Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
J Nurs Manag. 2010 Sep;18(6):757-66. doi: 10.1111/j.1365-2834.2010.01149.x.
To describe and compare pressure ulcer prevalence in two county councils and concurrently explore Nurse Managers' perspective of contextual factors in a hospital organization.
Despite good knowledge about risk factors and prevention of pressure ulcers, the prevalence of pressure ulcers remains high. Nurse Managers' have a key role in implementing evidence-based practice.
The present study included five hospitals in two Swedish county councils: county council A (non-university setting) and county council B (university setting). A pressure ulcer prevalence study was conducted according to the methodology developed by the European Pressure Ulcer Advisory Panel. The Nurse Managers' answered a (27-item) questionnaire on contextual factors.
County council B had significantly less pressure ulcers grade (2-4) (7.7%) than county council A (11.3%). The Nurse Managers' assessed only two out of the 27 general contextual items significantly differently. Some significant differences were observed in ward organization.
In county council B, the Nurse Managers' seemed more aware of prevention strategies compared with Nurse Managers' in county council A. The Nurse Managers' should take more responsibility to develop the prerequisite for quality improvement in nursing.
Nursing outcomes (e.g. pressure ulcers) should be incorporated into national quality registries for benchmarking and Nurse Managers' competence in evidence-based practice and research methodology increased.
描述并比较两个县议会的压疮患病率，并同时探讨医院组织中护士长对环境因素的看法。
尽管对压疮的危险因素和预防有很好的了解，但压疮的患病率仍然很高。护士长在实施基于证据的实践方面发挥着关键作用。
本研究包括瑞典两个县议会的五家医院：县议会 A（非大学环境）和县议会 B（大学环境）。按照欧洲压疮咨询小组制定的方法进行了压疮患病率研究。护士长回答了一个（27 项）关于环境因素的问卷。
县议会 B 的 2-4 级压疮（7.7%）明显少于县议会 A（11.3%）。护士长仅对 27 项一般环境项目中的两项评估结果有显著差异。在病房组织方面观察到一些显著差异。
与县议会 A 的护士长相比，县议会 B 的护士长似乎更了解预防策略。护士长应承担更多责任，为护理质量改进创造必要条件。
应将护理结果（如压疮）纳入国家质量登记册，以便进行基准测试，并提高护士长在循证实践和研究方法方面的能力。
