Preventing pressure ulcers in nursing homes using a care bundle
A feasibility study
Bibliographic Data
| ID | 12290290 |
|---|---|
| Authors | Jacqueline F Lavallée (0000-0003-2858-8996, Division of Nursing, Midwifery and Social Work University of Manchester, Manchester Academic Health Science Centre Manchester UK, corresponding author), T A Gray (0000-0002-8088-0698, Manchester Academic Health Science Centre), Jo C Dumville (0000-0002-6546-3685, Manchester Academic Health Science Centre), Jo Dumville (Division of Nursing, Midwifery and Social Work University of Manchester, Manchester Academic Health Science Centre Manchester UK), Nicky Cullum (0000-0003-2631-123X, Division of Nursing, Midwifery and Social Work University of Manchester, Manchester Academic Health Science Centre Manchester UK) |
| Year | 2019 |
| Volume | 27 |
| Issue | 4 |
| Pages | e417-e427 |
| Publication date | 2019-03-27 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health & Social Care in the Community (JOURNAL) |
| Journal identifiers | ISSN: 0966-0410 • E-ISSN: 1365-2524 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/hsc.12742 |
| PMID | 30919525 |
| OpenAlex | W2933346202 |
| Language | EN |
| Citations received | 1 |
| References cited | 29 |
Pressure ulcers can be painful and negatively affect health-related quality of life and healthcare costs. Many people living in nursing homes are at risk of developing a pressure ulcer. Nursing home staff, tissue viability nurses and researchers have co-designed the first theory and evidence-informed care bundle specifically for nursing homes, which consists of three prevention practices (skin inspection, support surfaces, repositioning) and a range of behaviour change techniques to promote these practices. We conducted a mixed methods feasibility study of the use of this care bundle in one nursing home in the North of England using an uncontrolled, before-and-after study design. We collected quantitative data on pressure ulcer prevention behaviours of the nursing home staff and pressure ulcer incidence rates for 5 weeks prior to implementing the bundle. Data collection continued for a further 9 weeks during the bundle implementation phase. We explored adherence to the bundle and participants' experiences of using it. The Conceptual Framework for Implementation Fidelity and the Theoretical Domains Framework informed the semi-structured interviews. Quantitative and qualitative data were analysed using descriptive statistics and deductive framework analysis respectively. We collected data for 462 resident bed days prior to implementing the bundle; five new pressure ulcers were recorded and repositioning was the only documented pressure ulcer prevention behaviour. We collected data for 1,181 resident bed days during the intervention phase; no new pressure ulcers developed and the documented prevention behaviours included repositioning, skin inspection and checking support surfaces. Participants reported that the bundle enhanced the care they delivered and offered suggestions for future improvements. Our findings have highlighted a number of feasibility issues surrounding recruitment and retention, collecting data and implementation fidelity. A pressure ulcer prevention bundle specifically designed for nursing homes was acceptable. The feasibility work has highlighted the potential for the intervention and the areas that require development and refinement
Bundle · Data collection · Health care · Intervention (counseling · Qualitative research · Health Policy Implementation Science · Medicine · Musculoskeletal pain and rehabilitation · Nursing · Pressure Ulcer Prevention and Management
Are interventions theory-based? Development of a theory coding scheme.
Acceptability of healthcare interventions
Validation of the theoretical domains framework for use in behaviour change and implementation research
Knowledge translation of research findings
A conceptual framework for implementation fidelity
Making psychological theory useful for implementing evidence based practice
Using the framework method for the analysis of qualitative data in multi-disciplinary health research
Developing and evaluating complex interventions
The nominal group as a research instrument for exploratory health studies
The Behavior Change Technique Taxonomy (v1) of 93 Hierarchically Clustered Techniques
| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |