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Sucessful factors to prevent pressure ulcers - An interview study
Skane Univ Hosp, Lund, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Malmo Univ, Fac Hlth & Soc, Malmo, Sweden.; Skane Univ Hosp, Malmo, Sweden..
Karlstad Univ, Dept Hlth Sci, Karlstad, Sweden.; Country Council Va armland, Karlstad, Sweden..
2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 1-2, 182-189 p.Article in journal (Refereed) Published
Abstract [en]

AIM AND OBJECTIVES: The aim of present study was to explore successful factors to prevent pressure ulcers (PU) in hospital settings.

BACKGROUND: PU prevalence has been recognized as a quality indicator for both patient safety and quality of care in hospital and community settings. Most PU can be prevented if effective measures are implemented and evaluated. The Swedish Association of Local Authorities and Regions (SALAR) initiated nationwide PU prevalence studies in 2011. In 2014, after four years of measurement, the prevalence was still unacceptably high on a national level. The mean prevalence of PU in the spring of 2014 was 14% in hospital settings with a range from 2.7% to 36.4%.

DESIGN: Qualitative semi-structured interviews were conducted.

METHODS: A qualitative content analysis, in addition to PARIHS frameworks was used in the analysis of the data text. Individual interviews and focus groups were used to create opportunities for both individual responses and group interactions. The study was conducted at six hospitals during the fall of 2014.

RESULTS: Three main categories were identified as successful factors to prevent PU in hospitals: creating a good organization, maintaining persistent awareness, and realising the benefits for patients.

CONCLUSION: The goal for all healthcare personnel must be delivering high-quality, sustainable care to patients. Prevention of PU is crucial in this work. It seems to be easier for small hospitals (with a low number of units/beds) to develop and sustain an effective organization in prevention work.

RELEVANCE TO CLINICAL PRACTICE: The nurse managers' attitude and crucial to enable the personnel to work actively with PU prevention. Strategies are proposed to advance clinical leadership, knowledge, skills, and abilities for the crucial implementation of PU prevention.

Place, publisher, year, edition, pages
2017. Vol. 26, no 1-2, 182-189 p.
Keyword [en]
evidence-based practice, leadership, nurse's responsibilities, pressure ulcer, qualitative study, quality and safety, work organisation
National Category
Nursing
Research subject
Caring Sciences
Identifiers
URN: urn:nbn:se:uu:diva-300968DOI: 10.1111/jocn.13465ISI: 000396472700017PubMedID: 27378536OAI: oai:DiVA.org:uu-300968DiVA: diva2:953073
Available from: 2016-08-16 Created: 2016-08-16 Last updated: 2017-04-07Bibliographically approved

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