Implementation of a two-part unit-based multiple intervention: moving evidence-based practice into action
Judy Rashotte1, Margot Thomas, Diane Grégoire
1Children's Hospital of Eastern Ontario, Ottawa, Canada. rashotte@cheo.on.ca
Summary
A pediatric critical care nursing intervention improved adherence to pressure ulcer prevention guidelines, specifically in risk assessment and documentation. These improvements showed potential for sustained use six months post-intervention.
Area of Science:
- Nursing
- Clinical Practice
- Quality Improvement
Background:
- Pediatric critical care nurses face challenges implementing best practice guidelines for pressure ulcer prevention.
- Effective strategies are needed to improve adherence to evidence-based practices in this setting.
Purpose of the Study:
- To evaluate a 2-part unit-based intervention's impact on pediatric critical care nurses' use of pressure ulcer prevention guidelines.
- To determine if improvements in evidence-based practices are sustained 6 months post-intervention.
Main Methods:
- A repeated-measures design was used with 23 nurses pre- and post-intervention.
- Interventions included educational and innovative components.
- Outcomes measured nurses' use of 11 recommended practices.
Main Results:
- Significant improvements were observed in risk assessment using an age-appropriate tool (p < 0.001).
- Significant improvements were also noted in the documentation of risk assessment (p < 0.001).
- These practice changes demonstrated potential for sustained use at 6 months.
Conclusions:
- A multi-component intervention can enhance specific evidence-based practices for pressure ulcer prevention in pediatric critical care.
- Sustained implementation of complex guidelines presents ongoing challenges in clinical practice.
- Further research is needed to optimize knowledge translation strategies for best practice guideline adherence.
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