Abstract
Preventing hospital-acquired pressure injuries (HAPI) in patients is a key quality of care and safety goal for healthcare organisations and clinicians. Nurses implement numerous pressure injury prevention (PIP) strategies including encouraging patients to participate in their care. However, finding ways to actively engage patients in their PIP care has proved challenging. The study aim was to implement a patient-centred pressure injury prevention care bundle (PPIPCB) intervention in collaboration with patients and nurses, and evaluate its effectiveness relative to the implementation process (feasibility, acceptability and fidelity), patient participation in their PIP care (before and after its implementation), patient satisfaction with the intervention, and changes in HAPI prevalence over an 18-month period. Our findings suggest that at hospital admission, patients wanted more PIP information from nurses. Yet, nurses perceived they were meeting the PIP education needs of patients. This demonstrates more should be done to encourage nurses to engage with patients about their PIP care, so patients have the required knowledge and understanding to participate. Patients and nurses deemed our PPIPCB intervention was feasible and acceptable in terms of its clear and simple messaging, format and ease of use. Patients and nurses described the intervention as a valuable education tool that would facilitate important PIP care conversations. Our study found a significant increase in patients PIP knowledge following their engagement with the PPIPCB intervention. Factors such as simple messaging, accessibility, and satisfaction might explain patient’s decision to engage with the intervention. Most patients and their families reported the three simple messages (keep moving, eat well, and look after your skin) within the PPIPCB intervention were easy for them to understand and incorporate into their daily PIP care. Finally, patients were very satisfied with the PPIPCB intervention quality and the ‘perceived benefits’ of the three key messages for PIP.
Sigma Membership
Phi Delta at-Large
Lead Author Affiliation
Griffith University, Gold Coast, Queensland, Australia
Type
Report
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Mixed/Multi Method Research
Keywords:
Patient Engagement, Patient Safety, Pressure Ulcers, Implementation Study, Patient Satisfaction, Pressure Injury Prevention
Recommended Citation
Latimer, Sharon; Chaboyer, Wendy; and Gillespie, Brigid M., "Can a patient-centred pressure injury prevention care bundle increase patient participation and reduce pressure injuries; An implementation study" (2020). Sigma Foundation for Nursing Research Grant Reports. 13.
https://www.sigmarepository.org/grant_reports/13
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
None: Sigma Grant Recipient Report
Acquisition
Self-submission
Date of Issue
2020-08-19
Full Text of Presentation
wf_yes
Description
Sharon Latimer, is a recipient of a Sigma Foundation for Nursing small grant award issued in the 2018-2019 period.