Harrison Tarnia, Kindred Jane, Marks-Maran Di
Medway NHS Foundation Trust.
Br J Nurs. 2013;22(6):S4, S6, S8 passim. doi: 10.12968/bjon.2013.22.Sup4.S4.
This article reports on the successful work undertaken within one NHS trust to reduce the incidence of pressure ulcers. The tissue viability nursing team at Medway NHS Foundation Trust devised, implemented and evaluated a strategy to reduce the incidence of pressure ulcers. This involved devising a comprehensive database, intensive monitoring using root cause analysis, writing action plans using high-impact actions (HIAs) and innovative thinking to address and reduce the incidence of pressure ulcers and staff training in the use of the SKIN acronym. This work identified pressure ulcers on the ears of patients receiving oxygen therapy as a particular problem. An evidence-based and multiprofessional strategy was devised to deal with this particular problem, which resulted in no further incidence of pressure ulcers on the ears of patients receiving oxygen therapy. The entire pressure ulcer reduction strategy was positively evaluated and proved to be sustainable.
本文报道了一家国民保健服务信托机构为降低压疮发生率所开展的成功工作。梅德韦国民保健服务基金会信托机构的组织活力护理团队设计、实施并评估了一项降低压疮发生率的策略。这包括设计一个综合数据库，运用根本原因分析进行密集监测，使用高影响力行动（HIAs）制定行动计划并运用创新思维来解决和降低压疮发生率，以及对员工进行使用SKIN首字母缩写词的培训。这项工作发现接受氧疗患者耳部的压疮是一个特殊问题。针对这一特殊问题制定了一项循证且多专业的策略，该策略使得接受氧疗患者耳部未再出现压疮情况。整个压疮降低策略得到了积极评价，并被证明是可持续的。
