Nurses' perceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study

Shelley Roberts; Elizabeth McInnes; Marianne Wallis; Tracey Bucknall; Merrilyn Banks; Wendy Chaboyer

doi:10.1186/s12912-016-0188-9

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Nurses' perceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study

Journal article

Open access

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Nurses' perceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study

Shelley Roberts, Elizabeth McInnes, Marianne Wallis, Tracey Bucknall, Merrilyn Banks and Wendy Chaboyer

BMC Nursing, Vol.15, 64

2016

DOI: https://doi.org/10.1186/s12912-016-0188-9

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Abstract

care bundle

evidence-based practice

implementation science

knowledge translation

nurses

patient engagement

patient participation

pressure injury prevention

pressure ulcer prevention

process evaluation

Background: Pressure ulcer prevention is a critical patient safety indicator for acute care hospitals. An innovative pressure ulcer prevention care bundle targeting patient participation in their care was recently tested in a cluster randomised trial in eight Australian hospitals. Understanding nurses' perspectives of such an intervention is imperative when interpreting results and translating evidence into practice. As part of a process evaluation for the main trial, this study assessed nurses' perceptions of the usefulness and impact of a pressure ulcer prevention care bundle intervention on clinical practice. Methods: This qualitative descriptive study involved semi-structured interviews with nursing staff at four Australian hospitals that were intervention sites for a cluster randomised trial testing a pressure ulcer prevention care bundle. Four to five participants were purposively sampled at each site. A trained interviewer used a semi-structured interview guide to question participants about their perceptions of the care bundle. Interviews were digitally recorded, transcribed and analysed using thematic analysis. Results: Eighteen nurses from four hospitals participated in the study. Nurses' perceptions of the intervention are described in five themes: 1) Awareness of the pressure ulcer prevention care bundle and its similarity to current practice; 2) Improving awareness, communication and participation with the pressure ulcer prevention care bundle; 3) Appreciating the positive aspects of patient participation in care; 4) Perceived barriers to engaging patients in the pressure ulcer prevention care bundle; and 5) Partnering with nursing staff to facilitate pressure ulcer prevention care bundle implementation. Conclusions: Overall, nurses found the care bundle feasible and acceptable. They identified a number of benefits from the bundle, including improved communication, awareness and participation in pressure ulcer prevention care among patients and staff. However, nurses thought the care bundle was not appropriate or effective for all patients, such as those who were cognitively impaired. Perceived enablers to implementation of the bundle included facilitation through effective communication and dissemination of evidence about the care bundle; strong leadership and ability to influence staff behaviour; and simplicity of the care bundle.

Details

Title: Nurses' perceptions of a pressure ulcer prevention care bundle: a qualitative descriptive study
Authors: Shelley Roberts (Author) - Griffith University
Elizabeth McInnes (Author) - Australian Catholic University
Marianne Wallis (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Tracey Bucknall (Author) - Deakin University
Merrilyn Banks (Author) - Royal Brisbane and Women's Hospital
Wendy Chaboyer (Author) - Griffith University
Publication details: BMC Nursing, Vol.15, 64; 10
Publisher: BioMed Central Ltd.
Date published: 2016
DOI: 10.1186/s12912-016-0188-9
ISSN: 1472-6955
Copyright note: Copyright © The Author(s). 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated
Organisation Unit: University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99451080202621
Output Type: Journal article

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