A multifaceted intervention for evidence-based pressure ulcer prevention: a 3 year follow-up.

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Sving, Eva,1959-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 (författare)

A multifaceted intervention for evidence-based pressure ulcer prevention : a 3 year follow-up.

Artikel/kapitelEngelska2020

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JBI Evidence Implementation,2020
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LIBRIS-ID:oai:DiVA.org:hig-33327
https://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-33327URI
https://doi.org/10.1097/XEB.0000000000000239DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-430638URI

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Språk:engelska
Sammanfattning på:engelska

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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 och genrebeteckningar

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
implementation
nursing
pressure ulcer
prevention
sustainability

Biuppslag (personer, institutioner, konferenser, titlar ...)

Fredriksson, LennartUppsala universitet,Centrum för klinisk forskning, Gävleborg,Centre for Research and Development, Region Gävleborg/Uppsala University(Swepub:uu)lenfr665 (författare)
Mamhidir, Anna-Greta,1952-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(Swepub:uu)annma422 (författare)
Högman, MarieannUppsala universitet,Lung- allergi- och sömnforskning,Uppsala University(Swepub:uu)marihogm (författare)
Gunningberg, Lena,1954-Uppsala universitet,Vårdvetenskap,Uppsala University(Swepub:uu)legun254 (författare)
Uppsala universitetCentrum för klinisk forskning, Gävleborg (creator_code:org_t)

Sammanhörande titlar

Ingår i:International Journal of Evidence-Based Healthcare: JBI Evidence Implementation18:4, s. 391-4001744-15951744-1609

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Av författaren/redakt...: Sving, Eva, 1959 ...; Fredriksson, Len ...; Mamhidir, Anna-G ...; Högman, Marieann; Gunningberg, Len ...

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