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Metas de Enfermería

Metas de Enfermería

FEBRERO 2023 N° 1 Volumen 26

Implementation of the clinical practice guideline “Risk assessment and prevention of pressure ulcers for interprofessional teams”

Section: Originals

How to quote

Romero Navarro A, Quiñoz Gallardo MD, Herrera Espiñeira C, Barrientos Trigo S, Porcel Gálvez AM. Implantación de la guía de práctica clínica Valoración y manejo de las lesiones por presión para equipos interprofesionales. Metas Enferm feb 2023; 26(1):7-14. Doi: https://doi.org/10.35667/MetasEnf.2023.26.1003082043

Authors

Andrea Romero Navarro1, María Dolores Quiñoz Gallardo2, Carmen Herrera Espiñeira3, Sergio Barrientos Trigo4, Ana María Porcel Gálvez4

Position

1Grado de Enfermería. Hospital Universitario Virgen de las Nieves. Granada (España)2Grado de Enfermería. Hospital Universitario Virgen de las Nieves. Granada (España). Departamento de Enfermería. Universidad de Granada. Grupo de investigación Ee-12 Hygia adscrito al Instituto de Investigación Biosanitaria (IBS. Granada). Granada (España)3Doctora en Enfermería. Departamento de Enfermería. Universidad de Granada. Grupo de investigación Ee-12 Hygia adscrito al Instituto de Investigación Biosanitaria (IBS. Granada). Granada (España)4Doctor/a en Enfermería. Departamento de Enfermería. Universidad de Sevilla. Grupo de investigación CTS-1050 Cuidados Complejos, Cronicidad y Resultados en Salud adscrito al Instituto de Biomedicina (IBIS. Sevilla). Sevilla (España)

Contact address

María Dolores Quiñoz Gallardo. C/ Río Miño, 117. Urb. San Javier-Híjar. 18110 Las Gabias, Granada (España).

Contact email: mariad.quinoz.sspa@juntadeandalucia.es

Abstract

Objectives: to assess the implementation of the guideline "Risk assessment and prevention of pressure ulcers (PU) for interprofessional teams” by the Registered Nurses' Association of Ontario (RNAO®) at the Hospital Universitario Virgen de las Nieves (Granada, Spain), with the objective of identifying any improvements made in professional training, in the care process, and in the health outcomes for patients with PU.
Method: a descriptive longitudinal retrospective study (2018-2022). Variables: training given, materials prepared, age, gender, risk assessment for PU, specific care plan, use of a special surface for pressure management, previous and new PU, PU categories, PU healing, and hospitalization days.
Results: training went from three activities and 86 attendees to 16 activities and 229 attendees, and nine support materials were prepared. Risk assessment and care plan were applied to >88% of the sample. The use of special surfaces was reduced to 57.1% in 2021; 49.2% of patients presented a new lesion during their hospital stay, with Category II as the predominant; 42.6% of the lesions treated presented healing signs.
Conclusions: the implementation has represented an increase in training activities for updating the knowledge regarding methodology for evidence implementation and in PU management. The process of care for patients with PU is conducted following only some of the recommendations in the guideline, and an improvement is required. There are signs pointing to a reduction in the number of hospital PU.

Keywords:

Pressure ulcer; best practice guidelines; evidence based practice; knowledge translation; implementation science

Versión en Español

Título:

Implantación de la guía de práctica clínica Valoración y manejo de las lesiones por presión para equipos interprofesionales

Artículo completo no disponible en este idioma / Full article is not available in this language

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