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Systemwide Practice Change Program to Combat Hospital-Acquired Pressure Injuries: Translating Knowledge Into Practice
Michelle Barakat-Johnson1, Michelle Lai, Timothy Wand
1Sydney Local Health District, Camperdown, Sydney, Australia (Ms Barakat-Johnson and Drs Wand and White); Faculty of Medicine and Health, Susan Wakil School of Nursing, University of Sydney, Camperdown, Sydney, Australia (Mss Barakat-Johnson and Lai and Drs Wand and White); Emergency Department, Royal Prince Alfred Hospital, Sydney Local Health District, Camperdown, Australia (Dr Wand); and School of Nursing, Queensland University of Technology and Intensive Care Services, Royal Brisbane and Women's Hospital, Kelvin Grove, Queensland, Australia, and Institute for Skin Integrity and Infection Prevention, University of Huddersfield, UK (Dr Coyer).
Implementing evidence-based practices using the Promoting Action on Research Implementation in Health Services (PARiHS) framework significantly reduced hospital-acquired pressure injuries (HAPIs) and improved patient care.
Area of Science:
- Healthcare implementation science
- Clinical practice improvement
- Patient safety research
Background:
- Evidence-based strategies for preventing hospital-acquired pressure injuries (HAPIs) are established.
- Implementation processes significantly impact the effectiveness of these strategies.
Purpose of the Study:
- To address a 60% increase in HAPIs within an Australian health district over five years.
- To report on systemwide practice changes implemented using the PARiHS framework.
Main Methods:
- Utilized the Promoting Action on Research Implementation in Health Services (PARiHS) framework.
- Considered evidence, context, and facilitation in addressing HAPIs.
- Focused on people, processes, and learnings from implementation.
Main Results:
- Achieved a significant decrease in pressure injuries.
- Facilitated positive practice change leading to improved patient outcomes.
- Demonstrated a shorter timeframe for positive outcomes compared to previous strategies.
Conclusions:
- PARiHS-guided processes enhanced evidence translation into clinical practice.
- Clinicians were positively supported in promoting optimal patient care.
- The implemented approach is transferable to other healthcare settings.
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