Implementation of a guideline for pressure ulcer prevention in home care: pretest–post‐test study

Paquay, Louis; Verstraete, Stefan; Wouters, Renild; Buntinx, Frank; Vanderwee, Katrien; Defloor, Tom; Gansbeke, Hendrik Van

doi:10.1111/j.1365-2702.2009.03170.x

Cited by 17 publications

(17 citation statements)

References 13 publications

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“…Studies analyzing the ADL and PU are scarce, and the data of this study are consistent with the trend in the literature that investigated the issue (22)(23) . A study with institutionalized elderly found that for each increase of one point on the scale of ADL, the risk of PU increases 1.38 times (14) .…”

Section: Characterization Of People With Cancer In Home Palliative Caresupporting

confidence: 77%

Pressure Ulcers In Palliative home Care Patients: Prevalence And Characteristics

Queiroz

Mota

Bachion

et al. 2014

Rev. esc. enferm. USP

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Persons in palliative care develop pressure ulcers (PU) as death approaches, but the extent of the problem is still unknown. The objectives were to identify the prevalence of pressure ulcers in people with cancer in palliative home care, compare the socio-demographic and clinical profile of patients with and without pressure ulcers, and analyze the characteristics of the ulcers. This descriptive, cross-sectional study included 64 people with advanced cancer in palliative home care. Twelve of them (18.8%) had PU, of whom 75.0% were men. The participants had one to three PU, amounting to 19 lesions, 89.4% of those developed at home and 47.4% at stage 3. The presence of PU was higher among those who had a history of previous wound. PU consisted of a significant event occurring in the studied population, indicating that preventive measures should be included in the home palliative care health team.

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Section: Characterization Of People With Cancer In Home Palliative Caresupporting

confidence: 77%

Pressure Ulcers In Palliative home Care Patients: Prevalence And Characteristics

Queiroz

Mota

Bachion

et al. 2014

Rev. esc. enferm. USP

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“…It may be attributed to the effect of program and practices that lead to an increase in the knowledge of the practitioners during the program period since the professionals take many sessions that contribute for practicing experience. It agrees with paquay et al (2010) (37) who found that nurse`s adherence to PU guidelines was significantly improved after implementing of an educational program. This is also supported by the work of Smith & Waugh et al (2009) (38) , who used descriptive study among 435 registered nurses.…”

Section: A Study In Turkey By Tweed and Tweed (2008)supporting

confidence: 81%

Impact of Educational Video Film for Nurses Caring Elders Suffering From Pressure Ulcer about Applying Cutimed Sorbact Dressing On Wound Healing

Magdi¹

2017

IJND

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Pressure ulcer is a serious and common health problem in critical care setting; it has been described as one of the most costly and physically debilitating complications in the 20th century. The prevalence of advanced pressure ulcer is high in older persons; about 70% occur in patients 65 years or older peaking in those between age 70 and 80 years. Most pressure ulcers are believed to be treated if the appropriate measures are implemented to maintain skin integrity by applying the cutimed sorbact dressing. Objectives: to determine the impact of an educational video film for nurses caring elders suffering from pressure ulcer about applying cutimed sorbact dressing on wound healing. Materials and Method. A quasi experimental design used in this study, the study carried in the intensive Care Units of the Specialized Medical Hospital, Emergency Hospital and General Mansoura Hospital in Dakhalia governorate, the study subjects included in this study are 76 elderly patients and 69 nurses. Three tools were used in this study namely; Structured interview schedule sheet, Pressure Ulcer Scale for Healing, Video Film about prevention and applying cutimed sorbact dressing. Results: There is improvement in wound healing of pressure ulcer after applying Cutimed Sorbact dressing compared to the usual dressing. Moreover, the nurses became more knowledgeable after the educational video film concerning caring of elderly suffering from pressure ulcer. Conclusion and recommendation: This study concluded that the elderly patients suffering from pressure ulcers when applying the Cutimed Sorbact dressing intervention faster wound healing and free from bacteria than those who receive usual dressing, moreover, the nurse's knowledge improved after displaying the educational video film program Also, it recommended using the cutimed dressing in treatment of pressure ulcer as aresult of his fast effect on wound healing.

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“…This is noteworthy because while clinical judgement is recognised as an important component of risk assessment, research has shown that clinical judgement in isolation is not an adequate or reliable predictor of pressure injury risk [50,51]. Judgement of a patient’s risk status is an important basis for deciding to implement preventive measures [37]. Reasons for this favourable change occurring, might be because risk assessment documentation is included within a patient’s medical notes.…”

Section: Discussionmentioning

confidence: 99%

“…Prentice and Stacey [25] found that introduction of pressure injury clinical practice guidelines combined with a comprehensive, multifaceted education pressure injury program, for junior medical and nursing staff that included peri-operative nurses, significantly reduced pressure injury prevalence. Other combinations of multi-faceted strategies have similarly reported improvements in knowledge and practice [31,37]. Some studies have reported mixed results of strategies targeting nurses’ knowledge and documentation that included an educational component, with improvements on some domains such as documentation practices [38] or on reported use of risk assessment and prevention strategies [39] or no statistically significant improvements at all [21].…”

Section: Introductionmentioning

confidence: 99%

Peri-operative nurses’ knowledge and reported practice of pressure injury risk assessment and prevention: A before-after intervention study

et al. 2012

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BackgroundPatients are at risk of developing pressure injuries in the peri-operative setting. Studies evaluating the impact of educational interventions on peri-operative nurses’ knowledge and reported practice are scarce. The purpose of this study was to evaluate the effect of a multifaceted intervention on peri-operative nurses’ (a) knowledge of pressure injury risks, risk assessment and prevention strategies for patients in the operating suite; and (b) reported practice relating to risk assessment practices and implementation of prevention strategies for patients in the operating suite.MethodsA before-after research design was used. A convenience sample of all registered and enrolled nurses employed in two hospitals’ operating suites was recruited. A multifaceted intervention was delivered which comprised a short presentation, educational materials and reminder posters. A 48-item survey tool was completed pre-and post-intervention to measure self-reported knowledge and practice.Results70 eligible peri-operative nurses completed both surveys. Post-intervention, statistically significant improvements were seen in knowledge of correct descriptions of pressure injury stages (p=0.001); appropriate reassessment for patients with a new pressure injury (p=0.05); appropriate actions for patients with an existing stage 1 (p=0.02) and stage 2 pressure injury (p=0.04). Statistical improvements were also seen in reported practice relating to an increase in the use of a risk assessment tool in conjunction with clinical judgement (p=0.0008); verbal handover of patients’ pressure injury risk status from the operating room nurse to the recovery room (p=0.023) and from the recovery room nurse to the postoperative ward nurse (p=0.045). The number of participants reporting use of non-recommended and recommended pressure-relieving strategies was unchanged.ConclusionA multi-faceted educational intervention can improve some aspects of perioperative nurses’ knowledge and reported practice such as risk assessment practices but not others such as use of recommended pressure-relieving devices. Further research is required to ascertain effective interventions which improve all areas of practice and knowledge, particularly in the use of appropriate pressure-relieving devices in order to prevent pressure injuries in surgical patients.

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Implementation of a guideline for pressure ulcer prevention in home care: pretest–post‐test study

Cited by 17 publications

References 13 publications

Pressure Ulcers In Palliative home Care Patients: Prevalence And Characteristics

Pressure Ulcers In Palliative home Care Patients: Prevalence And Characteristics

Impact of Educational Video Film for Nurses Caring Elders Suffering From Pressure Ulcer about Applying Cutimed Sorbact Dressing On Wound Healing

Peri-operative nurses’ knowledge and reported practice of pressure injury risk assessment and prevention: A before-after intervention study

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Implementation of a guideline for pressure ulcer prevention in home care: pretest–post‐test study

Cited by 17 publications

References 13 publications

Pressure Ulcers In Palliative home Care Patients: Prevalence And Characteristics

Pressure Ulcers In Palliative home Care Patients: Prevalence And Characteristics

Impact of Educational Video Film for Nurses Caring Elders Suffering From Pressure Ulcer about Applying Cutimed Sorbact Dressing On Wound Healing

Peri-operative nurses’ knowledge and reported practice of pressure injury risk assessment and prevention: A before-after intervention study

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Pressure Ulcers In Palliative home Care Patients: Prevalence And Characteristics

Pressure Ulcers In Palliative home Care Patients: Prevalence And Characteristics