Related Experiment Video
Updated: Jan 27, 2026
06:51
Mouse Model of Pressure Ulcers After Spinal Cord Injury
Published on: March 9, 2019
10.1K
Preventing pressure ulcers in nursing homes using a care bundle: A feasibility study.
Jacqueline F Lavallée1,2, Trish A Gray1,2, Jo Dumville1,2
1Division of Nursing, Midwifery and Social Work, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Health & Social Care in the Community
|March 29, 2019
Summary
A new care bundle significantly reduced pressure ulcers in a nursing home by implementing skin inspection, support surfaces, and repositioning. This feasibility study shows the bundle is acceptable and effective for preventing pressure ulcers.
Area of Science:
- Gerontology
- Nursing Science
- Public Health
Background:
- Pressure ulcers are a significant concern in nursing homes, impacting patient quality of life and increasing healthcare costs.
- Existing prevention strategies may not be adequately implemented or tailored for the nursing home environment.
- A co-designed, theory-informed care bundle offers a potential solution for improving pressure ulcer prevention in this setting.
Purpose of the Study:
- To assess the feasibility and acceptability of a novel, theory-informed care bundle for pressure ulcer prevention in a nursing home.
- To evaluate the impact of the care bundle on staff prevention behaviors and pressure ulcer incidence.
- To identify areas for refinement and future implementation of the pressure ulcer prevention bundle.
Main Methods:
- A mixed-methods feasibility study using an uncontrolled, before-and-after design in one North of England nursing home.
- Quantitative data collection on staff prevention behaviors and pressure ulcer incidence over 14 weeks (5 weeks pre-implementation, 9 weeks post-implementation).
- Qualitative data collection through semi-structured interviews exploring adherence and experiences, guided by the Conceptual Framework for Implementation Fidelity and Theoretical Domains Framework.
Main Results:
- Prior to the bundle, 5 pressure ulcers developed; only repositioning was documented. Post-implementation, no pressure ulcers developed, and repositioning, skin inspection, and support surface checks were documented.
- Data collected for 462 resident bed days pre-bundle and 1,181 resident bed days during the intervention phase.
- Participants found the bundle enhanced care delivery and provided valuable feedback for improvement, despite highlighting feasibility challenges in recruitment, data collection, and implementation fidelity.
Conclusions:
- The co-designed pressure ulcer prevention care bundle is acceptable for use in nursing homes.
- The feasibility study demonstrated the potential of the intervention, with a notable reduction in pressure ulcers.
- Further development and refinement are necessary to address identified feasibility issues and optimize implementation fidelity for wider application.
Related Concept Videos
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
874
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
874
01:21Planning Nursing Care I
5.6K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.6K
01:29Planning Nursing Care II
3.6K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
3.6K
01:30Pneumonia V: Nursing management and Prevention
3.5K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.5K
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
567
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
567
01:30Acute Kidney Injury IV: Diagnostic Studies and Prevention
296
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
296