A review of PU risk assessment and prevention in Scandinavia, Iceland and Ireland (Part II)
• Objective:To provide a critical appraisal of nurses risk assessment and pressure ulcer (PU) preventive practices across scandinavia, Iceland and Ireland. • Method:An integrative research review following Cooper's five stages. Studies published in peer-reviewed journals, involving any study de...
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Mark Allen Group
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Online Access: | http://dx.doi.org/10.12968/jowc.2013.22.8.423 http://www.magonlinelibrary.com/doi/pdf/10.12968/jowc.2013.22.8.423 |
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crmarkallen:10.12968/jowc.2013.22.8.423 2024-06-23T07:53:58+00:00 A review of PU risk assessment and prevention in Scandinavia, Iceland and Ireland (Part II) Moore, Z. Johansen, E. van Etten, M. 2013 http://dx.doi.org/10.12968/jowc.2013.22.8.423 http://www.magonlinelibrary.com/doi/pdf/10.12968/jowc.2013.22.8.423 en eng Mark Allen Group Journal of Wound Care volume 22, issue 8, page 423-431 ISSN 0969-0700 2052-2916 journal-article 2013 crmarkallen https://doi.org/10.12968/jowc.2013.22.8.423 2024-06-06T04:16:34Z • Objective:To provide a critical appraisal of nurses risk assessment and pressure ulcer (PU) preventive practices across scandinavia, Iceland and Ireland. • Method:An integrative research review following Cooper's five stages. Studies published in peer-reviewed journals, involving any study design, but specifically exploring PU risk assessment or preventative practices, in any care setting, were included. • Results:Risk assessment practice was primarily investigated in the acute care setting and was found to be irregular, based on both numeric scales and clinical judgments. This irregular practice means that some vulnerable patients are not screened for pressure ulcer risk, conversely, when risk assessed, a care plan is not necessarily provided. A significant gap in nurse documentation, together with a lack of supporting evidence for repositioning and use of appropriate redistribution devices was also identified, indicating a lack of a standardised approach to pressure ulcer prevention. • Conclusion:Despite an abundance of literature exploring this subject, it is clear that current practice in pressure ulcer prevention is not embedded within best practice recommendations. Therefore, to address the potential patient safety implications, clinical practice could benefit from exploration and identification of practical methods for improving actual pressure ulcer preventive practice. • Declaration of interest:This work is partly funded by a research grant from the Norwegian College of Nursing (Norsk Sykepleierforbund NSF) in 2012. The authors have no conflict of interest to declare. Article in Journal/Newspaper Iceland Mark Allen Journal of Wound Care 22 8 423 431 |
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description |
• Objective:To provide a critical appraisal of nurses risk assessment and pressure ulcer (PU) preventive practices across scandinavia, Iceland and Ireland. • Method:An integrative research review following Cooper's five stages. Studies published in peer-reviewed journals, involving any study design, but specifically exploring PU risk assessment or preventative practices, in any care setting, were included. • Results:Risk assessment practice was primarily investigated in the acute care setting and was found to be irregular, based on both numeric scales and clinical judgments. This irregular practice means that some vulnerable patients are not screened for pressure ulcer risk, conversely, when risk assessed, a care plan is not necessarily provided. A significant gap in nurse documentation, together with a lack of supporting evidence for repositioning and use of appropriate redistribution devices was also identified, indicating a lack of a standardised approach to pressure ulcer prevention. • Conclusion:Despite an abundance of literature exploring this subject, it is clear that current practice in pressure ulcer prevention is not embedded within best practice recommendations. Therefore, to address the potential patient safety implications, clinical practice could benefit from exploration and identification of practical methods for improving actual pressure ulcer preventive practice. • Declaration of interest:This work is partly funded by a research grant from the Norwegian College of Nursing (Norsk Sykepleierforbund NSF) in 2012. The authors have no conflict of interest to declare. |
format |
Article in Journal/Newspaper |
author |
Moore, Z. Johansen, E. van Etten, M. |
spellingShingle |
Moore, Z. Johansen, E. van Etten, M. A review of PU risk assessment and prevention in Scandinavia, Iceland and Ireland (Part II) |
author_facet |
Moore, Z. Johansen, E. van Etten, M. |
author_sort |
Moore, Z. |
title |
A review of PU risk assessment and prevention in Scandinavia, Iceland and Ireland (Part II) |
title_short |
A review of PU risk assessment and prevention in Scandinavia, Iceland and Ireland (Part II) |
title_full |
A review of PU risk assessment and prevention in Scandinavia, Iceland and Ireland (Part II) |
title_fullStr |
A review of PU risk assessment and prevention in Scandinavia, Iceland and Ireland (Part II) |
title_full_unstemmed |
A review of PU risk assessment and prevention in Scandinavia, Iceland and Ireland (Part II) |
title_sort |
review of pu risk assessment and prevention in scandinavia, iceland and ireland (part ii) |
publisher |
Mark Allen Group |
publishDate |
2013 |
url |
http://dx.doi.org/10.12968/jowc.2013.22.8.423 http://www.magonlinelibrary.com/doi/pdf/10.12968/jowc.2013.22.8.423 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Journal of Wound Care volume 22, issue 8, page 423-431 ISSN 0969-0700 2052-2916 |
op_doi |
https://doi.org/10.12968/jowc.2013.22.8.423 |
container_title |
Journal of Wound Care |
container_volume |
22 |
container_issue |
8 |
container_start_page |
423 |
op_container_end_page |
431 |
_version_ |
1802645890338390016 |