Improving quality of nursing care: A multi dimensional model to improve performance and prevent pain and decubitus ulcers in a tertiary health care facility

2.50
Hdl Handle:
http://hdl.handle.net/10755/151314
Type:
Presentation
Title:
Improving quality of nursing care: A multi dimensional model to improve performance and prevent pain and decubitus ulcers in a tertiary health care facility
Abstract:
Improving quality of nursing care: A multi dimensional model to improve performance and prevent pain and decubitus ulcers in a tertiary health care facility
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Mezan, Rachel, RN, MA
P.I. Institution Name:THE CHAIM SHEBA MEDICAL CENTER
Title:Coordinator of Professional Standards, Procedures and Clinical Development Nursing Division
Co-Authors:Ruth Balaban, RN, MA; Orly Toren, RN, PhD and Hana Kerzman, RN, PhD
[Evidence-based Presentation] Preventing decubitus ulcers and treating pain are in the nursing core activities. Since tertiary health care centers are characterizedáwith extensive use of technology and complex health situations, these activities have a major importance to nursing quality performance based on Evidence Based Practice (EBP).áObjective:áTo describe a complete full intervention based on nursing EBPáelements in the biggest tertiary medical center in Israel áaiming to improve the qualityáof nursing intervention in pain treatment and prevention of decubitus ulcers in general departments (internal and surgical). Intervention: A multi dimensional intervention to improve pain and preventádecubitus ulcers was implemented in the beginning of 2006. The model includes written obligatory standard procedures (for pain and decubitus treatment); advanced courses for registered nurses focusing on new interventions and treatments based on EBP principals, assimilation procedures identical for all departments and quality control activities both using clinical actions and by retrieving data from electronic nursing records.áNursing measures used were the Norton scale (at admission) to identify the risk for developing ulcers and the VAS scale for pain measurement.áDuring 2006 monthly supervision was obtained by specialists and managers to evaluate the assessment and intervention. Results: The results were compared between first and third quarters of 2006. The use of Norton scale was increased from 76% to 90% with no differences between internal and surgical departments. The áVAS score increased, in the internal departments from 93% and 98%, and in the surgical department from 88% to 99%, respectively. The mean score of VAS measurement decreased from 2.7 to 1.3, respectively, in internal department, and from 3.6 to 1.8, respectively, in surgical departments. Summary: Thisáinterventionábased on complete approach to reach quality of care show a better performance in nursing interventions. The ámodel assists managers and nurses to reach better nursing quality care and to measureáperformance usingáclinical and electronic data.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImproving quality of nursing care: A multi dimensional model to improve performance and prevent pain and decubitus ulcers in a tertiary health care facilityen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151314-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Improving quality of nursing care: A multi dimensional model to improve performance and prevent pain and decubitus ulcers in a tertiary health care facility</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Mezan, Rachel, RN, MA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">THE CHAIM SHEBA MEDICAL CENTER</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Coordinator of Professional Standards, Procedures and Clinical Development Nursing Division</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rachel.mezan@sheba.health.gov.il</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ruth Balaban, RN, MA; Orly Toren, RN, PhD and Hana Kerzman, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Presentation] Preventing decubitus ulcers and treating pain are in the nursing core activities. Since tertiary health care centers are characterized&aacute;with extensive use of technology and complex health situations, these activities have a major importance to nursing quality performance based on Evidence Based Practice (EBP).&aacute;Objective:&aacute;To describe a complete full intervention based on nursing EBP&aacute;elements in the biggest tertiary medical center in Israel &aacute;aiming to improve the quality&aacute;of nursing intervention in pain treatment and prevention of decubitus ulcers in general departments (internal and surgical). Intervention: A multi dimensional intervention to improve pain and prevent&aacute;decubitus ulcers was implemented in the beginning of 2006. The model includes written obligatory standard procedures (for pain and decubitus treatment); advanced courses for registered nurses focusing on new interventions and treatments based on EBP principals, assimilation procedures identical for all departments and quality control activities both using clinical actions and by retrieving data from electronic nursing records.&aacute;Nursing measures used were the Norton scale (at admission) to identify the risk for developing ulcers and the VAS scale for pain measurement.&aacute;During 2006 monthly supervision was obtained by specialists and managers to evaluate the assessment and intervention. Results: The results were compared between first and third quarters of 2006. The use of Norton scale was increased from 76% to 90% with no differences between internal and surgical departments. The &aacute;VAS score increased, in the internal departments from 93% and 98%, and in the surgical department from 88% to 99%, respectively. The mean score of VAS measurement decreased from 2.7 to 1.3, respectively, in internal department, and from 3.6 to 1.8, respectively, in surgical departments. Summary: This&aacute;intervention&aacute;based on complete approach to reach quality of care show a better performance in nursing interventions. The &aacute;model assists managers and nurses to reach better nursing quality care and to measure&aacute;performance using&aacute;clinical and electronic data.</td></tr></table>en_GB
dc.date.available2011-10-26T10:58:24Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:58:24Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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