Implementation of pressure ulcer prevention best practice recommendations in acute care: an observational study Barker, Anna Lucia, Kamar, Jeannette, Tyndall, Tamara Jane, White, Lyn, Hutchinson, Anastasia, Klopfer, Nicole and Weller, Carolina 2012, Implementation of pressure ulcer prevention best practice recommendations in acute care: an observational study, International wound journal, vol. 10, no. 3, pp. 313-320, doi: 10.1111/j.1742-481X.2012.00979.x. Attached Files Name Description MIMEType Size Downloads Title Implementation of pressure ulcer prevention best practice recommendations in acute care: an observational study Author(s) Barker, Anna Lucia Kamar, Jeannette Tyndall, Tamara Jane White, Lyn Hutchinson, Anastasia orcid.org/0000-0002-0014-689X Klopfer, Nicole Weller, Carolina Journal name International wound journal Volume number 10 Issue number 3 Start page 313 End page 320 Total pages 8 Publisher John Wiley & Sons Place of publication Chichester, England Publication date 2012-04-19 ISSN 1742-4801 Keyword(s) best practice guidelines pressure ulcer prevention strategies risk assessment tool Summary Pressure ulcers are a common but preventable problem in hospitals. Implementation of best practice guideline recommendations can prevent ulcers from occurring. This 9-year cohort study reports prevalence data from point prevalence surveys during the observation period, and three practice metrics to assess implementation of best practice guideline recommendations: (i) nurse compliance with use of a validated pressure ulcer risk assessment and intervention checklist; (ii) accuracy of risk assessment scoring in usual-care nurses and experienced injury prevention nurses; and (iii) use of pressure ulcer prevention strategies. The prevalence of hospital-acquired pressure ulcers decreased following implementation of an evidence-based prevention programme from 12·6% (2 years preprogramme implementation) to 2·6% (6 years postprogramme implementation) (P < 0·001). Audits between 2003 and 2011 of 4368 patient medical records identified compliance with pressure ulcer prevention documentation according to best practice guidelines was high (>84%). A sample of 270 patients formed the sample for the study of risk assessment scoring accuracy and use of prevention strategies. It was found usual-care nurses under-estimated patients' risk of pressure ulcer development and under-utilised prevention strategies compared with experienced injury prevention nurses. Despite a significant reduction in prevalence of hospital-acquired pressure ulcers and high documentation compliance, use of prevention strategies could further be improved to achieve better patient outcomes. Barriers to the use of prevention strategies by nurses in the acute hospital setting require further examination. This study provides important insights into the knowledge translation of pressure ulcer prevention best practice guideline recommendations at The Northern Hospital. Language eng DOI 10.1111/j.1742-481X.2012.00979.x Field of Research 111002 Clinical Nursing: Primary (Preventative) 110304 Dermatology Socio Economic Objective 920210 Nursing HERDC Research category C1.1 Refereed article in a scholarly journal Persistent URL http://hdl.handle.net/10536/DRO/DU:30063439 Document type: Journal Article Collections: Faculty of Health School of Nursing and Midwifery Centre for Quality and Patient Safety Research Related Links Link Description Connect to published version (restricted access) Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Wed, 21 May 2014, 20:01:08 EST Wed, 21 May 2014, 20:04:03 EST Thu, 22 May 2014, 09:56:16 EST Fri, 23 May 2014, 09:47:57 EST Fri, 23 May 2014, 09:54:54 EST Fri, 23 May 2014, 09:58:32 EST Fri, 23 May 2014, 10:00:12 EST Fri, 23 May 2014, 10:39:57 EST Thu, 11 Dec 2014, 20:19:49 EST Wed, 18 Nov 2015, 06:56:05 EST Filtered Full Citation counts:   Cited 23 times in TR Web of Science Cited 23 times in Scopus Search Google Scholar Access Statistics: 545 Abstract Views, 3 File Downloads  -  Detailed Statistics Created: Wed, 21 May 2014, 20:00:55 EST by Ana Hutchinson

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