School of Nursing and Midwifery, University of South Australia, Adelaide, SA, Australia.
Wound Management Innovation Cooperative Research Centre, Healthy Ageing Node, Flinders at Tonsley, Clovelly Park, SA, Australia.
Int Wound J. 2017 Dec;14(6):1140-1147. doi: 10.1111/iwj.12772. Epub 2017 May 26.
We report on an intervention and evaluation in relation to changes in staff knowledge, time spent on healing and wound prevention and proportion of wounds in the facilities before and after. A rapid review of recent peer-reviewed literature (2006-2016) found 14 education-based intervention articles and provided the background and context for this intervention. A cohort of 164 nurses and personal care workers and 261 residents at two aged care-approved facilities contributed to this intervention on the effect of education, mentoring and practice change on staff knowledge and wound prevalence between 2015 and 2016. There was a significant decrease in pressure injury prevalence and an increase in the early identification of potential wounds between phase 1 and 3 across the two facilities. Overall, registered nurses and enrolled nurses showed significant increase in mean knowledge scores. There was a reorganisation of time spent on various wound care and prevention strategies that better represented education and knowledge. Wound management or prevention education alone is not enough; this study, using an educational intervention in conjunction with resident engagement, practice change, mentorship, onsite champions for healthy skin and product choice suggestions, supported by an organisation that focuses on a healthy ageing approach, showed improvement across two residential sites.
我们报告了一项干预措施和评估，涉及员工知识、治疗和预防伤口时间以及设施中伤口比例的变化。对最近的同行评议文献（2006-2016 年）进行快速回顾，发现了 14 篇基于教育的干预文章，并为这一干预措施提供了背景和背景。在 2015 年至 2016 年期间，两家获得老年护理批准的设施的 164 名护士和个人护理人员以及 261 名居民参与了这项关于教育、指导和实践改变对员工知识和伤口流行率影响的干预措施。两个设施的压力性损伤发生率显著下降，潜在伤口的早期识别率显著上升。总体而言，注册护士和注册护士的平均知识得分显著提高。在各种伤口护理和预防策略上的时间分配发生了重新组织，更能反映教育和知识。仅仅进行伤口管理或预防教育是不够的；本研究使用教育干预措施结合居民参与、实践改变、指导、现场皮肤健康冠军和产品选择建议，以及专注于健康老龄化方法的组织的支持，在两个住宅场所都取得了改善。
