Quality improvement, research, and evidence-based practice: 5 years experience with pressure ulcers

Quality improvement, research, and evidence-based practice: 5 years experience with pressure ulcers

Skincare, a fundamental component of basic patient care, reflects on the overall quality of care that a patient receives in hospital. Quality care aimed at preventing and minimising skin breakdown and pressure ulcers has been identified as a nursing research priority. During the past 5 years, we have undertaken a large research utilisation effort focused on skincare and pressure ulcers involvin...

A Reflection on Research, Theory, Evidence-based Practice, and Quality Improvement

Reducing hospital-acquired pressure ulcers: a quality improvement project across 21 hospitals.

A quality improvement initiative across 21 hospitals incorporated a multidisciplinary approach, breakthrough collaborative methods, evidence-based improvement methods and care guidelines, front-line rapid improvement cycles, consistent process-of-care documentation, and real-time incidence data. Statistically significant decreases in both all-stage and stages III, IV, and unstageable hospital-a...

Footwear and offloading interventions to prevent and heal diabetic foot ulcers: Adapted IWGDF guidance

Introduction: Foot ulcer is one of the greatest complications of diabetes. If there is no effective pressure reduction in the ulcer, healing may be delayed. In this regard, the use of offloading methods for the prevention and treatment of foot ulcers in diabetic patients is known as a common therapeutic approach. Since evidence-based recommendations should be considered for the use of the above...

Using statistical process control for monitoring the prevalence of hospital-acquired pressure ulcers.

Institutionally acquired pressure ulcers are used as outcome indicators to assess the quality of pressure ulcer prevention programs. Determining whether quality improvement projects that aim to decrease the proportions of institutionally acquired pressure ulcers lead to real changes in clinical practice depends on the measurement method and statistical analysis used. To examine whether nosocomi...