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The effectiveness of a pressure injury prevention program for nursing assistants in private for-profit nursing homes: A cluster randomized controlled trial.

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A pressure ulcer prevention programme specially designed for nursing homes: does it work?

Enid W-Y Kwong¹, Ada T-Y Lau, Rainbow L-P Lee

¹School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China. hsenid@inet.polyu.edu.hk

Journal of Clinical Nursing

|August 23, 2011

Summary

This summary is machine-generated.

A nursing home pressure ulcer prevention program improved staff knowledge and skills, significantly reducing pressure ulcer rates. The program was feasible and well-received, though nurses noted increased workload with the modified Braden scale.

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Area of Science:

Gerontology
Nursing
Public Health

Background:

No established pressure ulcer prevention protocol exists for long-term care settings.
A novel pressure ulcer prevention program was developed specifically for nursing homes.

Purpose of the Study:

To evaluate the feasibility and impact of a nursing home pressure ulcer prevention program.
To assess the program's effect on care staff knowledge, skills, and pressure ulcer reduction.

Main Methods:

A quasi-experimental pretest and post-test design was employed.
Participants included 41 non-licensed care providers and 11 nurses.
Evaluations included knowledge/skills assessments, pressure ulcer prevalence/incidence recording, and focus group interviews.

Main Results:

Significant improvements in non-licensed care providers' knowledge and skills were observed.
Pressure ulcer prevalence decreased from 9.2% to 2.5%, and incidence from 2.5% to 0.8%.
Staff motivation and communication improved, but nurses reported increased workload with the modified Braden scale.

Conclusions:

The developed pressure ulcer prevention program is feasible, acceptable, and demonstrates positive impacts and outcomes in a nursing home setting.
Findings support program modification for future effectiveness evaluation via randomized controlled trials.