Hospital‐acquired pressure ulcers prevention: What is needed for patient safety? The perceptions of nurse stakeholders.
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‐structu...
| Publicado en: | Scandinavian Journal of Caring Sciences Vol. 36; no. 4; pp. 978 - 988 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160177176&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160177176 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02839318 BD4 jtl: Scandinavian Journal of Caring Sciences issn: 02839318 maglogo: Y pubinfo: dt: Dec2022 vid: 36 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 160177176 150782072 160177176 160177176 10.1111/scs.12995 160177176 ppf: 978 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Hospital‐acquired pressure ulcers prevention: What is needed for patient safety? The perceptions of nurse stakeholders. aug: au: Gaspar, Susana Botelho Guedes, Fábio Vitoriano Budri, Aglécia Moda Ferreira, Carlos Gaspar de Matos, Margarida affil: Faculty of Human Kinetics, University of Lisbon, Lisbon, Portugal sug: subj: Pressure Ulcer Prevention and Control Hospitals Patient Safety Nurse Attitudes Portugal Portugal Human Convenience Sample Focus Groups Semi-Structured Interview Data Analysis Software Content Analysis Risk Assessment Nursing Knowledge Qualitative Studies Health Knowledge Motivation Male Female Adult Middle Age Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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