 6), geriatrics ( n = 2), surgical ( n = 2), orthopaedics ( n = 2), oncology ( n = 1), rehabilitative ( n = 1), community hospital ( n = 1), and other specific units ( n = 4).…”

Section: Resultsmentioning

confidence: 99%

“…Multiple intervention programmes and care bundles are a set of evidence‐based interventions that when performed together had a better and positive impact on patient outcomes, when compared with individual interventions . Regarding Table , most of the multiple intervention programmes ( n = 7) were effective in decreasing the incidence of PUs . One study did not decrease the incidence of PUs with statistical significance, but was successful in changing clinical practice in PU prevention …”

Section: Resultsmentioning

confidence: 99%

“…Despite the setting, country, or specific approach, most of the multiple intervention programmes was effective in preventing PUs, but those effectiveness was not always with statistical significance . Multiple intervention programmes and care bundles had a positive impact on patient outcomes in terms of PUs, like incidence and severity …”

Section: Discussionmentioning

confidence: 97%

“…Multifactorial and comprehensive programmes help to reduce PUs in hospitalised patients mainly those that include: teamwork approaches, education of health care staff, nutritional assessment, risk‐assessment tools, visual skin assessment, support surfaces, offloading heels, repositioning mainly with use of sliders, disposable soaker pads to manage moisture and incontinence, skin care, medical devices related to PU assessment, prophylactic dressings, smartphone applications, patient and family involvement, and semi‐weekly Wound Ostomy Continence (WOC) nurse rounds …”

Section: Discussionmentioning

confidence: 99%

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Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Gaspar

Peralta

Budri

et al. 2019

International Wound Journal

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The effective approach on pressure ulcer (PU) prevention regarding patient safety in the hospital context was evaluated. Studies were identified from searches in EBSCO host, PubMed, and WebofScience databases from 2009 up to December 2018. Studies were selected if they were published in English, French, Portuguese, or Spanish; incidence of PUs was the primary outcome; participants were adults (≥18 years) admitted in hospital wards and/or units. The review included 26 studies. Studies related to prophylactic dressings applied in the sacrum, trochanters, and/or heels, education for health care professionals, and preventive skin care and system reminders on‐screen inpatient care plan were effective in decreasing PUs. Most of the studies related to multiple intervention programmes were effective in decreasing PU occurrence. Single interventions, namely support surfaces and repositioning, were not always effective in preventing PUs. Repositioning only was effective when supported by technological pressure‐mapping feedback or by a patient positioning system. Risk‐assessment tools are not effective in preventing PUs. PUs in the hospital context are still a worldwide issue related to patient safety. Multiple intervention programmes were more effective in decreasing PU occurrence than single interventions in isolation. Single interventions (prophylactic dressings, support surfaces, repositioning, preventive skin care, system reminders, and education for health care professionals) were effective in decreasing PUs, which was always in compliance with other preventive measures. These results provide an overview of effective approaches that should be considered when establishing evidence‐based guidelines to hospital health care professionals and administrators for clinical practice effective in preventing PUs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Gaspar

Peralta

Budri

et al. 2019

International Wound Journal

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“…Studies indicate that high rates of PI, especially in at-risk populations, represent a challenge for health professionals in the implementation of preventive actions and use of treatment technological advances. 10,14,15 Among the resources for the treatment, the use of dressings with different types of covering is considered the conventional therapy. They benefit the healing process in the mid-and long term, depending on the staging, based on the degree of lesion tissue destruction, and the patient's conditions.…”

mentioning

confidence: 99%

Teaching of pressure injury prevention and treatment using simulation

et al. 2017

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Objective: To describe the construction of a high-fidelity clinical scenario simulation of "Pressure injury patient nursing care". Method:Report the experience of constructing a high-fidelity clinical scenario simulation based on the literature and on Bloom's taxonomy. Learning objectives, prior study material, fidelity, clinical case, necessary resources, problem solving, face and content validity, debriefing and evaluation were considered. Results: The scenario included cognitive, psychomotor and affective aspects; role-playing and the moulage technique were used, and it was positively evaluated by the students. resumen Objetivo: Describir la construcción de escenario clínico simulado de alta fidelidad destinado a la enseñanza aprendizaje de la asistencia de enfermería al paciente con lesión por presión. Método: Relato de experiencia de construcción de escenario clinico simulado de alta fidelidad, con base en la literatura y Taxonomía de Bloom. Fueron considerados objetivos de aprendizaje, material de estudio previo, fidelidad, caso clínico, recursos necesarios, resolución de problemas, validación de apariencia y contenido, debriefing, evaluación. Resultados: El escenario incluyó los aspectos cognitivos, psicomotores y afetivos y utilizado role player y la técnica de moulage. Fue evaluado de forma positiva por los estudiantes. Conclusión: La construcción de escenarios clínicos simulados planificados, estructurados y validados, aproxima al aprendiz con veracidad de la práctica clínica y posibilita el desarrollo de competencias necesarias para la prevención y tratamiento de lesión por presión. Implicaciones para la práctica:Tales recursos auxilian el proceso de enseñanza aprendizaje y la actualización de los profesionales en prevención y tratamiento de lesiones, lo que contribuye positivamente al desarrollo del aprendiz, seguridad y calidad de la asistencia de los pacientes.

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Pressure injury prevalence in Australian intensive care units: A secondary analysis

Coyer¹,

Chaboyer²,

Lin³

et al. 2022

Australian Critical Care

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Healthy Skin Wins: A Glowing Pressure Ulcer Prevention Program That Can Guide Evidence‐Based Practice

Cited by 24 publications

References 33 publications

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Effectiveness on hospital‐acquired pressure ulcers prevention: a systematic review

Teaching of pressure injury prevention and treatment using simulation

Pressure injury prevalence in Australian intensive care units: A secondary analysis

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