Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Uppsala University Hospital, Uppsala, Sweden.
Int Wound J. 2023 Mar;20(3):633-647. doi: 10.1111/iwj.13904. Epub 2022 Jul 20.
This study aimed to evaluate the feasibility of implementing an electronic version of PURPOSE T, a risk assessment instrument for pressure ulcers, in a Swedish hospital ward. A mixed-method was used. Nursing staff received training in PURPOSE T and a record review was performed (n = 30). PURPOSE T replaced the Modified Norton Scale, and after one month another record review was performed (n = 30). Individual interviews with patients (n = 15) and focus group interviews with nursing staff (n = 23) were performed after the implementation. The results of the record review and the focus group interviews showed good clinical feasibility of PURPOSE T. The record review showed that more patients were at risk of developing pressure ulcers and more nursing interventions were prescribed with PURPOSE T compared to the Modified Norton Scale. The focus group interviews showed that all nursing staff were satisfied with PURPOSE T. The instrument contributed to increased reflection and analysis as well as the opportunity for nursing staff to draw their own conclusions regarding patients´ risk status. The documentation encouraged the prescription of more preventive actions, and the nurses were more involved at bedside. However, almost all the patients expressed not receiving any information about pressure ulcers.
本研究旨在评估在瑞典医院病房实施 PURPOSE T 电子版本（一种压疮风险评估工具）的可行性。采用混合方法。护理人员接受了 PURPOSE T 的培训，并进行了记录回顾（n=30）。PURPOSE T 取代了 Modified Norton Scale，一个月后再次进行了记录回顾（n=30）。实施后，对患者（n=15）进行了个体访谈，对护理人员（n=23）进行了焦点小组访谈。记录回顾和焦点小组访谈的结果表明 PURPOSE T 具有良好的临床可行性。记录回顾显示，与 Modified Norton Scale 相比，更多的患者有发生压疮的风险，并且开具了更多的护理干预措施。焦点小组访谈显示，所有护理人员都对 PURPOSE T 感到满意。该工具有助于增加反思和分析的机会，以及护理人员根据患者的风险状况得出自己的结论。文件鼓励开更多的预防措施，护士在床边的参与度更高。然而，几乎所有的患者都表示没有收到任何关于压疮的信息。
