Consistent pressure ulcer prevention practice: The effect on PU prevalence and PU stages, and impact on PU prevention—A quasi‐experimental intervention study
This study evaluates the effect of nursing staff's renewed consistent pressure ulcer (PU) prevention practice on PU prevalence and the PU prevention implemented for residents. A quasi‐experimental intervention study was conducted. The data were collected from 232 residents (n = 115 in intervent...
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| Veröffentlicht in: | International wound journal 2023-08, Vol.20 (6), p.2037-2052 |
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| container_title | International wound journal |
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| creator | Mäki‐Turja‐Rostedt, Sirpa Leino‐Kilpi, Helena Koivunen, Marita Vahlberg, Tero Haavisto, Elina |
| description | This study evaluates the effect of nursing staff's renewed consistent pressure ulcer (PU) prevention practice on PU prevalence and the PU prevention implemented for residents. A quasi‐experimental intervention study was conducted. The data were collected from 232 residents (n = 115 in intervention and 117 in comparison group) in two public long‐term older people care (LOPC) facilities in Finland using the Pressure Ulcer Patient instrument (PUP‐Instrument). The facilities were chosen with convenience sampling, after which they were randomly allocated as either intervention or comparison facility. Based on international guidelines for PU prevention, the renewed, consistent PU prevention practice with six areas was developed and implemented using the operational model for evidence‐based practices (OMEBP). After the intervention, a significant difference between the intervention and the comparison facility was seen in the prevalence of PUs and in the residents’ highest stage of PUs in the sacrum, buttock and hip areas, and heels. Between the facilities, a significant difference was seen in the use of PU and nutrition risk assessment instruments and nutritional supplements, time used for repositioning in the daytime and at night‐time, lifting belt use, and avoiding shearing or stretching residents’ skin. The successful intervention improved skin integrity in LOPC facilities. |
| doi_str_mv | 10.1111/iwj.14067 |
| format | Article |
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A quasi‐experimental intervention study was conducted. The data were collected from 232 residents (n = 115 in intervention and 117 in comparison group) in two public long‐term older people care (LOPC) facilities in Finland using the Pressure Ulcer Patient instrument (PUP‐Instrument). The facilities were chosen with convenience sampling, after which they were randomly allocated as either intervention or comparison facility. Based on international guidelines for PU prevention, the renewed, consistent PU prevention practice with six areas was developed and implemented using the operational model for evidence‐based practices (OMEBP). After the intervention, a significant difference between the intervention and the comparison facility was seen in the prevalence of PUs and in the residents’ highest stage of PUs in the sacrum, buttock and hip areas, and heels. Between the facilities, a significant difference was seen in the use of PU and nutrition risk assessment instruments and nutritional supplements, time used for repositioning in the daytime and at night‐time, lifting belt use, and avoiding shearing or stretching residents’ skin. The successful intervention improved skin integrity in LOPC facilities.</description><identifier>ISSN: 1742-4801</identifier><identifier>EISSN: 1742-481X</identifier><identifier>DOI: 10.1111/iwj.14067</identifier><identifier>PMID: 36584884</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Evidence-based practice ; Humans ; Intervention ; Long-Term Care ; Nurses ; Nursing ; Nutrition ; Older people ; Original ; pressure ulcer ; Pressure Ulcer - epidemiology ; Pressure Ulcer - prevention & control ; Pressure ulcers ; Prevalence ; Prevention ; Risk assessment ; Skin Care ; Suppuration</subject><ispartof>International wound journal, 2023-08, Vol.20 (6), p.2037-2052</ispartof><rights>2022 The Authors. published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.</rights><rights>2022 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.</rights><rights>2023. 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Between the facilities, a significant difference was seen in the use of PU and nutrition risk assessment instruments and nutritional supplements, time used for repositioning in the daytime and at night‐time, lifting belt use, and avoiding shearing or stretching residents’ skin. 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| subjects | Aged Evidence-based practice Humans Intervention Long-Term Care Nurses Nursing Nutrition Older people Original pressure ulcer Pressure Ulcer - epidemiology Pressure Ulcer - prevention & control Pressure ulcers Prevalence Prevention Risk assessment Skin Care Suppuration |
| title | Consistent pressure ulcer prevention practice: The effect on PU prevalence and PU stages, and impact on PU prevention—A quasi‐experimental intervention study |
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