Thompson Mark
Royal Liverpool and Broadgreen University Hospital Trust, UK.
Br J Nurs. 2011;20(15):S10, S12, S14-8. doi: 10.12968/bjon.2011.20.Sup8.S10.
This article describes how a collaborative project within an NHS hospital reduced the incidence of pressure ulcers in hip fracture patients by 79.8%, thus improving outcomes of care and patient experience. The impetus for the project came from the negative effects on functional recovery that pressure ulcers can cause, a prevalence of 9.3% in the existing patient group, and the trust's commitment to reduce pressure ulcers for all patients by 50%, as per local quality indicators. Using a multiprofessional collaborative team approach, issues with current practice and how improvements could be made were identified. Following this, a best practice guideline and educational session based on national guidelines, but tailored to the local and holistic needs of hip fracture patients, was developed. The author proposes that the tailoring of an intervention to the specific needs of high risk patient groups is transferable to any area of practice where pressure ulcers are prevalent.
本文介绍了国民保健服务体系（NHS）一家医院内的一个合作项目如何将髋部骨折患者的压疮发生率降低了79.8%，从而改善了护理结果和患者体验。该项目的推动力来自压疮可能对功能恢复造成的负面影响、现有患者群体中9.3%的患病率，以及信托机构根据当地质量指标将所有患者的压疮发生率降低50%的承诺。采用多专业协作团队方法，确定了当前实践中存在的问题以及如何进行改进。在此之后，制定了一份基于国家指南但针对髋部骨折患者的当地和整体需求进行调整的最佳实践指南和教育课程。作者提出，针对高风险患者群体的特定需求调整干预措施，可应用于任何压疮普遍存在的实践领域。
