Adherence to evidence-based pressure injury prevention guidelines in routine clinical practice: a longitudinal study

被引:37
作者
Chaboyer, Wendy [1 ]
Bucknall, Tracey [2 ]
Gillespie, Brigid [1 ,3 ,4 ]
Thalib, Lukman [5 ]
McInnes, Elizabeth [6 ,7 ]
Considine, Julie [8 ]
Murray, Edel [9 ]
Duffy, Paula [10 ,11 ,12 ]
Tuck, Michelle [13 ]
Harbeck, Emma [1 ]
机构
[1] Griffith Univ, Menzies Hlth Inst Queensland, Gold Coast Campus, Gold Coast, Qld 4222, Australia
[2] Deakin Univ, Ctr Qual & Patient Safety, Alfred Hlth Partnership, Sch Nursing & Midwifery,Fac Hlth, Geelong, Vic, Australia
[3] Griffith Univ, Sch Nursing & Midwifery, Gold Coast, Qld, Australia
[4] Gold Coast Hlth & Hosp Serv, Gold Coast, Qld, Australia
[5] Qatar Univ, Dept Publ Hlth, Coll Hlth Sci, Doha, Qatar
[6] Australian Catholic Univ, Nursing Res Inst, Darlinghurst, NSW, Australia
[7] St Vincents Hlth Australia, Sydney, NSW, Australia
[8] Deakin Univ, Ctr Qual & Patient Safety, Eastern Hlth Partnership, Sch Nursing & Midwifery,Fac Hlth, Geelong, Vic, Australia
[9] St Vincents Private Hosp, Sydney, NSW, Australia
[10] Gold Coast Hosp & Hlth Serv, Nursing Diagnost Serv, Gold Coast, Qld, Australia
[11] Gold Coast Hosp & Hlth Serv, Emergency Serv, Gold Coast, Qld, Australia
[12] Gold Coast Hosp & Hlth Serv, Med Serv, Gold Coast, Qld, Australia
[13] Alfred Hosp, Wound Management, Melbourne, Vic, Australia
基金
英国医学研究理事会;
关键词
Adverse events; Clinical practice guidelines; Pressure ulcer; Prevention; Processes of care; QUALITY-OF-LIFE; ACUTE-CARE; ULCER PREVENTION; HOSPITALIZED-PATIENTS; NUTRITIONAL-STATUS; RISK-ASSESSMENT; PREVALENCE; KNOWLEDGE; NURSES; PARTICIPATION;
D O I
10.1111/iwj.12798
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
The aim of this longitudinal study was to describe adherence to evidence-based pressure injury (PI) prevention guidelines in routine clinical practice in Australian hospitals. Data were analysed from four control sites of a larger-cluster randomised trial of a PI intervention. The sample of 799 included 220 (275%) Not at risk, 344 (431%) At risk and 110 (138%) At high risk patients. A total of 84 (105%) patients developed a PI during the study: 20 (90% of 220) in the Not at risk group, 45 (131% of 344) in the At risk group, 15 (136% of 110) in the At high risk group and 4 (32% of 125) patients who did not have a risk assessment completed. Of all patients, 165 (207%) received only one PI prevention strategy, and 494 (618%) received 2 strategies at some point during the study period. There was no statistical difference in the proportion of time the three risk groups received 1 and 2 strategies; on average, this was less than half the time they were in the study. Thus, patients were not receiving PI prevention strategies consistently throughout their hospital stay, although it is possible patients' risk changed over the study period.
引用
收藏
页码:1290 / 1298
页数:9
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