Related Experiment Video
Updated: Jan 23, 2026
10:40
Homing of Hematopoietic Cells to the Bone Marrow
Published on: March 18, 2009
30.0K
Preventing pressure injury in nursing homes: developing a care bundle using the Behaviour Change Wheel
Jacqueline F Lavallée1, Trish A Gray2, Jo C Dumville1
1Division of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK.
BMJ Open
|June 6, 2019
Summary
This study developed a pressure injury prevention care bundle for nursing homes, incorporating evidence-based practices and behavior change strategies. The bundle focuses on support surfaces, skin inspection, and repositioning to improve patient outcomes.
Area of Science:
- Nursing Science
- Healthcare Management
- Public Health
Background:
- Pressure injuries are a significant concern in nursing home settings, impacting patient well-being and healthcare costs.
- Existing prevention strategies require optimization through evidence-informed and theory-driven approaches.
Purpose of the Study:
- To develop a theory and evidence-informed pressure injury prevention care bundle tailored for nursing home environments.
- To collaborate with nurse specialists and care staff to ensure practical applicability and effectiveness.
Main Methods:
- A multistaged, theoretically driven development process using the Behaviour Change Wheel.
- Identification of evidence-informed practices and stakeholder consultation to define target behaviors.
- Exploration of barriers and facilitators to prevention activities among healthcare workers.
Main Results:
- The care bundle integrates three key target behaviors: support surfaces, skin inspection, and repositioning.
- Capability, opportunity, and motivation were identified as key influencing factors.
- Intervention functions (education, training, modeling) and specific behavior change techniques were incorporated.
Conclusions:
- This is the first pressure injury prevention care bundle for nursing homes developed using the Behaviour Change Wheel.
- Stakeholder involvement ensured the prioritization of relevant target behaviors for effective pressure injury prevention.
Related Concept Videos
02:32Le Chatelier's Principle: Changing Volume (Pressure)
40.3K
For gas-phase equilibria, changes in the concentrations of reactants and products can occur with altered volume and pressure. The partial pressure, P, of an ideal gas is proportional to its molar concentration, M.
40.3K
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
01:21Planning 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
01:20Acute Kidney Injury V: Interprofessional Care
307
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
307
01:22Acute Kidney Injury VI: Nursing Management
418
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
418