Implementing a Hospital-Acquired Pressure Injury Prevention Bundle in Critical Care.


Journal

The American journal of nursing
ISSN: 1538-7488
Titre abrégé: Am J Nurs
Pays: United States
ID NLM: 0372646

Informations de publication

Date de publication:
01 Nov 2024
Historique:
medline: 25 10 2024
pubmed: 25 10 2024
entrez: 24 10 2024
Statut: ppublish

Résumé

The emerging field of implementation science (IS) facilitates the sustainment of evidence-based practice in clinical care. This article, the third in a series on applying IS, describes how a nurse-led team at a multisite health system used IS concepts, methods, and tools to implement a hospital-acquired pressure injury (HAPI) prevention bundle on six critical care units, with the aim of decreasing HAPI incidence.

Identifiants

pubmed: 39446513
doi: 10.1097/01.NAJ.0001081732.13209.9b
pii: 00000446-202411000-00020
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

38-48

Informations de copyright

Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

Références

Berlowitz D, et al. Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. Rockville, MD: Agency for Healthcare Research and Quality; 2024 Feb. Publication 11-0053-EF. https://www.ahrq.gov/sites/default/files/publications/files/putoolkit.pdf.
Agency for Healthcare Research and Quality (AHRQ). AHRQ national scorecard on hospital-acquired conditions: updated baseline rates and preliminary results 2014-2017. Rockville, MD; 2019 Jan. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf.
Alderden J, et al. Midrange Braden subscale scores are associated with increased risk for pressure injury development among critical care patients. J Wound Ostomy Continence Nurs 2017;44(5):420–8.
Cox J, et al. Pressure injuries in critical care patients in US hospitals: results of the International Pressure Ulcer Prevalence Survey. J Wound Ostomy Continence Nurs 2022;49(1):21–8.
European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance, Haesler E, editor. Prevention and treatment of pressure ulcers/injuries: clinical practice guideline. The international guideline; 2019. https://static1.squarespace.com/static/6479484083027f25a6246fcb/t/6553d3440e18d57a550c4e7e/1699992399539/CPG2019edition-digital-Nov2023version.pdf.
Kim P, et al. Risk factors for hospital-acquired pressure injury in adult critical care patients. Am J Crit Care 2022;31(1):42–50.
Ahtiala MH, et al. The association between pressure ulcer/injury development and short-term mortality in critically ill patients: a retrospective cohort study. Wound Manag Prev 2020;66(2):14–21.
Gallagher-Ford L, et al. The STAND skin bundle. Am J Nurs 2019;119(10):45–8.
McLaughlin JM, et al. Quality improvement intervention bundle using the PUPPIES acronym reduces pressure injury incidence in critically ill patients. Adv Skin Wound Care 2022;35(2):102–8.
Rivera J, et al. Implementing a pressure injury prevention bundle to decrease hospital-acquired pressure injuries in an adult critical care unit: an evidence-based, pilot initiative. Wound Manag Prev 2020;66(10):20–8.
Tayyib N, et al. The effectiveness of the SKINCARE bundle in preventing medical-device related pressure injuries in critical care units: a clinical trial. Adv Skin Wound Care 2021;34(2):75–80.
Durlak JA, DuPre EP. Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. Am J Community Psychol 2008;41(3–4):327–50.
Mondragon N, Zito PM. Pressure injury. In: StatPearls [internet]. Treasure Island, FL: StatPearls Publishing; 2024. https://www.ncbi.nlm.nih.gov/books/NBK557868.
Hajhosseini B, et al. Pressure injury. Ann Surg 2020;271(4):671–9.
Bergstrom N, et al. The Braden Scale for Predicting Pressure Sore Risk. Nurs Res 1987;36(4):205–10.
Huang C, et al. Predictive validity of the Braden scale for pressure injury risk assessment in adults: a systematic review and meta-analysis. Nurs Open 2021;8(5):2194–207.
Vocci MC, et al. Intensive care pressure injuries: a cohort study Using the CALCULATE and Braden scales. Adv Skin Wound Care 2022;35(3):1–8.
Ayello EA. Predicting pressure injury risk. New York: Hartford Institute for Geriatric Nursing, New York University College of Nursing; 2017. Try this: best practices in nursing care to older adults (General assessment series); https://hign.org/sites/default/files/2020-06/Try_This_General_Assessment_5.pdf.
Ayello EA. Predicting pressure ulcer sore risk. Medsurg Nurs 2003;12(2):130–1.
Alderden JG, et al. Best practice in pressure injury prevention among critical care patients. Crit Care Nurs Clin North Am 2020;32(4):489–500.
Ayello E. Using pressure ulcer risk assessment tools in care planning [lecture presented at Excelsior College of Nursing]. YouTube https://www.youtube.com/watch?v=G4RQYkuCI5Y2015.
Lim E, et al. Using the Braden subscales to assess risk of pressure injuries in adult patients: a retrospective case-control study. Int Wound J 2019;16(3):665–73.
Wyatt R. Reducing hospital-acquired pressure injuries through measure-vention. Adv Skin Wound Care 2022;35(1):43–7.
Weiner BJ, et al, editors. Practical implementation science: moving evidence into action. New York: Springer Publishing Company; 2022.
Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci 2015;10:53.
Fernandez ME, et al. Implementation mapping: using intervention mapping to develop implementation strategies. Front Public Health 2019;7:158.
Flottorp SA, et al. A checklist for identifying determinants of practice: a systematic review and synthesis of frameworks and taxonomies of factors that prevent or enable improvements in healthcare professional practice. Implement Sci 2013;8:35.
Powell BJ, et al. A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project. Implement Sci 2015;10:21.
Proctor E, et al. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Health 2011;38(2):65–76.
Russell-Babin K, et al. A nurse-led implementation science specialist program. Am J Nurs 2023;123(12):38–45.
Smith JD, et al. The Implementation Research Logic Model: a method for planning, executing, reporting, and synthesizing implementation projects. Implement Sci 2020;15(1):84.
Wensing M, et al, editors. Improving patient care: the implementation of change in health care. 3rd ed. Newark, NJ: John Wiley and Sons; 2020.
Dang D, et al. Johns Hopkins evidence-based practice for nurses and healthcare professionals. 4th ed. Indianapolis, IN: Sigma Theta Tau; 2022.
Fernandez ME, et al. Understanding barriers and facilitators for implementation across settings. In: Weiner BJ, et al., editors. Practical implementation science: moving evidence into action. New York: Springer Publishing; 2022. p. 97–132.
McNett M, et al. Use of implementation science to advance nurse-led evidence-based practices in clinical settings. Nurse Lead 2022;20(3):297–305.

Auteurs

Robin R Jackson (RR)

Robin R. Jackson is a clinical nurse specialist at Inova Alexandria Hospital in Alexandria, VA. Donna Thomas is a critical care nursing program manager at Inova Health System in Falls Church, VA, where Kathleen Russell-Babin is vice president of professional practice. Kimberly Winter is wound ostomy coordinator and Julia Gordon is an RN unit supervisor at Inova Fair Oaks Hospital in Fairfax, VA. Patricia M. Green, Sarah Lemaster, and Jenny R. Fox are staff nurses at Inova Fairfax Medical Campus in Falls Church, VA. Dejon M. Wright is an RN unit supervisor at Inova Loudoun Hospital in Leesburg, VA. Amanda P. Bettencourt is an assistant professor in the University of Pennsylvania School of Nursing in Philadelphia and an implementation science consultant. Maureen Kirkpatrick McLaughlin is an implementation science consultant in Charles Town, WV. Contact author: Kathleen Russell-Babin, kathleen.russell-babin@inova.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH