2.50
Hdl Handle:
http://hdl.handle.net/10755/157228
Type:
Presentation
Title:
Implementing Research: Improving Care of Patients With Pressure Ulcers
Abstract:
Implementing Research: Improving Care of Patients With Pressure Ulcers
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Carlton, Troy, RN, PhD(c)
P.I. Institution Name:Brigham Young University, College of Nursing
Title:Instructor
Contact Address:430 SWKT, Provo, UT, 84602, USA
Contact Telephone:801-422-1433
Co-Authors:Paula Strasburg, RN, MS, Director of Quality and Risk Management
Purpose/Aim: Incidence of pressure ulcers in acute care have increased due to an aging population, chronicity, increased medical advancements, and issues with nursing care. The Centers for Medicare and Medicaid have recently adopted new regulations which significantly impact reimbursement requiring hospitals to identify patients with pressure ulcers upon admission versus patients who acquire pressure ulcers during their hospital stay. These new regulations were the impetus behind a community hospital reviewing their policies, practice, and care of patients with pressure ulcers. New evidence was identified, current care practices were measured and benchmarked, and changes in practice were implemented resulting in improved performance. The purpose of this study is to outline the quality improvement process, implementation of new nursing practice, and describe positive results which have demonstrated improved performance and care in patients with pressure ulcers. Background: Pressure ulcers are a significant challenge in the care of patients resulting in questionable quality, increased patient costs, decreased reimbursement, and quality of life issues for patients. Nurses are an important factor in the prevention and care of patients with pressure ulcers. Evidence suggests if nurses understand how to appropriately assess patients for risk factors and implement appropriate preventative and treatment measures, pressure ulcers can be prevented and treated leading to improved quality of care. However, changing nursing practice based on evidence can be very difficult and challenging. Evidence suggests the success of translating research into practice is based upon understanding current evidence, appropriate staff training, and consistent follow up for compliance monitoring. Methods: Using the quality improvement model and evidence from translating research into practice/implementation science, a community hospital instituted changes in the process of identification and care of patients with pressure ulcers. Data was collected pre and post intervention to measure prevention and treatment of patients with pressure ulcers along with outcomes of the change process. Results: Significant differences between pre and post implementation were identified and improved performance was noted in the identification and care of patients with pressure ulcers. On-going and continual measurement and improvement in care of this population continues. Implications: Patients who are at risk for developing pressure ulcers or care of the patient with pressure ulcers continues to provide challenges to nursing staff and hospitals. Understanding and utilizing the best evidence is important in the care of patients with pressure ulcers. In addition, understanding and implementing new and successful changes into nursing practice is a necessity in the current health care environment.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementing Research: Improving Care of Patients With Pressure Ulcersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157228-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementing Research: Improving Care of Patients With Pressure Ulcers</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Carlton, Troy, RN, PhD(c)</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Brigham Young University, College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Instructor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">430 SWKT, Provo, UT, 84602, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">801-422-1433</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">troy_carlton@byu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Paula Strasburg, RN, MS, Director of Quality and Risk Management</td></tr><tr><td colspan="2" class="item-abstract">Purpose/Aim: Incidence of pressure ulcers in acute care have increased due to an aging population, chronicity, increased medical advancements, and issues with nursing care. The Centers for Medicare and Medicaid have recently adopted new regulations which significantly impact reimbursement requiring hospitals to identify patients with pressure ulcers upon admission versus patients who acquire pressure ulcers during their hospital stay. These new regulations were the impetus behind a community hospital reviewing their policies, practice, and care of patients with pressure ulcers. New evidence was identified, current care practices were measured and benchmarked, and changes in practice were implemented resulting in improved performance. The purpose of this study is to outline the quality improvement process, implementation of new nursing practice, and describe positive results which have demonstrated improved performance and care in patients with pressure ulcers. Background: Pressure ulcers are a significant challenge in the care of patients resulting in questionable quality, increased patient costs, decreased reimbursement, and quality of life issues for patients. Nurses are an important factor in the prevention and care of patients with pressure ulcers. Evidence suggests if nurses understand how to appropriately assess patients for risk factors and implement appropriate preventative and treatment measures, pressure ulcers can be prevented and treated leading to improved quality of care. However, changing nursing practice based on evidence can be very difficult and challenging. Evidence suggests the success of translating research into practice is based upon understanding current evidence, appropriate staff training, and consistent follow up for compliance monitoring. Methods: Using the quality improvement model and evidence from translating research into practice/implementation science, a community hospital instituted changes in the process of identification and care of patients with pressure ulcers. Data was collected pre and post intervention to measure prevention and treatment of patients with pressure ulcers along with outcomes of the change process. Results: Significant differences between pre and post implementation were identified and improved performance was noted in the identification and care of patients with pressure ulcers. On-going and continual measurement and improvement in care of this population continues. Implications: Patients who are at risk for developing pressure ulcers or care of the patient with pressure ulcers continues to provide challenges to nursing staff and hospitals. Understanding and utilizing the best evidence is important in the care of patients with pressure ulcers. In addition, understanding and implementing new and successful changes into nursing practice is a necessity in the current health care environment.</td></tr></table>en_GB
dc.date.available2011-10-26T19:40:54Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:40:54Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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