Abstract:
RATIONALE, AIMS AND OBJECTIVES:Annual national prevalence surveys have been conducted in the Netherlands over the past 10 years and have revealed high prevalence rates in Dutch nursing homes. Pressure ulcer guideline implementation is one of the factors that can influence prevalence rates. Previous research has shown that these guidelines are often only partly implemented in Dutch nursing homes. Reasons for this lack of pressure ulcer guideline implementation are not known. Therefore, the aim of this study is to investigate the current situation regarding pressure ulcer guideline dissemination and implementation in Dutch nursing homes. METHODS:Semi-structured interviews were conducted in eight nursing homes in the Netherlands from January till December 2008. In each nursing home, interviews were held with eight persons. RESULTS:The implementation of pressure ulcer guidelines was lacking in some of the nursing homes. Risk assessment scales were often not used in practice, repositioning schemes were not always available and, when they were, they were often not used in practice. Knowledge about guideline recommendations was also lacking and pressure ulcer education was inadequate. Barriers to applying guideline recommendations in practice were mostly related to personnel and communication. CONCLUSIONS:The implementation of pressure ulcer guidelines does not seem to be successful in all nursing homes and needs more attention. Barriers mentioned by the interviewees in applying guideline recommendations need to be addressed. Providing adequate education for nursing home staff and increasing attention for pressure ulcer care can be the first steps in improving the implementation of pressure ulcer guidelines.
journal_name
J Eval Clin Practjournal_title
Journal of evaluation in clinical practiceauthors
Meesterberends E,Halfens RJ,Lohrmann C,Schols JM,de Wit Rdoi
10.1111/j.1365-2753.2010.01487.xsubject
Has Abstractpub_date
2011-08-01 00:00:00pages
705-12issue
4eissn
1356-1294issn
1365-2753pii
JEP1487journal_volume
17pub_type
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