Translating Pressure Ulcer Guidelines into Practice: It's Harder than It Sounds

Xakellis, George C.; Frantz, Rita A.; Lewis, Anne; Harvey, P.

doi:10.1097/00129334-200109000-00012

Cited by 44 publications

(28 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The implementation of guidelines and their translation into practice remains difficult [36]. Grol and Wensing [37] stated that the process of implementing guidelines is influenced by several factors, including interest and commitment to guideline development.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of pressure ulcer prevention: a cross-sectional and comparative study among nurses

2007

View full text Add to dashboard Cite

Background: Pressure ulcers are a common, painful and costly condition. Results of a 1991 study into the knowledge among Dutch hospital nurses on the usefulness of measures to prevent pressure ulcers showed moderate knowledge. Results were confirmed by subsequent studies. In recent years, Dutch guidelines have been updated and the attention given to pressure ulcer care has been increased. This was expected to improve pressure ulcer care and to increase nurses' knowledge. The aims of the current study were to investigate (1) how much nurses employed in Dutch hospitals know about the usefulness of 28 preventive measures considered in the most recent national pressure ulcer guideline; (2) whether differences in knowledge exist between nurses working in hospitals that audit pressure ulcers and those employed in hospitals that do not; and (3) to study whether knowledge among Dutch hospital nurses regarding the usefulness of preventive measures had changed between 1991 and 2003.

show abstract

Section: Discussionmentioning

confidence: 99%

Knowledge of pressure ulcer prevention: a cross-sectional and comparative study among nurses

2007

View full text Add to dashboard Cite

show abstract

“…The costs of pressure ulcer prevention and treatment are driven by labour, prolonged hospitalisation, complications due to pressure ulcers, and material cost. The cost of nursing labour was found high compared to the cost of materials (Dealey et al, 2012;Frantz et al, 2001;Xakellis et al, 2001). Nursing time related to activities for treatment of prevention of pressure ulcers varies as a result of the methodology used to measure these times.…”

Section: Introductionmentioning

confidence: 99%

The cost of pressure ulcer prevention and treatment in hospitals and nursing homes in Flanders: A cost-of-illness study

Demarré

Verhaeghe

Annemans

et al. 2015

International Journal of Nursing Studies

View full text Add to dashboard Cite

“…In SCI research, Xakellis and colleagues (12) found that implementation of a CPG-based pressure ulcer prevention protocol, without addressing the barriers to clinical integration, resulted in less-than-optimal longterm clinical outcomes. Recent research conducted among veterans with SCI in the Department of Veterans Affairs addressed lessons learned about the importance of eliminating barriers to integrate CPGs into SCI care (13,14).…”

Section: Introduction Background and Review Of Literaturementioning

confidence: 99%

Providers' Perceptions of Spinal Cord Injury Pressure Ulcer Guidelines

Thomason

Evitt

Harrow

et al. 2007

The Journal of Spinal Cord Medicine

View full text Add to dashboard Cite

Background/Objective: Pressure ulcers are a serious complication for people with spinal cord injury (SCI). The Consortium for Spinal Cord Medicine (CSCM) published clinical practice guidelines (CPGs) that provided guidance for pressure ulcer prevention and treatment after SCI. The aim of this study was to assess providers' perceptions for each of the 32 CPG recommendations regarding their agreement with CPGs, degree of CPG implementation, and CPG implementation barriers and facilitators.Methods: This descriptive mixed-methods study included both qualitative (focus groups) and quantitative (survey) data collection approaches. The sample (n ¼ 60) included 24 physicians and 36 nurses who attended the 2004 annual national conferences of the American Paraplegia Society or American Association of Spinal Cord Injury Nurses. This sample drew from two sources: a purposive sample from a list of preregistered participants and a convenience sample of conference attendee volunteers. We analyzed quantitative data using descriptive statistics and qualitative data using a coding scheme to capture barriers and facilitators.Results: The focus groups agreed unanimously on the substance of 6 of the 32 recommendations. Nurse and physician focus groups disagreed on the degree of CGP implementation at their sites, with nurses as a group perceiving less progress in implementation of the guideline recommendations. The focus groups identified only one recommendation, complications of surgery, as being fully implemented at their sites. Categories of barriers and facilitators for implementation of CPGs that emerged from the qualitative analysis included (a) characteristics of CPGs: need for research/evidence, (b) characteristics of CPGs: complexity of design and wording, (c) organizational factors, (d) lack of knowledge, and (e) lack of resources.Conclusions: Although generally SCI physicians and nurses agreed with the CPG recommendations as written, they did not feel these recommendations were fully implemented in their respective clinical settings. The focus groups identified multiple barriers to the implementation of the CPGs and suggested several facilitators/solutions to improve implementation of these guidelines in SCI. Participants identified organizational factors and the lack of knowledge as the most substantial systems/issues that created barriers to CPG implementation.

show abstract

Translating Pressure Ulcer Guidelines into Practice: It's Harder than It Sounds

Cited by 44 publications

References 8 publications

Knowledge of pressure ulcer prevention: a cross-sectional and comparative study among nurses

Knowledge of pressure ulcer prevention: a cross-sectional and comparative study among nurses

The cost of pressure ulcer prevention and treatment in hospitals and nursing homes in Flanders: A cost-of-illness study

Providers' Perceptions of Spinal Cord Injury Pressure Ulcer Guidelines

Contact Info

Product

Resources

About