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Pressure ulcer risk assessment-registered nurses´ experiences of using PURPOSE T: A focus group study
Lisa Hultin1,2, Lena Gunningberg1,2, Susanne Coleman3
1Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Aim:
To evaluate the clinical usability of PURPOSE T among registered nurses in Sweden.
Background:
Pressure ulcers are an adverse event and a problem worldwide. Risk assessment is a cornerstone, and a first step in pressure ulcer prevention is to identify possible risk patients and/or pressure ulcers. There are many pressure ulcer risk assessment instruments; however, they are not updated and/or evidence-based. PURPOSE T has been psychometrically evaluated in the UK and in Sweden with good inter-rater and test-retest reliability, and convergent validity was reported as moderate.
Design:
A descriptive study design with a qualitative approach.
Methods:
A total of six focus group interviews with 29 registered nurses were conducted. They were recruited from May 2018 to November 2018 from a university hospital and two nursing homes in Sweden. Data analysis was performed as described by Krueger. The study adheres to the COREQ guidelines.
Results:
Four categories were identified: "An efficient risk assessment instrument performed at the bedside," "Deeper understanding and awareness of risk factors," "Benefits compared to the Modified Norton Scale" and "Necessity of integration of PURPOSE T in the electronic health record and team collaboration."
Conclusion:
The registered nurses acknowledged an overall positive perception of PURPOSE T´s clinical usability. Future research is needed to evaluate the feasibility of PURPOSE T.
Relevance To Clinical Practice:
PURPOSE T has the potential to replace outdated pressure ulcers risk assessment instruments that are used today.
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