An Evaluation of the Effectiveness of Strategies to Facilitate the Uptake of Evidence-Based Wound Management in Residential Aged Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/243325
Category:
Abstract
Type:
Presentation
Title:
An Evaluation of the Effectiveness of Strategies to Facilitate the Uptake of Evidence-Based Wound Management in Residential Aged Care
Author(s):
Finlayson, Kathleen; Edwards, Helen Ethel; Chang, Anne M.; Courtney, Mary; Gibb, Michelle; Parker, Christina
Author Details:
Finlayson, Kathleen, PhD, MNsg, BNsg, k.finlayson@qut.edu.au; Edwards, Helen Ethel, OAM, PhD, BA, (Hons), BA, DipApSc, RN; Chang, Anne M., RN, DipNEd, BEdSt (Hons), MEdSt, PhD; Courtney, Mary, PhD; Gibb, Michelle, MNS (NP), BN; Parker, Christina, BN;
Abstract:
Background:  The incidence of skin tears, pressure ulcers and chronic wounds increases with age and is a serious issue in Residential Aged Care Facilities (RACFs). Although a large body of level I evidence exists for this area, there is a well known need for effective strategies to promote the implementation of evidence into practice. The Creating Champions for Skin Integrity (CSI) project introduced a range of evidence based strategies to facilitate the implementation of evidence based wound management.    

Aim:  This paper aims to report outcomes of an evaluation of the effectiveness of the CSI model of evidence based wound management on facilitating the uptake of evidence based wound care. The overall aim of the project was to implement sustainable evidence based wound management in RACFs and to enable staff to preserve skin integrity through application of evidence-based practice.

Methods:  Interviews and focus groups (n=76) were undertaken pre and post a six month implementation stage of the CSI model to obtain information on the effectiveness of the model and individual strategies within the model. These data were supported by data on evidence based management of wounds collected via a clinical and chart audit of a random sample of residents (n=200 pre-implementation, n=201 post-implementation) and pre and post staff surveys (n=126 pre-implementation, n=143 post-implementation) recruited from seven RACFs.

Results:  Analysis of data found increased levels of implementation of evidence based strategies to prevent and manage wounds in the post-implementation surveys in comparison to the pre-implementation surveys. Effective strategies included facilitating access to evidence based recommendations, development of clinical decision making tools, establishing networks for peer support and access to expertise, and multi-level teams of Champions.

This Project was funded by the Australian Government Department of Health and Ageing under the Encouraging Better Practice in Aged Care program.

Keywords:
translational research; wound management; evidence based practice
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleAn Evaluation of the Effectiveness of Strategies to Facilitate the Uptake of Evidence-Based Wound Management in Residential Aged Careen_GB
dc.contributor.authorFinlayson, Kathleenen_GB
dc.contributor.authorEdwards, Helen Ethelen_GB
dc.contributor.authorChang, Anne M.en_GB
dc.contributor.authorCourtney, Maryen_GB
dc.contributor.authorGibb, Michelleen_GB
dc.contributor.authorParker, Christinaen_GB
dc.author.detailsFinlayson, Kathleen, PhD, MNsg, BNsg, k.finlayson@qut.edu.au; Edwards, Helen Ethel, OAM, PhD, BA, (Hons), BA, DipApSc, RN; Chang, Anne M., RN, DipNEd, BEdSt (Hons), MEdSt, PhD; Courtney, Mary, PhD; Gibb, Michelle, MNS (NP), BN; Parker, Christina, BN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243325-
dc.description.abstractBackground:&nbsp; The incidence of skin tears, pressure ulcers and chronic wounds increases with age and is a serious issue in Residential Aged Care Facilities (RACFs). Although a large body of level I evidence exists for this area, there is a well known need for effective strategies to promote the implementation of evidence into practice. The Creating Champions for Skin Integrity (CSI) project introduced a range of evidence based strategies to facilitate the implementation of evidence based wound management.&nbsp;&nbsp;&nbsp;&nbsp; <p>Aim:&nbsp; This paper aims to report outcomes of an evaluation of the effectiveness of the CSI model of evidence based wound management on facilitating the uptake of evidence based wound care. The overall aim of the project was to implement sustainable evidence based wound management in RACFs and to enable staff to preserve skin integrity through application of evidence-based practice. <p>Methods:&nbsp; Interviews and focus groups (n=76) were undertaken pre and post a six month implementation stage of the CSI model to obtain information on the effectiveness of the model and individual strategies within the model. These data were supported by data on evidence based management of wounds collected via a clinical and chart audit of a random sample of residents (n=200 pre-implementation, n=201 post-implementation) and pre and post staff surveys (n=126 pre-implementation, n=143 post-implementation) recruited from seven RACFs. <p>Results:&nbsp; Analysis of data found increased levels of implementation of evidence based strategies to prevent and manage wounds in the post-implementation surveys in comparison to the pre-implementation surveys. Effective strategies included facilitating access to evidence based recommendations, development of clinical decision making tools, establishing networks for peer support and access to expertise, and multi-level teams of Champions. <p>This Project was funded by the Australian Government Department of Health and Ageing under the Encouraging Better Practice in Aged Care program.en_GB
dc.subjecttranslational researchen_GB
dc.subjectwound managementen_GB
dc.subjectevidence based practiceen_GB
dc.date.available2012-09-12T09:20:39Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:20:39Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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