Latimer Sharon, Chaboyer Wendy, Gillespie Brigid
a School of Nursing and Midwifery, Griffith University , L05 3.45 Logan campus, Queensland 4131 , Brisbane , Australia.
b NHMRC Research Centre for Excellence in Nursing Interventions (NCREN), Griffith University , G 01 2.03 Gold Coast campus, Queensland 4222 , Brisbane , Australia.
Contemp Nurse. 2016 Apr-Jun;52(2-3):326-40. doi: 10.1080/10376178.2016.1190657. Epub 2016 Jun 9.
Pressure injuries are a patient safety issue. Despite the suite of prevention strategies, sustained reductions in pressure injury prevalence rates have not been achieved. Generally, nurses are usually responsible for assessing patients' pressure injury risk, and then implementing appropriate prevention strategies. The study aim was to describe five planned and implemented pressure injury prevention strategies (risk assessment, management plan, support surface, repositioning, and education), and determine if a relationship existed between the planning and implementation of support surfaces and regular repositioning.
An observational study collecting data using chart audits and semi-structured observations. Data were analysed using descriptive and inferential statistics. This study was set in four medical units across two Australian metropolitan hospitals. The sample comprised adult medical inpatients with reduced mobility. A subsample of participants assessed at pressure injury risk on admission was drawn from this sample. Participants were aged ≥18 years, had a hospital length of stay of ≥3 days prior to recruitment, provided an informed consent, and had reduced mobility.
There was suboptimal planning and implementation of pressure injury prevention strategies for the sample and subsample. There was a significant relationship between planned and implemented support surfaces at both hospitals; however, no relationship existed between the planned and implemented of regular repositioning at either site.
The planning and implementation of pressure injury strategies is haphazard. Patients received support surfaces; however, gaps exist in pressure injury risk assessment, management planning, regular repositioning, and patient education.
压疮是一个患者安全问题。尽管有一系列预防策略，但压疮患病率并未持续下降。通常，护士负责评估患者的压疮风险，然后实施适当的预防策略。本研究旨在描述五项计划并实施的压疮预防策略（风险评估、管理计划、支撑面、重新定位和教育），并确定支撑面的计划与实施以及定期重新定位之间是否存在关联。
一项采用病历审核和半结构化观察收集数据的观察性研究。使用描述性和推断性统计方法分析数据。本研究在澳大利亚两家大都市医院的四个医疗科室进行。样本包括行动不便的成年内科住院患者。从该样本中抽取入院时评估有压疮风险的参与者子样本。参与者年龄≥18岁，招募前住院时间≥3天，提供了知情同意书，且行动不便。
样本和子样本的压疮预防策略规划和实施情况欠佳。两家医院计划和实施的支撑面之间存在显著关联；然而，两个地点计划和实施的定期重新定位之间均无关联。
压疮策略的规划和实施是随意的。患者接受了支撑面；然而，在压疮风险评估、管理规划、定期重新定位和患者教育方面存在差距。
