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Healthy Skin Wins: A Glowing Pressure Ulcer Prevention Program That Can Guide Evidence-Based Practice.

Donna Martin1, Lisa Albensi2, Stephanie Van Haute3

  • 1Xi Lambda, Associate Professor, University of Manitoba, Rady Faculty of Health Sciences, College of Nursing, Winnipeg, Manitoba, Canada.

Worldviews on Evidence-Based Nursing
|July 30, 2017
PubMed
Summary

A pressure ulcer prevention program significantly reduced hospital-acquired pressure ulcer prevalence from 34.3% to 7.53%. Educational initiatives improved staff knowledge, though further research is needed on online tutorial effectiveness.

Keywords:
evidence-based practicemixed methodson-line tutorialpressure injurypressure ulcerpressure ulcer prevention

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Area of Science:

  • Healthcare Management
  • Patient Safety
  • Nursing Research

Background:

  • Initial pressure ulcer (PU) prevalence in community hospital in-patients was 34.3% (n=242) in 2013.
  • An evidence-based pressure ulcer prevention program (PUPP) was implemented, including a "Healthy Skin Wins" campaign and online PU prevention tutorial.

Purpose of the Study:

  • To assess the PUPP's effectiveness in reducing PU prevalence.
  • To evaluate the online tutorial's impact on hospital staff's PU prevention knowledge.
  • To explore frontline staff's perceptions of the PUPP.

Main Methods:

  • Mixed methods study combining observational surveys and pre-test/post-test design.
  • Repeat observational surveys (n=239) measured PU prevalence before and after PUPP implementation.
  • Qualitative interviews explored perspectives of nurses, allied health professionals, and healthcare aides.

Main Results:

  • PU prevalence significantly decreased to 7.53% (p < .001).
  • The online tutorial significantly increased staff knowledge scores (n=80).
  • Key themes from staff interviews included the need for comprehensive strategies and identified resource gaps.

Conclusions:

  • Evidence-based PU prevention programs effectively reduce in-patient PU prevalence.
  • A multidisciplinary approach and targeted educational tools are crucial for effective PU prevention.
  • Further research is recommended to validate the online tutorial's impact due to a small sample size.