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Successful factors to prevent pressure ulcers: an interview study
Skåne University Hospital, Lund, Sweden.ORCID iD: 0000-0002-6114-6535
Department of Public Health and Caring Sciences, Uppsala University and Uppsala University Hospital, Uppsala, Sweden.
Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV). Skane University Hospital, Malmö, Sweden.ORCID iD: 0000-0002-9300-6422
Department of Health Sciences, Karlstad University, Karlstad, Sweden; County Council of Värmland, Karlstad, Sweden.
2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 1-2, p. 182-189Article in journal (Refereed) Published
Abstract [en]

Aims and objectives. To explore successful factors to prevent pressure ulcers in hospital settings. Background. Pressure ulcer prevalence has been recognised as a quality indicator for both patient safety and quality of care in hospital and community settings. Most pressure ulcer can be prevented if effective measures are implemented and evaluated. The Swedish Association of Local Authorities and Regions initiated nationwide pressure ulcer prevalence studies in 2011. In 2014, after four years of measurement, the prevalence was still unacceptably high on a national level. The mean prevalence of pressure ulcer in the spring of 2014 was 14% in hospital settings with a range from 2.7-36.4%. Design. Qualitative semistructured interviews were conducted. Methods. A qualitative content analysis, in addition to Promoting Action on Research Implementation in Health Services frameworks, was used in the analysis of the data text. Individual interviews and focus groups were used to create opportunities for both individual responses and group interactions. The study was conducted at six hospitals during the fall of 2014. Results. Three main categories were identified as successful factors to prevent pressure ulcer in hospitals: creating a good organisation, maintaining persistent awareness and realising the benefits for patients. Conclusion. The goal for all healthcare personnel must be delivering high-quality, sustainable care to patients. Prevention of pressure ulcer is crucial in this work. It seems to be easier for small hospitals (with a low number of units/beds) to develop and sustain an effective organisation in prevention work. Relevance to clinical practice. The nurse managers' attitude and engagement are crucial to enable the personnel to work actively with pressure ulcer prevention. Strategies are proposed to advance clinical leadership, knowledge, skills and abilities for the crucial implementation of pressure ulcer prevention.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017. Vol. 26, no 1-2, p. 182-189
Keywords [en]
evidence-based practice, leadership, nurse's responsibilities, pressure ulcer, qualitative study, quality and safety, work organisation
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-14848DOI: 10.1111/jocn.13465ISI: 000396472700017PubMedID: 27378536Scopus ID: 2-s2.0-85006375097Local ID: 23486OAI: oai:DiVA.org:mau-14848DiVA, id: diva2:1418369
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-06-17Bibliographically approved

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Hommel, AmiIdvall, Ewa

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