Pressure ulcers: The challenge of monitoring in hospital context

Gaspar, Susana; Collier, Mark; Marques, Adilson; Ferreira, Carlos Cardoso; Matos, Margarida Gaspar de

doi:10.1016/j.apnr.2020.151266

Cited by 7 publications

(6 citation statements)

References 18 publications

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“…The FG interview guide (Table 1) was developed, based on the result of previous studies and data regarding the Portuguese reality [12], by the research team and reviewed by senior researchers within the team. Four themes based on results from previous studies and data [12] were approached by four different questions in the FG interview (Table 1). One FG interview was performed with all the 11 participants in an independent meeting room after work schedule.…”

Section: Methodsmentioning

confidence: 99%

“…Although the international and national health authorities’ efforts and recommendations, PUs development in the hospital setting is still a cause of concern [7]. For instance, a recent study conducted in Portugal revealed that nearly a quarter of hospitalised patients in surgical, medical and orthopaedics wards were at high risk of developing PUs at the beginning of the stay and, worryingly, at discharge a fifth were still at high risk of developing PUs [12]. Furthermore, more than 20% of the hospitalised patients had no evidence that they were screened for PU risk at all and the great majority had no records of skin inspection [12].…”

Section: Introductionmentioning

confidence: 99%

“…For instance, a recent study conducted in Portugal revealed that nearly a quarter of hospitalised patients in surgical, medical and orthopaedics wards were at high risk of developing PUs at the beginning of the stay and, worryingly, at discharge a fifth were still at high risk of developing PUs [12]. Furthermore, more than 20% of the hospitalised patients had no evidence that they were screened for PU risk at all and the great majority had no records of skin inspection [12]. This evidence suggests that despite the focus on standardised recommendations to prevent PUs, large variations remain in how the recommendations are understood and implemented.…”

Section: Introductionmentioning

confidence: 99%

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Hospital‐acquired pressure ulcers prevention: What is needed for patient safety? The perceptions of nurse stakeholders

Gaspar

Guedes

Budri

et al. 2021

Scandinavian Caring Sciences

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Aim The aim of this study was to understand the perceptions of 11 Portuguese nurses’ stakeholders regarding pressure ulcers prevention practice and reality in the hospital setting. Methods Convenience sampling was used to recruit nursing stakeholders for a heterogeneous focus group. A semi‐structured interview was conducted with 11 nursing stakeholders involved in pressure ulcers prevention and/or patient safety. MaxQda 2020 qualitative analysis software was used in the content analysis and data processing. Informed consent was obtained, and anonymity was guaranteed. Results Four themes were approached in the interview: (1) Pressure ulcer risk assessment; (2) Nurses and doctors pressure ulcers monitoring; (3) Pressure ulcer risk profiles; and (4) Effective interventions to improve patient safety. The categorisation of the four themes was created aposteriori based on the ‘Awareness/Knowledge/Competence, Opportunity, and Motivation – Behaviour Change Wheel’ (adapted COM‐B system). Interest, responsibility, autonomy, leadership and prioritisation for decision‐making were some categories linked to motivation. Braden scale operationalisation, education given during undergraduate degree continued professional health education, missing care, reliability of the records and patients’ clinical characteristics emerged as categories associated with awareness/knowledge/competence. Understaffing/nursing hours, health policies, electronic health records systems and clinical language used, access to appropriate equipment and resources, teamwork and clinical support specialist on tissue viability/wound care were some categories related to opportunity. Conclusions Pressure ulcer prevention is complex and requires a focussed attitude, robust evidenced‐based knowledge and enhanced skills in risk assessment, communication and team collaboration. The highlighted categories could be further analysed at an organisational level to develop tailored strategies that could contribute to successful evidence‐based practice implementation. Relevance to clinical practice The findings provide directions for behavioural change in the hospital context related to pressure ulcers prevention through awareness/knowledge/competence, motivation and opportunity to improve care delivered.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Hospital‐acquired pressure ulcers prevention: What is needed for patient safety? The perceptions of nurse stakeholders

Gaspar

Guedes

Budri

et al. 2021

Scandinavian Caring Sciences

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“…Saat ini investor semakin banyak mengembangkan bisnis rumah sakit. [48] Sedangkan rumah sakit milik pemerintah dengan pengelolaan Badan Layanan Umum (BLU) berbasis kewirausahaan juga bergerak di dalam persaingan pasar. [49] Hal ini juga ditambah dengan rumah sakit asing sudah diperbolehkan beroperasi di Indonesia.…”

Section: Metode Penelitianunclassified

Isu Persaingan Industri Pelayanan Kesehatan Indonesia: Tantangan dan “Perisai” Pengawasan KPPU

Alfarizi,

Zalika

2023

KPPU

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Pandemi COVID-19 dan Transisi Epidemiologi menjadi pendorong laju perkembangan sistem kesehatan yang semakin maju. Revolusi industri pelayanan kesehatan membuat seluruh penyelenggara industri pelayanan kesehatan saling bersaing untuk memperebutkan keunggulan kompetitif ditengah pasar potensial kesehatan Indonesia. Desakan pengawasan persaingan industri kesehatan yang bebas dari unsur kejahatan sangat penting untuk memastikan didalam lingkungan industri pelayanan kesehatan tidak terdapat satu pihakpun dirugikan. Studi ini bertujuan untuk untuk menganalisis fenomena persaingan industri pelayanan kesehatan industri klinik, rumah sakit, asuransi kesehatan, farmasi klinis, alat kesehatan dan pengobatan tradisional di Indonesia dalam perspektif hukum persaingan usaha dan mengulas peran Komisi Pengawas Persaingan Usaha (KPPU) didalam mencegah terjadinya praktik monopoli dan persaingan usaha tidak sehat subsektor pelayanan kesehatan. Studi ini menggunakan kajian literatur sistematik berbasis PRISMA dengan jumlah 38 artikel siap analisis. Hasil penelitian menunjukkan persaingan industri pelayanan kesehatan terselubung namun berbahaya yakni kecurangan sembunyi tangan dengan pasien, mafia bisnis kesehatan dan monopoli perusahaan yang menduduki rating bisnis kesehatan tertinggi. Selain itu ditemukan fakta peran KPPU yang sangat krusial didalam fungsi perisai pengawasan persaingan industri pelayanan kesehatan yang sangat intrik dan penuh liku celah pelanggaran hukum.

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“…En un estudio descriptivo realizado con registros electrónicos de 3 904 pacientes hospitalizados (66% adultos mayores de 65 años), 962 (24,6%) presentaron un alto riesgo de UPP al momento de la admisión hospitalaria. De manera interesante, 3458 (88,6%) no tuvieron una inspección visual de la piel en busca de lesiones, evidenciándose inconsistencias entre los reportes de médicos y enfermeros (6) .…”

Section: úLceras Por Presión En El Paciente Hospitalizadounclassified