The Other Side of the Coin: Using “Practice-Based-Evidence” to Drive Improvements in Pressure Ulcer Risk Assessment and Care Planning

2.50
Hdl Handle:
http://hdl.handle.net/10755/153531
Type:
Presentation
Title:
The Other Side of the Coin: Using “Practice-Based-Evidence” to Drive Improvements in Pressure Ulcer Risk Assessment and Care Planning
Abstract:
The Other Side of the Coin: Using “Practice-Based-Evidence” to Drive Improvements in Pressure Ulcer Risk Assessment and Care Planning
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Walent, Ron, RN, MS
P.I. Institution Name:Laguna Honda Hospital and Rehabilitation Center/San Francisco Department of Public Health
Title:Gerontological Clinical Nurse Specialist
Objective: The purpose of this quality improvement (QI) effort was to devise a pressure ulcer (PU) risk assessment form based on research evidence and the exigencies of clinical practice in a large publicly sponsored nursing facility. Design: Clinical tool development and pilot testing including interview feedback from nurses using the tool. Population and Setting: Nurses who perform PU risk assessments on residents admitted to a large publicly sponsored nursing facility. Concept: The use of traditional PU risk scales in addition to the PU risk tool imbedded in the federally mandated nursing home Minimum Data Set (MDS) can result in duplication of effort. Furthermore, the commonly used Braden Scale (BS), does not prompt clinicians to investigate several risk factors of particular importance in the nursing home population. Quality monitoring in this facility indicated that PUs related to these unrecognized factors had occurred. Improvement in identification of PU risk and subsequent care planning was needed. Methods: The new tool was designed based on items from the BS, MDS and factors identified through facility QI monitoring in the population being served. Registered nurses on the admission unit completed both the new form and BS on newly admitted residents. A BS score of 18 or less triggered risk, while the identification of any one factor and concurrent clinical assessment of the need for care planning determined risk using the new tool. Nurses were interviewed to determine the perceived usefulness of the new tool as compared to the BS. Conclusions: The new tool and the BS identified the same residents as at risk for PUs. Users perceived that the structure of the new tool based on an evaluative rather than a numeric model more adequately supported risk assessment and targeted care planning in the nursing home setting, and better supported the federally mandated assessment process.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Other Side of the Coin: Using “Practice-Based-Evidence” to Drive Improvements in Pressure Ulcer Risk Assessment and Care Planningen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153531-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Other Side of the Coin: Using &ldquo;Practice-Based-Evidence&rdquo; to Drive Improvements in Pressure Ulcer Risk Assessment and Care Planning</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">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Walent, Ron, RN, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Laguna Honda Hospital and Rehabilitation Center/San Francisco Department of Public Health</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Gerontological Clinical Nurse Specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Ron.Walent@sfdph.org</td></tr><tr><td colspan="2" class="item-abstract">Objective: The purpose of this quality improvement (QI) effort was to devise a pressure ulcer (PU) risk assessment form based on research evidence and the exigencies of clinical practice in a large publicly sponsored nursing facility. Design: Clinical tool development and pilot testing including interview feedback from nurses using the tool. Population and Setting: Nurses who perform PU risk assessments on residents admitted to a large publicly sponsored nursing facility. Concept: The use of traditional PU risk scales in addition to the PU risk tool imbedded in the federally mandated nursing home Minimum Data Set (MDS) can result in duplication of effort. Furthermore, the commonly used Braden Scale (BS), does not prompt clinicians to investigate several risk factors of particular importance in the nursing home population. Quality monitoring in this facility indicated that PUs related to these unrecognized factors had occurred. Improvement in identification of PU risk and subsequent care planning was needed. Methods: The new tool was designed based on items from the BS, MDS and factors identified through facility QI monitoring in the population being served. Registered nurses on the admission unit completed both the new form and BS on newly admitted residents. A BS score of 18 or less triggered risk, while the identification of any one factor and concurrent clinical assessment of the need for care planning determined risk using the new tool. Nurses were interviewed to determine the perceived usefulness of the new tool as compared to the BS. Conclusions: The new tool and the BS identified the same residents as at risk for PUs. Users perceived that the structure of the new tool based on an evaluative rather than a numeric model more adequately supported risk assessment and targeted care planning in the nursing home setting, and better supported the federally mandated assessment process.</td></tr></table>en_GB
dc.date.available2011-10-26T12:20:10Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T12:20:10Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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