Skin tear prevention and management among patients in the acute aged care and rehabilitation units in the Australian Capital Territory: a best practice implementation project
Background A skin tear is a traumatic wound that results from the separation of the skin layers due to shearing forces, friction or blunt trauma that affects all people. Numerous preventative measures aim to reduce the skin tears and minimise conditions that predispose the epidermis to injury. With...
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| Veröffentlicht in: | International journal of evidence-based healthcare 2011-12, Vol.9 (4), p.429-434 |
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| creator | Lopez, Violeta Dunk, Ann Marie Cubit, Katrina Parke, Jill Larkin, David Trudinger, Maria Stuart, Margaret |
| description | Background A skin tear is a traumatic wound that results from the separation of the skin layers due to shearing forces, friction or blunt trauma that affects all people. Numerous preventative measures aim to reduce the skin tears and minimise conditions that predispose the epidermis to injury. With the increasing elderly population in acute aged care, implementation of an evidence‐based guideline is critical as changes to ageing skin integrity make this population more susceptible to skin tear.
Aims/objectives The aim of this project was to ensure the practice of skin tear assessment, prevention and management among acute aged care causes and rehabilitation patients was performed according to best available evidence.
Methods This project utilised a pre‐ and post‐implementation audit design using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice programs. The project was conducted from June to November 2010 with the audits conducted in the acute aged care and rehabilitation units of two public hospitals in the Australian Capital Territory involving a sample size of 96 patients at pre‐audit and 95 patient at post‐audit admitted during the audit period. A convenience sample of 20 nurses also consented to be observed. The audits were conducted after obtaining ethics approval and consent from patients and nurses.
Results The results showed a significant change in compliance to the skin tear guidelines at post‐implementation audit. Staff education in particular had a dramatic increase from 20% to 98% and the point prevalence rate of hospital‐acquired skin tear decreased from 10% to 0.15%.
Discussion/conclusion This project emphasised the importance of education of all personnel involved in patient care and that a simple assessment of skin integrity is critical in preventing and managing skin tear especially among the susceptible elderly population |
| doi_str_mv | 10.1111/j.1744-1609.2011.00234.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_914799170</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>905672264</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4654-bc1fe4531926d198b94bd862df021a8b809dfaf662f562dd2df2c8ce1fc325753</originalsourceid><addsrcrecordid>eNqNUctu1DAUtRCIlsIvIO9YTbAdx4kRmzKCFlQJqZS1dePcTD3khe1A56f6jXVm2rKkXtj3cc65Vz6EUM4yns77bcZLKVdcMZ0JxnnGmMhldvOMHD82nj_EhS6OyKsQtozlFdPqJTkSguk81_yY3P745QYaETydPP7BIbpxoDA0tIcBNtinCoV-HDZ0guhSFuhCuEYKdo7p3mBDLXjckzxeQ-06F2GvMw_uH_50DtFD52Cga5gSpKNX6L2Lo999oEBrDDEtATY6i9T1U7efflCa_LhFG1-TFy10Ad_cvyfk55fPV-vz1cX3s6_r04uVlaqQq9ryFmWRcy1Uw3VVa1k3lRJNywSHqk7f0LTQKiXaIlWb1BC2sshbm4uiLPIT8u6gm-b-ntNipnfBYtfBgOMcjOay1JqX7P9IVqhSCCUTsjogrR9D8Niaybse_M5wZhZbzdYsjpnFPbPYava2mptEfXs_ZK57bB6JDz4mwMcD4K_rcPdkYfPt02UK8jv307SD</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>905672264</pqid></control><display><type>article</type><title>Skin tear prevention and management among patients in the acute aged care and rehabilitation units in the Australian Capital Territory: a best practice implementation project</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Lopez, Violeta ; Dunk, Ann Marie ; Cubit, Katrina ; Parke, Jill ; Larkin, David ; Trudinger, Maria ; Stuart, Margaret</creator><creatorcontrib>Lopez, Violeta ; Dunk, Ann Marie ; Cubit, Katrina ; Parke, Jill ; Larkin, David ; Trudinger, Maria ; Stuart, Margaret ; Joanna Briggs Institute</creatorcontrib><description>Background A skin tear is a traumatic wound that results from the separation of the skin layers due to shearing forces, friction or blunt trauma that affects all people. Numerous preventative measures aim to reduce the skin tears and minimise conditions that predispose the epidermis to injury. With the increasing elderly population in acute aged care, implementation of an evidence‐based guideline is critical as changes to ageing skin integrity make this population more susceptible to skin tear.
Aims/objectives The aim of this project was to ensure the practice of skin tear assessment, prevention and management among acute aged care causes and rehabilitation patients was performed according to best available evidence.
Methods This project utilised a pre‐ and post‐implementation audit design using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice programs. The project was conducted from June to November 2010 with the audits conducted in the acute aged care and rehabilitation units of two public hospitals in the Australian Capital Territory involving a sample size of 96 patients at pre‐audit and 95 patient at post‐audit admitted during the audit period. A convenience sample of 20 nurses also consented to be observed. The audits were conducted after obtaining ethics approval and consent from patients and nurses.
Results The results showed a significant change in compliance to the skin tear guidelines at post‐implementation audit. Staff education in particular had a dramatic increase from 20% to 98% and the point prevalence rate of hospital‐acquired skin tear decreased from 10% to 0.15%.
Discussion/conclusion This project emphasised the importance of education of all personnel involved in patient care and that a simple assessment of skin integrity is critical in preventing and managing skin tear especially among the susceptible elderly population</description><identifier>ISSN: 1744-1595</identifier><identifier>EISSN: 1744-1609</identifier><identifier>DOI: 10.1111/j.1744-1609.2011.00234.x</identifier><identifier>PMID: 22093391</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Acute Disease ; Age Factors ; Aged ; aged care ; Aged, 80 and over ; Australian Capital Territory - epidemiology ; Benchmarking ; evidence‐based practice ; Female ; Health Services for the Aged ; Health Status Indicators ; Humans ; implementation ; Male ; Medical Audit ; Prevalence ; Program Development ; Program Evaluation ; quality indicator ; Quality of Health Care ; Rehabilitation Centers - statistics & numerical data ; Skin - injuries ; Skin Diseases - diagnosis ; Skin Diseases - epidemiology ; Skin Diseases - prevention & control ; Time Factors ; wound care ; Wound Healing</subject><ispartof>International journal of evidence-based healthcare, 2011-12, Vol.9 (4), p.429-434</ispartof><rights>2011 The Authors. International Journal of Evidence‐Based Healthcare © 2011 The Joanna Briggs Institute</rights><rights>2011 The Authors. International Journal of Evidence-Based Healthcare. 2011 The Joanna Briggs Institute.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4654-bc1fe4531926d198b94bd862df021a8b809dfaf662f562dd2df2c8ce1fc325753</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1744-1609.2011.00234.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1744-1609.2011.00234.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22093391$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lopez, Violeta</creatorcontrib><creatorcontrib>Dunk, Ann Marie</creatorcontrib><creatorcontrib>Cubit, Katrina</creatorcontrib><creatorcontrib>Parke, Jill</creatorcontrib><creatorcontrib>Larkin, David</creatorcontrib><creatorcontrib>Trudinger, Maria</creatorcontrib><creatorcontrib>Stuart, Margaret</creatorcontrib><creatorcontrib>Joanna Briggs Institute</creatorcontrib><title>Skin tear prevention and management among patients in the acute aged care and rehabilitation units in the Australian Capital Territory: a best practice implementation project</title><title>International journal of evidence-based healthcare</title><addtitle>Int J Evid Based Healthc</addtitle><description>Background A skin tear is a traumatic wound that results from the separation of the skin layers due to shearing forces, friction or blunt trauma that affects all people. Numerous preventative measures aim to reduce the skin tears and minimise conditions that predispose the epidermis to injury. With the increasing elderly population in acute aged care, implementation of an evidence‐based guideline is critical as changes to ageing skin integrity make this population more susceptible to skin tear.
Aims/objectives The aim of this project was to ensure the practice of skin tear assessment, prevention and management among acute aged care causes and rehabilitation patients was performed according to best available evidence.
Methods This project utilised a pre‐ and post‐implementation audit design using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice programs. The project was conducted from June to November 2010 with the audits conducted in the acute aged care and rehabilitation units of two public hospitals in the Australian Capital Territory involving a sample size of 96 patients at pre‐audit and 95 patient at post‐audit admitted during the audit period. A convenience sample of 20 nurses also consented to be observed. The audits were conducted after obtaining ethics approval and consent from patients and nurses.
Results The results showed a significant change in compliance to the skin tear guidelines at post‐implementation audit. Staff education in particular had a dramatic increase from 20% to 98% and the point prevalence rate of hospital‐acquired skin tear decreased from 10% to 0.15%.
Discussion/conclusion This project emphasised the importance of education of all personnel involved in patient care and that a simple assessment of skin integrity is critical in preventing and managing skin tear especially among the susceptible elderly population</description><subject>Acute Disease</subject><subject>Age Factors</subject><subject>Aged</subject><subject>aged care</subject><subject>Aged, 80 and over</subject><subject>Australian Capital Territory - epidemiology</subject><subject>Benchmarking</subject><subject>evidence‐based practice</subject><subject>Female</subject><subject>Health Services for the Aged</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>implementation</subject><subject>Male</subject><subject>Medical Audit</subject><subject>Prevalence</subject><subject>Program Development</subject><subject>Program Evaluation</subject><subject>quality indicator</subject><subject>Quality of Health Care</subject><subject>Rehabilitation Centers - statistics & numerical data</subject><subject>Skin - injuries</subject><subject>Skin Diseases - diagnosis</subject><subject>Skin Diseases - epidemiology</subject><subject>Skin Diseases - prevention & control</subject><subject>Time Factors</subject><subject>wound care</subject><subject>Wound Healing</subject><issn>1744-1595</issn><issn>1744-1609</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUctu1DAUtRCIlsIvIO9YTbAdx4kRmzKCFlQJqZS1dePcTD3khe1A56f6jXVm2rKkXtj3cc65Vz6EUM4yns77bcZLKVdcMZ0JxnnGmMhldvOMHD82nj_EhS6OyKsQtozlFdPqJTkSguk81_yY3P745QYaETydPP7BIbpxoDA0tIcBNtinCoV-HDZ0guhSFuhCuEYKdo7p3mBDLXjckzxeQ-06F2GvMw_uH_50DtFD52Cga5gSpKNX6L2Lo999oEBrDDEtATY6i9T1U7efflCa_LhFG1-TFy10Ad_cvyfk55fPV-vz1cX3s6_r04uVlaqQq9ryFmWRcy1Uw3VVa1k3lRJNywSHqk7f0LTQKiXaIlWb1BC2sshbm4uiLPIT8u6gm-b-ntNipnfBYtfBgOMcjOay1JqX7P9IVqhSCCUTsjogrR9D8Niaybse_M5wZhZbzdYsjpnFPbPYava2mptEfXs_ZK57bB6JDz4mwMcD4K_rcPdkYfPt02UK8jv307SD</recordid><startdate>201112</startdate><enddate>201112</enddate><creator>Lopez, Violeta</creator><creator>Dunk, Ann Marie</creator><creator>Cubit, Katrina</creator><creator>Parke, Jill</creator><creator>Larkin, David</creator><creator>Trudinger, Maria</creator><creator>Stuart, Margaret</creator><general>Blackwell Publishing Asia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201112</creationdate><title>Skin tear prevention and management among patients in the acute aged care and rehabilitation units in the Australian Capital Territory: a best practice implementation project</title><author>Lopez, Violeta ; Dunk, Ann Marie ; Cubit, Katrina ; Parke, Jill ; Larkin, David ; Trudinger, Maria ; Stuart, Margaret</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4654-bc1fe4531926d198b94bd862df021a8b809dfaf662f562dd2df2c8ce1fc325753</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Acute Disease</topic><topic>Age Factors</topic><topic>Aged</topic><topic>aged care</topic><topic>Aged, 80 and over</topic><topic>Australian Capital Territory - epidemiology</topic><topic>Benchmarking</topic><topic>evidence‐based practice</topic><topic>Female</topic><topic>Health Services for the Aged</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>implementation</topic><topic>Male</topic><topic>Medical Audit</topic><topic>Prevalence</topic><topic>Program Development</topic><topic>Program Evaluation</topic><topic>quality indicator</topic><topic>Quality of Health Care</topic><topic>Rehabilitation Centers - statistics & numerical data</topic><topic>Skin - injuries</topic><topic>Skin Diseases - diagnosis</topic><topic>Skin Diseases - epidemiology</topic><topic>Skin Diseases - prevention & control</topic><topic>Time Factors</topic><topic>wound care</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lopez, Violeta</creatorcontrib><creatorcontrib>Dunk, Ann Marie</creatorcontrib><creatorcontrib>Cubit, Katrina</creatorcontrib><creatorcontrib>Parke, Jill</creatorcontrib><creatorcontrib>Larkin, David</creatorcontrib><creatorcontrib>Trudinger, Maria</creatorcontrib><creatorcontrib>Stuart, Margaret</creatorcontrib><creatorcontrib>Joanna Briggs Institute</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>International journal of evidence-based healthcare</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lopez, Violeta</au><au>Dunk, Ann Marie</au><au>Cubit, Katrina</au><au>Parke, Jill</au><au>Larkin, David</au><au>Trudinger, Maria</au><au>Stuart, Margaret</au><aucorp>Joanna Briggs Institute</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Skin tear prevention and management among patients in the acute aged care and rehabilitation units in the Australian Capital Territory: a best practice implementation project</atitle><jtitle>International journal of evidence-based healthcare</jtitle><addtitle>Int J Evid Based Healthc</addtitle><date>2011-12</date><risdate>2011</risdate><volume>9</volume><issue>4</issue><spage>429</spage><epage>434</epage><pages>429-434</pages><issn>1744-1595</issn><eissn>1744-1609</eissn><abstract>Background A skin tear is a traumatic wound that results from the separation of the skin layers due to shearing forces, friction or blunt trauma that affects all people. Numerous preventative measures aim to reduce the skin tears and minimise conditions that predispose the epidermis to injury. With the increasing elderly population in acute aged care, implementation of an evidence‐based guideline is critical as changes to ageing skin integrity make this population more susceptible to skin tear.
Aims/objectives The aim of this project was to ensure the practice of skin tear assessment, prevention and management among acute aged care causes and rehabilitation patients was performed according to best available evidence.
Methods This project utilised a pre‐ and post‐implementation audit design using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice programs. The project was conducted from June to November 2010 with the audits conducted in the acute aged care and rehabilitation units of two public hospitals in the Australian Capital Territory involving a sample size of 96 patients at pre‐audit and 95 patient at post‐audit admitted during the audit period. A convenience sample of 20 nurses also consented to be observed. The audits were conducted after obtaining ethics approval and consent from patients and nurses.
Results The results showed a significant change in compliance to the skin tear guidelines at post‐implementation audit. Staff education in particular had a dramatic increase from 20% to 98% and the point prevalence rate of hospital‐acquired skin tear decreased from 10% to 0.15%.
Discussion/conclusion This project emphasised the importance of education of all personnel involved in patient care and that a simple assessment of skin integrity is critical in preventing and managing skin tear especially among the susceptible elderly population</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>22093391</pmid><doi>10.1111/j.1744-1609.2011.00234.x</doi><tpages>6</tpages></addata></record> |
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| ispartof | International journal of evidence-based healthcare, 2011-12, Vol.9 (4), p.429-434 |
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| subjects | Acute Disease Age Factors Aged aged care Aged, 80 and over Australian Capital Territory - epidemiology Benchmarking evidence‐based practice Female Health Services for the Aged Health Status Indicators Humans implementation Male Medical Audit Prevalence Program Development Program Evaluation quality indicator Quality of Health Care Rehabilitation Centers - statistics & numerical data Skin - injuries Skin Diseases - diagnosis Skin Diseases - epidemiology Skin Diseases - prevention & control Time Factors wound care Wound Healing |
| title | Skin tear prevention and management among patients in the acute aged care and rehabilitation units in the Australian Capital Territory: a best practice implementation project |
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