National audit of pressure ulcers and incontinence-associated dermatitis in hospitals across Wales: a cross-sectional study

Clark, Michael; Semple, Martin J; Ivins, Nicola; Mahoney, Kirsten; Harding, Keith

doi:10.1136/bmjopen-2016-015616

Cited by 43 publications

(30 citation statements)

References 13 publications

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“…Although most PIs in the general population are considered preventable when correct prevention strategies are implemented, PIs in palliative care patients may be unavoidable as a result of skin failure . PI is a common hospital‐acquired complication in the Western world and has been linked to poor adherence to prevention strategies across clinical settings . Although there are various barriers to clinical practice guideline implementation, Australian and international studies have reported that nurses' knowledge of PI prevention strategies is often inadequate.…”

Section: Introductionmentioning

confidence: 99%

Patient education materials on pressure injury prevention in hospitals and health services in Victoria, Australia: Availability and content analysis

Team

Bouguettaya

Richards

et al. 2019

International Wound Journal

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Pressure injuries (PIs) are a common quality indicator for hospital care, and preventing PIs often requires patient engagement; as such, Australian consensus research has recommended that high‐quality education materials be made to patients for PIs via hospital networks. The purpose of the present study was to assess the availability and accuracy of patient education materials on PIs in publicly available hospital websites in Victoria, Australia. Two independent coders assessed 212 websites for content on PI prevention and management, analysing availability and accuracy of PI definitions, risk factors, preventive strategies, referral, visual tools, consumer endorsement, information for family/carers, and translation on community languages. A greater proportion of hospitals did not have any patient education materials on PI prevention publicly available, with private hospitals (compared with public) and metropolitan hospitals (compared to rural) more likely to have materials available on their sites. The available materials contained accurate messages on PI defining characteristics and risk factors for PIs, although there was considerable variability on the availability of other information. Our findings suggest a significant deficit in the availability of educational materials for acute care patients and their families. There is a need for evidence‐based, consumer‐endorsed, uniform materials on all hospital websites to prevent PIs in acute care.

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Section: Introductionmentioning

confidence: 99%

Patient education materials on pressure injury prevention in hospitals and health services in Victoria, Australia: Availability and content analysis

Team

Bouguettaya

Richards

et al. 2019

International Wound Journal

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“…Therefore, in The United Kingdom, it is estimated that the value of the registered annual costs varies from 1,4 to 2,1 milliard pounds, representing 4% of the total costs for medical assistance in The United Kingdom [6], and in Spain, pressure-ulcer treatment required approximately 5% of the total costs for medical care [7]. Pressure-ulcer prevalence registers high values and varies from a country to country as follows: in Jordan,12%, Norway, 54%, Ireland, 16%, Denmark, 15%, Sweden, 25%, Wales 8,9% [4,[8][9][10][11][12].…”

Section: The Importance Of the Topicmentioning

confidence: 99%

The risks in nursing interventions offered by nurses with the purpose of preventing hospital-acquired pressure ulcers

Dobre

Cîrstoiu

Zazu³

et al. 2020

Romanian Journal of Occupational Medicine

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The study was performed in seven medical units in Bucharest with the intention to offer a comprehensive analysis of the nurses’ current prevention practices for hospital-acquired pressure ulcers and also to determine: (1) the main risks that can negatively affect the prevention activities for this type of injury, and (2) if there is a correlation between the nurses’ knowledge and the clinical approach to the current hospital-acquired pressure ulcer prevention practices. The statistical analysis was based on data collected from 713 questionnaires from subjects who met the inclusion criteria of the study. The results showed that nurses considered protocols for hospital-acquired pressure ulcer prevention and its management to be important, but both were not always fully implemented into practice due to the lack of resources, time allocation and staff shortages. The regression analysis method we used was focused to assess the predictive capacity for the combined clinical knowledge and professional approaches to hospital-acquired pressure ulcer prevention and management. The conclusion was that a simultaneous improvement in the clinical approaches and professional knowledge on the topic of pressure-ulcer prevention and management may lead to an improvement of up to 6% of the practices in this field according to the results of the statistical analysis performed.

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“…In the paediatric acute care setting, one study reported a skin tear prevalence of 17% (McLane et al, 2004). A recent audit of in-patients in acute hospitals across Wales identified a prevalence of 2.57% (Clark et al, 2017).…”

Section: Prevalence Of Skin Tearsmentioning

confidence: 99%

Skin tears: Prediction, prevention, assessment and management

Campbell

Baronoski²,

Gloeckner

et al. 2018

Nurse Prescribing

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Skin tears are a significant problem for patients and the nurses who treat them. Estimates of their prevalence differs around the world, but there is strong evidence to suggest that they occur more frequently than pressure ulcers. In the past few years there has been an increased focus and research into skin tears, and the International Skin Tear Advisory Panel has developed internationally recognised best practice recommendations in this important field for the global wound care community. This article will review the most current research and best practice recommendations for the prediction, prevention, assessment and treatment of skin tears.

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National audit of pressure ulcers and incontinence-associated dermatitis in hospitals across Wales: a cross-sectional study

Cited by 43 publications

References 13 publications

Patient education materials on pressure injury prevention in hospitals and health services in Victoria, Australia: Availability and content analysis

Patient education materials on pressure injury prevention in hospitals and health services in Victoria, Australia: Availability and content analysis

The risks in nursing interventions offered by nurses with the purpose of preventing hospital-acquired pressure ulcers

Skin tears: Prediction, prevention, assessment and management

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