The effect of the SAFE or SORRY? programme on patient safety knowledge of nurses in hospitals and nursing homes: A cluster randomised trial

Gaal, Betsie van; Schoonhoven, Lisette; Vloet, Lilian; Mintjes, Joke; Borm, George F.; Koopmans, Raymond T.C.M.; Achterberg, Theo van

doi:10.1016/j.ijnurstu.2010.02.001

Cited by 34 publications

(35 citation statements)

References 21 publications

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“…The second reflects the dominant assumption in the patient safety literature, and is supported by some evidence about pressure ulcer development 12 13. The third is a version of Reason's ‘Swiss Cheese’ model, and again has some support in the pressure ulcer literature 14–17.…”

Section: Methodsmentioning

confidence: 83%

Why do patients develop severe pressure ulcers? A retrospective case study

et al. 2014

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ObjectivesThis study focuses on the ways in which the organisational context can influence the development of severe pressure ulcers. Severe pressure ulcers are important indicators of failures in the organisation and delivery of treatment and care. We have a good understanding of patients’ risk factors, but a poor understanding of the role played by the organisational context in their development.SettingThe study was undertaken in six sites in Yorkshire, England. The settings were sampled in order to maximise diversity, and included patients’ own homes, acute hospital medical and surgical wards, a community hospital and a nursing home during a period of respite care.ParticipantsData were collected about eight individuals who developed severe pressure ulcers, using a retrospective case study design. The data sources included interviews with individuals with severe pressure ulcers, and with staff who had treated and cared for them, and clinical notes.Results4 accounts indicated that specific actions by clinicians contributed to the development of severe pressure ulcers. Seven of the 8 accounts indicated that they developed in organisational contexts where (1) clinicians failed to listen and respond to the patients’ or carers’ observations about their risks or the quality of their treatment and care, (2) clinicians failed to recognise and respond to clear signs that a patient had a pressure ulcer or was at risk of developing one and (3) services were not effectively coordinated.ConclusionsPatient accounts could only be partially explained in terms of specific events or sequences of events. The findings support the conclusion that there was general acceptance of suboptimal clinical practices in 7 of the 8 contexts where patients developed severe pressure ulcers.

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Section: Methodsmentioning

confidence: 83%

Why do patients develop severe pressure ulcers? A retrospective case study

et al. 2014

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“…However, nurses still comply poorly with clinical rules in regards with pressure ulcer prevention. Nurse compliance to guidelines was found to be influenced by several barriers [34], [32]. Lack of knowledge and skills, and negative attitudes in pressure ulcer prevention contributes significantly to the occurrence or worsening of pressure ulcer [23].…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Nurses’ Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital

Alghamdi¹

2017

AJNS

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Prevention of pressure ulcers is an indicator of quality of care. Nursing care has a major effect on pressure ulcer development and prevention. Hence, many people believe that most pressure ulcers are preventable if the appropriate interventions are implemented. The study aimed to assess factors affecting nursing compliance in preventing pressure ulcer. Descriptive correlation design was used which is a type of non-experimental design to collect data from medical, surgical units and the critical cardiac unit at King Abdulaziz University Hospital in Jeddah city. Purposive sampling technique was carried out to select 113 nurses and 113 patients. Data were collected by three tools, tool 1 is a structured questionnaire divided into 2 parts, included demographic data and list of barriers facing nurses in preventing pressure ulcer, tool 2 is an observational checklist and tool 3 is the Waterlow pressure ulcer risk assessment tool. The study concluded that there is significant correlation between barriers and nursing compliance in prevention pressure ulcer. Heavy workload/staff shortage is considered as the most barriers facing nurses' compliance regarding prevention pressure ulcer. The study recommended that the managers should review nurses' workload which the findings of this study have shown to be a major barrier in the priority given to the prevention of pressure ulcers.

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“…The compliance of nurses to the guidelines was found to be influenced by several barriers [11,12]. A lack of knowledge is an apparent barrier for using the guidelines in clinical practice [7,8].…”

Section: Introductionmentioning

confidence: 99%

Pressure ulcer prevention knowledge among Jordanian nurses: a cross- sectional study

Qaddumi

khawaldeh

2014

BMC Nurs

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BackgroundPressure ulcer remains a significant problem in the healthcare system. In addition to the suffering it causes patients, it bears a growing financial burden. Although pressure ulcer prevention and care have improved in recent years, pressure ulcer still exists and occurs in both hospital and community settings. In Jordan, there are a handful of studies on pressure ulcer. This study aims to explore levels of knowledge and knowledge sources about pressure ulcer prevention, as well as barriers to implementing pressure ulcer prevention guidelines among Jordanian nurses.MethodsUsing a cross-sectional study design and a self-administered questionnaire, data was collected from 194 baccalaureate and master’s level staff nurses working in eight Jordanian hospitals. From September to October of 2011, their knowledge levels about pressure ulcer prevention and the sources of this knowledge were assessed, along with the barriers which reduce successful pressure ulcer care and prevention.ANOVA and t-test analysis were used to test the differences in nurses’ knowledge according to participants’ characteristics. Means, standard deviation, and frequencies were used to describe nurses’ knowledge levels, knowledge sources, and barriers to pressure ulcer prevention.ResultsThe majority (73%, n = 141) of nurses had inadequate knowledge about pressure ulcer prevention. The mean scores of the test for all participants was 10.84 out of 26 (SD = 2.3, range = 5–17), with the lowest score in themes related to PU etiology, preventive measures to reduce amount of pressure/shear, and risk assessment. In-service training was the second source of education on pressure ulcer, coming after university training. Shortage of staff and lack of time were the most frequently cited barriers to carrying out pressure ulcer risk assessment, documentation, and prevention.ConclusionsThis study highlights concerns about Jordanian nurses’ knowledge of pressure ulcer prevention. The results of the current study showed inadequate knowledge among Jordanian nurses about pressure ulcer prevention based on National Pressure Ulcer Advisory Panel guidelines. Also, the low level of nurses’ pressure ulcer knowledge suggests poor dissemination of pressure ulcer knowledge in Jordan, a suggestion supported by the lack of relationship between years of experience and pressure ulcer knowledge.

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The effect of the SAFE or SORRY? programme on patient safety knowledge of nurses in hospitals and nursing homes: A cluster randomised trial

Cited by 34 publications

References 21 publications

Why do patients develop severe pressure ulcers? A retrospective case study

Why do patients develop severe pressure ulcers? A retrospective case study

Factors Affecting Nurses’ Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital

Pressure ulcer prevention knowledge among Jordanian nurses: a cross- sectional study

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