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Getting evidence-based pressure ulcer prevention into practice: a process evaluation of a multi-faceted intervention in a hospital setting
Clinical Training Centre, Region Gävleborg, Sweden; Centre for Research & Development, Uppsala University/Region Gävleborg; Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Sweden.
Centre for Research & Development, Uppsala University/Region Gävleborg.
Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Sweden.
Högskolan i Gävle, Akademin för hälsa och arbetsliv, Avdelningen för hälso- och vårdvetenskap, Medicin- och vårdvetenskap. Department of Public Health and Caring Sciences, Caring Sciences, Uppsala University, Sweden.
2017 (engelsk)Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, nr 19-20, s. 3200-3211Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

AIM:

The aim of the present study was to describe registered nurses', assistant nurses' and first-line managers' experiences and perceptions of a multi-faceted hospital setting intervention focused on implementing evidence-based pressure ulcer prevention.

BACKGROUND:

Pressure ulcer prevention is deficient. Different models exist to support implementation of evidence-based care. Little is known about implementation processes.

DESIGN:

A descriptive qualitative approach.

METHOD:

Five focus-group nurse interviews and five individual first-line manager interviews were conducted at five Swedish hospital units. Qualitative content analysis was used.

RESULT:

The findings support that the intervention and the implementation process changed the understanding and way of working with pressure ulcer prevention: from treating to preventing. This became possible as 'Changed understanding enables changed actions - through one's own performance and reflection on pressure ulcer prevention'. Having a common outlook on pressure ulcer prevention, easy access to pressure-reducing equipment, and external and internal facilitator support were described as important factors for changed practices. Bedside support, feedback and discussions on current results increased the awareness of needed improvements.

CONCLUSION:

The multi-faceted intervention approach and the participants' positive attitudes seemed to be crucial for changing understanding and working more preventatively. The strategies used and the skills of the facilitators need to be tailored to the problems surrounding the context. Feed-back discussions among the staff regarding the results of the care provided also appear to be vital.

sted, utgiver, år, opplag, sider
2017. Vol. 26, nr 19-20, s. 3200-3211
Emneord [en]
hospital, implementation, pressure ulcer prevention, qualitative research
HSV kategori
Identifikatorer
URN: urn:nbn:se:hig:diva-22762DOI: 10.1111/jocn.13668ISI: 000410546400035PubMedID: 27875015Scopus ID: 2-s2.0-85016508327OAI: oai:DiVA.org:hig-22762DiVA, id: diva2:1046762
Merknad

Funding agencies:

Centre for Research & Development, Uppsala University/Country Council of GävleborgUppsala-Örebro Regional Research Council in Sweden 

Tilgjengelig fra: 2016-11-15 Laget: 2016-11-15 Sist oppdatert: 2018-03-13bibliografisk kontrollert

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