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program prevention of pressure ulcers

Cathy L Wogamon
The certified nursing assistant (CNA) is the caregiver who frequently identifies the first signs and symptoms of pressure ulcers (PUs) in the long-term care setting. A quality improvement effort was implemented to explore the effect of a 1-hour CNA education program about early identification, treatment, and prevention of PUs on PU knowledge, PU incidence, and PU prevention interventions, including skin checks. All 33 CNAs employed in a care facility for residents 55+ years old were invited to participate. CNA demographic and PU education variables were obtained...
September 2016: Ostomy/wound Management
Sook Ja Lee, Ok Kyoung Park, Mi Yeon Park
PURPOSE: The purpose of this study was to construct and test a structural equation model for pressure ulcer prevention action by clinical nurses. The Health Belief Model and the Theory of Planned Behavior were used as the basis for the study. METHODS: A structured questionnaire was completed by 251 clinical nurses to analyze the relationships between concepts of perceived benefits, perceived barriers, attitude, subjective norm, perceived control, intention to perform action and behavior...
August 2016: Journal of Korean Academy of Nursing
Lynn M Soban, Linda Kim, Anita H Yuan, Rebecca S Miltner
AIM: To describe the presence and operationalisation of organisational strategies to support implementation of pressure ulcer prevention programmes across acute care hospitals in a large, integrated health-care system. BACKGROUND: Comprehensive pressure ulcer programmes include nursing interventions such as use of a risk assessment tool and organisational strategies such as policies and performance monitoring to embed these interventions into routine care. The current literature provides little detail about strategies used to implement pressure ulcer prevention programmes...
August 4, 2016: Journal of Nursing Management
Cássia Teixeira Dos Santos, Miriam de Abreu Almeida, Amália de Fátima Lucena
OBJECTIVE: to validate the content of the new nursing diagnosis, termed risk for pressure ulcer. METHOD: the content validation with a sample made up of 24 nurses who were specialists in skin care from six different hospitals in the South and Southeast of Brazil. Data collection took place electronically, through an instrument constructed using the SurveyMonkey program, containing a title, definition, and 19 risk factors for the nursing diagnosis. The data were analyzed using Fehring's method and descriptive statistics...
June 14, 2016: Revista Latino-americana de Enfermagem
Lynn M Soban, Erin P Finley, Rebecca S Miltner
PURPOSE: To describe the presence or absence of key components of hospital pressure ulcer (PU) prevention programs in 6 acute care hospitals. DESIGN: Multisite comparative case study. SUBJECTS AND SETTING: Using purposeful selection based on PU rates (high vs low) and hospital size, 6 hospitals within the Veterans Health Administration health care system were invited to participate. Key informant interviews (n = 48) were conducted in each of the 6 participating hospitals among individuals playing key roles in PU prevention: senior nursing leadership (n = 9), nurse manager (n = 7), wound care specialist (n = 6), frontline RNs (n = 26)...
May 2016: Journal of Wound, Ostomy, and Continence Nursing
Ida Marie Bredesen, Karen Bjøro, Lena Gunningberg, Dag Hofoss
BACKGROUND: Pressure ulcers (PUs) are a problem in health care. Staff competency is paramount to PU prevention. Education is essential to increase skills in pressure ulcer classification and risk assessment. Currently, no pressure ulcer learning programs are available in Norwegian. OBJECTIVES: Develop and test an e-learning program for assessment of pressure ulcer risk and pressure ulcer classification. METHODS: HASH(0x4343ea0) DESIGN, PARTICIPANTS AND SETTING: Forty-four nurses working in acute care hospital wards or nursing homes participated and were assigned randomly into two groups: an e-learning program group (intervention) and a traditional classroom lecture group (control)...
May 2016: Nurse Education Today
Ogochukwu Azuh, Harriet Gammon, Charlotte Burmeister, Donald Frega, David Nerenz, Bruno DiGiovine, Aamir Siddiqui
BACKGROUND: Pressure ulcer formation continues to be problematic in acute care settings, especially intensive care units (ICUs). Our institution developed a program for early mobility in the ICU using specially trained nursing aides. The goal was to impact hospital-acquired pressure ulcers incidence as well as factors associated with ICU deconditioning by using specially trained personnel to perform the acute early mobility interventions. METHODS: A 5-point mobility scale was developed and used to establish a patients' highest level of activity achievable during evaluation...
August 2016: American Journal of Medicine
Rose Ekama Ilesanmi, Odunayo Morohunfoluwa Oluwatosin
Educational intervention programs are an important element to improve nurses' knowledge of pressure ulcer (PU) prevention. Various teaching methods have been used with diverse results but none have been analyzed in Nigeria. A quasi- experimental study using a pretest/post test design was conducted among 193 registered nurses with >6 months experience who worked in purposefully selected wards (neuroscience, orthopedics, renal, and cardiac) in 3 teaching hospitals to examine the level of knowledge retention after interactive instruction...
April 2016: Ostomy/wound Management
Kumal Rajpaul, Claire Acton
Pressure ulcers are a frequent, but often preventable, occurrence among patients in acute care facilities, and the heel is one of the anatomical locations most commonly affected. Multiple clinical guidelines recommend the use of robust assessments to identify at-risk patients and the application of heel protection devices to reduce the likelihood of developing heel pressure ulcers. A quality improvement initiative involving robust skin-assessment practices, staff education, and the use of heel protection devices was analysed retrospectively to evaluate the efficacy of current practice interventions...
March 2016: British Journal of Nursing: BJN
Brenda S Bos, Tina M Wangen, Carl E Elbing, Debra J Rowekamp, Heather A Kruggel, Patricia M Conlon, Leann M Scroggins, Shauna P Schad, Julie A Neumann, Melissa M Barth, Pamela L Grubbs, Beth A Sievers
This article describes the processes used to implement a pressure ulcer management program in a Midwest academic medical center, which led to a decrease in reportable pressure ulcers. A learning needs assessment was completed, and a workgroup was formed to address the learning needs. Methods, materials, and processes included lectures, technology-enhanced learning, and interactive stations with mannequins and pressure ulcer moulages. The processes and outcome measures used to measure effectiveness of the program are discussed...
March 2016: Journal for Nurses in Professional Development
Katie Swafford, Rachel Culpepper, Christina Dunn
BACKGROUND: Hospital-acquired pressure ulcers (HAPUs) are a costly and largely preventable complication occurring in a variety of acute care settings. Because they are considered preventable, stage III and IV HAPUs are not reimbursed by Medicare. OBJECTIVES: To assess the effectiveness of a formal, year-long HAPU prevention program in an adult intensive care unit, with a goal of achieving at least a 50% reduction in 2013, compared with 2011. METHODS: Planning for the prevention program began in 2012, and the program was rolled out in the first quarter of 2013...
March 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
Tohid Jafari-Koshki, Sayed Mohsen Hosseini, Shahram Arsang-Jang, Masoud Amini, Elham Faghihimani
BACKGROUND: Diabetes mellitus is a metabolic disorder and its subsequent complications such as retinopathy, nephropathy, ulcers, disability, and amputation increase the burden of the disease. Patient knowledge-improving programs are employed to prevent disease progression and to improve the quality of life of the patients. In this way, we need to characterize the groups of patients in urgent need for more and rich-in-content programs. In the present study, we used piecewise regression to evaluate the trends of diabetic nephropathy prevalence in patients registered in the Sedigheh-Tahereh Research Center and to identify patients who were in need of more attention...
October 2015: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
(no author information available yet)
In the October In Our Unit article by Cooper et al, “Against All Odds: Preventing Pressure Ulcers in High-Risk Cardiac Surgery Patients” (Crit Care Nurse. 2015;35[5]:76–82), there was an error in the reference citation on page 82. At the top of that page, reference 18 cited on the second line should be reference 23, which also should be added to the References list: 23. AHRQ website. Prevention and treatment program integrates actionable reports into practice, significantly reducing pressure ulcers in nursing home residents...
February 2016: Critical Care Nurse
Sue Creehan, Janet Cuddigan, Dana Gonzales, Denise Nix, William Padula, Joyce Pittman, Vicky Pontieri-Lewis, Christine Walden, Belinda Wells, Robinetta Wheeler
Hospital-acquired pressure ulcer occurrences have declined over the past decade as reimbursement policies have changed, evidence-based practice guidelines have been implemented, and quality improvement initiatives have been launched. However, the 2006-2008 Institute for Healthcare Improvement goal of zero pressure ulcers remains difficult to achieve and even more challenging to sustain. Magnet hospitals tend to have lower hospital-acquired pressure ulcer rates than non-Magnet hospitals, yet many non-Magnet hospitals also have robust pressure ulcer prevention programs...
March 2016: Journal of Wound, Ostomy, and Continence Nursing
Susan R Kahn, Jean-Philippe Galanaud, Suresh Vedantham, Jeffrey S Ginsberg
The post-thrombotic syndrome (PTS) is a frequent, potentially disabling complication of deep vein thrombosis (DVT) that reduces quality of life and is costly. Clinical manifestations include symptoms and signs such as leg pain and heaviness, edema, redness, telangiectasia, new varicose veins, hyperpigmentation, skin thickening and in severe cases, leg ulcers. The best way to prevent PTS is to prevent DVT with pharmacologic or mechanical thromboprophylaxis used in high risk patients and settings. In patients whose DVT is treated with a vitamin K antagonist, subtherapeutic INRs should be avoided...
January 2016: Journal of Thrombosis and Thrombolysis
Arzu Aslan, Meryem Yavuz van Giersbergen
BACKGROUND: Pressure ulcers remain a major problem in healthcare system. Pressure ulcer incidence is widely accepted as an indicator for the quality of care. Positive attitudes towards pressure ulcer prevention have positive impacts on preventive care. AIMS AND OBJECTIVES: The aim of this study was to identify nurses' attitude towards pressure ulcer prevention. DESIGN: The study design was descriptive. SETTING AND SAMPLE: The study was carried out in a university hospital in Izmir, Turkey...
February 2016: Journal of Tissue Viability
Annu Babu, Kumar Madhavan, Maneesh Singhal, Sushma Sagar, Piyush Ranjan
OBJECTIVES: Pressure ulcers are a multifactorial, prevalent, and preventable morbidity. They cause a burden both financially and emotionally, to the individual, their family and doctor, and to society as a whole. Pressure ulcers are extremely difficult to treat; therefore, prevention is key. METHODS: We started a Wound Care Surveillance Program in 2012 involving nurses, physiotherapists, and doctors. We intended to prevent the occurrence of pressure ulcers, ensure early detection, and facilitate the healing process...
November 2015: Oman Medical Journal
Elizabeth A Donovan, Christine J Manta, Jennifer C Goldsack, Michelle L Collins
BACKGROUND: Under value-based purchasing, Medicare withholds reimbursements for hospital-acquired pressure ulcer occurrence and rewards hospitals that meet performance standards. With little evidence of a validated prevention process, nurse managers are challenged to find evidence-based interventions. OBJECTIVE: The aim of this study was to reduce the unit-acquired pressure ulcer (UAPU) rate on targeted intensive care and step-down units by 15% using Lean Six Sigma (LSS) methodology...
January 2016: Journal of Nursing Administration
Andrea R Fleiszer, Sonia E Semenic, Judith A Ritchie, Marie-Claire Richer, Jean-Louis Denis
BACKGROUND: Many healthcare innovations are not sustained over the long term, wasting costly implementation efforts and often desperately-needed initial improvements. Although there have been advances in knowledge about innovation implementation, there has been considerably less attention focused on understanding what happens following the early stages of change. Research is needed to determine how to improve the 'staying power' of healthcare innovations. As almost no empirical knowledge exists about innovation sustainability in nursing, the purpose of our study was to understand how a nursing best practice guidelines (BPG) program was sustained over a long-term period in an acute healthcare centre...
2015: BMC Health Services Research
Teena Chopra, Dror Marchaim, Reda A Awali, Miriam Levine, Smitha Sathyaprakash, Indu K Chalana, Farah Ahmed, Emily T Martin, Mary Sieggreen, Jack D Sobel, Keith S Kaye
BACKGROUND: Management of pressure ulcers (PrUs) in patients with gunshot-spinal cord injuries (SCIs) presents unique medical and economic challenges for practitioners. METHODS: A retrospective chart review was conducted at 3 acute care hospitals in metropolitan Detroit for patients admitted with PrUs due to gunshot-SCIs between January 2004 and December 2008. Multivariate analysis using logistic regression was conducted to choose for the independent predictors of infected PrUs...
March 1, 2016: American Journal of Infection Control
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