Implementation of the best practice guideline for pressure ulcer prevention: Development, results and sustainability

Suarez, Marta Díaz; Arias-Arias, Ángel Jesús; Moreno-Casbas, Teresa; González‐María, Esther; Albornos-Muñoz, Laura; Lorente-Granados, María Gloria; Quiñoz-Gallardo, María Dolores; Teixiné-Martín, Anna; Arza-Alonso, Nagore

doi:10.1016/j.enfcle.2020.04.002

Cited by 1 publication

(4 citation statements)

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“…This research analyzed a specific measure, namely the frequency of SPMS application in at-risk patients, with significant improvements obtained during the study period (19.6% -79.7%). These figures are higher than those of other studies that reach maximum figures of 68% (Chaboyer et al, 2017;Latimer et al, 2016;Lorente-Granados et al, 2020;Scovil et al, 2019).…”

Section: Process Of Carecontrasting

confidence: 75%

“…The percentage of patients who met the inclusion criteria and were identified as at risk (44%) was lower than that found by Chaboyer et al (2017) at four acute care hospitals (56.9%), but higher than that described by Lorente‐Granados et al (2020) at another 4 hospitals (33.6%) of patients at risk of a PI. However, Chaboyer et al (2017) used broader criteria (>18 years of age, expected hospital stay >48 h, and presence of reduced mobility) and Lorente‐Granados et al (2020) included the pediatric population in their study sample.…”

Section: Discussioncontrasting

confidence: 61%

“…Regular reassessment of PI risk is an internationally endorsed recommendation, although the optimal frequency of this reassessment has not been established in the literature (NPUAP, EPUAP & PPPIA, 2019). Studies such as that of Lorente‐Granados et al (2020) provided percentages of compliance with risk reassessment, whereas others integrate them into risk assessment (Scovil et al, 2019; Smith et al, 2018), with no possibility to compare them. In this study, we started with very low reassessment percentages, which went from 4.9% to 37.5%, approaching the one reached by Lorente‐Granados et al (2020), 42.1%.…”

Section: Discussionmentioning

confidence: 99%

“…Studies such as that of Lorente‐Granados et al (2020) provided percentages of compliance with risk reassessment, whereas others integrate them into risk assessment (Scovil et al, 2019; Smith et al, 2018), with no possibility to compare them. In this study, we started with very low reassessment percentages, which went from 4.9% to 37.5%, approaching the one reached by Lorente‐Granados et al (2020), 42.1%. Therefore, we agree on the need to perform risk reassessments that guarantee a follow‐up of the vulnerability of these patients and increase the percentages, as pointed out by Scovil et al (2019) and Smith et al (2018), by training professionals in specific aspects of comprehensive risk assessment, and in identifying key factors in changes in patient health status using multimodal intervention strategies (Porter‐Armstrong et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of the best practice spotlight organizations program to reduce the prevalence of pressure injuries in acute care settings for hospitalized patients in Spain: A quasi‐experimental study

Quiñoz Gallardo

Barrientos‐Trigo

Pórcel‐Gálvez

2023

Worldviews Ev Based Nurs

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BackgroundPressure injuries are a major public health problem because of their impact on morbidity and mortality, quality of life, and increased healthcare costs. The Centros Comprometidos con la Excelencia en Cuidados/Best Practice Spotlight Organization (CCEC/BPSO®) program provides guidelines that can improve these outcomes.AimsThis study aimed to assess the effectiveness of the CCEC/BPSO® program in improving the care of patients at risk of pressure injury (PI) at an acute care hospital in Spain.MethodsA quasi‐experimental regression discontinuity design in three periods was used: (1) baseline (2014), (2) implementation (2015–2017), and (3) sustainability (2018–2019). The study population was comprised of 6377 patients discharged from 22 units of an acute care hospital. The performance of the PI risk assessment and reassessment, the application of special pressure management surfaces, and the presence of PIs were all monitored.ResultsForty‐four percent of patients (n = 2086) met the inclusion criteria. After implementing the program, the number of patients assessed (53.9%–79.5%), reassessed (4.9%–37.5%), the application of preventive measures (19.6%–79.7%), and the number of people identified with a PI in implementation (1.47%–8.44%) and sustainability (1.47%–8.8%) all increased.Linking Evidence to ActionThe implementation of the CCEC/BPSO® program achieved improved patient safety. Risk assessment monitoring, risk reassessment, and special pressure management surfaces were practices that increased during the study period and were incorporated by professionals to prevent PIs. The training of professionals was instrumental to this process. Incorporating these programs is a strategic line to improve clinical safety and the quality of care. The implementation of the program has been effective in terms of improving the identification of patients at risk and the application of surfaces.

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Section: Process Of Carecontrasting

confidence: 75%