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A multifaceted inte...
A multifaceted intervention for evidence-based pressure ulcer prevention : a 3 year follow-up.
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- Sving, Eva, 1959- (författare)
- Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Vårdvetenskap,Department of Patient Safety, Region Gävleborg, Gävle, Sweden,Region Gävleborg; Uppsala University; Centre for Research and Development, Region Gävleborg/Uppsala University
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- Fredriksson, Lennart (författare)
- Uppsala universitet,Centrum för klinisk forskning, Gävleborg,Centre for Research and Development, Region Gävleborg/Uppsala University
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- Mamhidir, Anna-Greta, 1952- (författare)
- Uppsala universitet,Högskolan i Gävle,Med-Vårdvetenskap,Uppsala University,Vårdvetenskap,Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, University of Gävle, Gävle
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- Högman, Marieann (författare)
- Uppsala universitet,Lung- allergi- och sömnforskning,Uppsala University
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- Gunningberg, Lena, 1954- (författare)
- Uppsala universitet,Vårdvetenskap,Uppsala University
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(creator_code:org_t)
- JBI Evidence Implementation, 2020
- 2020
- Engelska.
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Ingår i: International Journal of Evidence-Based Healthcare. - : JBI Evidence Implementation. - 1744-1595 .- 1744-1609. ; 18:4, s. 391-400
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- AIM: To assess sustainability of an intervention used to implement pressure ulcer prevention.BACKGROUND: The Promoting Action on Research Implementation in Health Service, framework was used to develop an intervention aimed to implement evidence-based pressure ulcer prevention in a hospital setting. A short-term follow-up showed that significantly more patients received pressure ulcer prevention. A qualitative process evaluation gave support that the intervention and the implementation process changed the understanding and approach to working with pressure ulcer prevention from treating to preventing.METHOD: The study had a sequential mixed method approach, combining quantitative and qualitative data. For the quantitative data, baseline and short-term follow-up (6-8 months) data reported in an initial study were compared with long-term follow-up (36-42 months) data (n = 259 patients). For the qualitative data, interviews with registered nurses (n = 20), assistant nurses (n = 7) and first-line managers (n = 5) were performed.RESULTS: The performance of pressure ulcer prevention was sustained 3 years from its conception. The number of patients with pressure ulcers was reduced (P = 0.021). Systematic work with quality measurements, support from first-line managers, internal facilitation, collaboration and pressure ulcer prevention skills could explained the sustainability. Obstacles to achieve high-quality pressure ulcer prevention were inadequate communication, high workloads and high rates of new and substitute nurses.CONCLUSION: Three different components for sustainability on the micro-level are described; benefits for the patients, the need for routinization and development over time. Threats to sustainability are described as factors on the macro-level. There needs to be collaboration in the healthcare organization from the micro-to-macro levels, and committed experienced nurses are needed to obtain high-quality sustainable pressure ulcer prevention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- implementation
- nursing
- pressure ulcer
- prevention
- sustainability
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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