Understanding nurses' views on a pressure ulcer prevention care bundle: a first step towards successful...

Area of Science:

• Nursing
• Patient Care
• Quality Improvement

Background:

• Pressure ulcer prevention strategies are inconsistently implemented.
• Care bundles can standardize care and improve implementation.
• A new patient-centred pressure ulcer prevention care bundle was developed.

Purpose of the Study:

• To explore nurses' views on the barriers and facilitators to using a new patient-centred pressure ulcer prevention care bundle.
• To understand how to best integrate the care bundle into routine nursing practice.

Main Methods:

• A quality improvement project was conducted.
• 20 nurses participated in short, conversational interviews.
• Inductive content analysis was used to analyze interview transcripts.

Main Results:

• Five key themes emerged: increasing awareness, prompting prevention activities, promoting patient participation, identifying barriers, and enabling integration.
• Nurses identified factors that both hindered and helped the use of the care bundle.
• The analysis highlighted the importance of both patient and nurse engagement.

Conclusions:

• Patient-centred care bundles can prompt prevention strategies and enhance patient participation.
• Successful implementation requires patient willingness to participate and nurse adoption into routine practice.
• Care bundles may lead to more consistent pressure ulcer prevention and active patient involvement.