Adherence to pressure ulcer prevention guidelines in home care: a survey of current practice
- 11 February 2008
- journal article
- research article
- Published by Wiley in Journal of Clinical Nursing
- Vol. 17 (5), 627-636
- https://doi.org/10.1111/j.1365-2702.2007.02109.x
Abstract
To investigate the pressure ulcer prevalence in home nursing patients and to evaluate guideline adherence of measures for the prevention of pressure ulcers and the participation of informal carers in pressure ulcer prevention. Since 2002, the Belgian Guideline for the Prevention of Pressure Ulcers was published on the Internet, but no information was available on guideline adherence in home care. A cross-sectional survey of pressure ulcer prevalence and guideline adherence was performed in a cluster randomized sample of 2779 clients of nine regional nursing departments in Flanders, Belgium. The Belgian Guideline for the Prevention of Pressure Ulcers was the reference standard for the evaluation of the guideline adherence. There were 744 subjects at risk for developing pressure ulcers. The overall prevalence of pressure ulcers for the total sample population was 6.8%. The age-, sex- and risk-standardized prevalence per regional department varied between 4.9% and 9.1%. Of the 744 subjects at risk, 33 (4.4%) received preventive measures, which were in adherence to the Belgian Guideline for Prevention of Pressure Ulcers, 482 persons (64.8%) were administered measures, which did not adhere to the Belgian Guideline for Prevention of Pressure Ulcers and in 229 subjects (30.8%) at risk for developing pressure ulcers, prevention was lacking. For subjects with at least one pressure ulcer, the proportions were: 4.8% adherence, 76.6% no adherence and 18.6% no prevention. A proportion of 22.2% of the patients at risk and their informal carers were informed and motivated by the home care nurse to participate in the pressure ulcer prevention and their actual participation in the prevention was 21.4% of all risk cases. The adherence of nurses and clients to the guideline for pressure ulcer prevention was low. RELEVANCE TO THE CLINICAL PRACTICE: The study demonstrates a detailed evaluation of guideline adherence to pressure ulcer prevention in an individual patient situation, with special attention for materials and measures, which are not adequate and not recommended by the Belgian Guideline for the Prevention of Pressure Ulcers.Keywords
This publication has 25 references indexed in Scilit:
- Pressure Ulcer Prevention in HomecareJournal of Wound, Ostomy & Continence Nursing, 2006
- Is a Pressure Ulcer a Marker for Quality of Care?Journal of the American Medical Directors Association, 2005
- A comparison of pressure ulcer prevalence: concerted data collection in the Netherlands and GermanyInternational Journal of Nursing Studies, 2004
- Pressure ulcer incidence reportingNursing Standard, 2004
- The Minimum Data Set Pressure Ulcer Indicator: Does It Reflect Differences in Care Processes Related to Pressure Ulcer Prevention and Treatment in Nursing Homes?Journal of the American Geriatrics Society, 2003
- Development of a Model for Case-Mix Adjustment of Pressure Ulcer Prevalence RatesMedical Care, 2003
- Ethische aspecten van epidemiologisch onderzoek bij bejaarden: consensustekstTijdschrift voor Geneeskunde, 2002
- Consumer views of pressure sores: a preliminary surveyNursing Standard, 2000
- Interpretation of pressure‐sore prevalenceJournal of Advanced Nursing, 1994
- Studies of Illness in the AgedPublished by American Medical Association (AMA) ,1963