An exploration of nursing documentation of pressure ulcer care in an acute setting in Ireland.

Hdl Handle:
http://hdl.handle.net/10147/207077
Title:
An exploration of nursing documentation of pressure ulcer care in an acute setting in Ireland.
Authors:
O Brien, J A Jordan; Cowman, S
Affiliation:
Beaumont Hospital, Dublin, Ireland. juliejordanobrien@beaumont.ie
Citation:
J Wound Care. 2011 May;20(5):197-8, 200, 202-3 passim.
Journal:
Journal of wound care
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207077
PubMed ID:
21647065
Abstract:
OBJECTIVE: To explore the nature and quality of documented care planning for pressure ulcers in a large teaching hospital in the Republic of Ireland. METHOD: A mixed method design was used; this encompassed a descriptive survey that retrospectively evaluated nursing records (n=85) in two wards (orthopaedic and care of the older adult) and a focus group (n=13) that explored nurses' perspectives of the factors influencing concordance and the quality of nursing documentation. Only records of at-risk patients (Waterlow score of >10) were included. RESULTS: It was identified that 47% (n=40) were assessed as at high or very high risk of developing a pressure ulcer. Fifty-two patients (61%) had a weekly risk assessment, but 25% (n=21) had only one follow-up assessment. Only 45% (n=38) of charts had some evidence of documented care planning, and of those 53% (n=20) had no evidence of implementation of the care plan and 66% (n=25) had no evidence of outcome evaluation. Only 48% (n=41) of this at-risk population was nutritionally assessed. Of patients admitted with and without a pressure ulcer, there was no record of regular positioning in 70% (n=59) and 60% (n=51) respectively. CONCLUSION: Documentation on pressure ulcer care is not standardised and requires development. Conflict of interest: None.
Language:
eng
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Attitude of Health Personnel; Hospitals, Teaching/methods; Humans; Ireland; Middle Aged; Nursing Evaluation Research; Nursing Records/*standards; Pressure Ulcer/*nursing; Process Assessment (Health Care); Young Adult
ISSN:
0969-0700 (Print); 0969-0700 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO Brien, J A Jordanen_GB
dc.contributor.authorCowman, Sen_GB
dc.date.accessioned2012-02-01T09:58:40Z-
dc.date.available2012-02-01T09:58:40Z-
dc.date.issued2012-02-01T09:58:40Z-
dc.identifier.citationJ Wound Care. 2011 May;20(5):197-8, 200, 202-3 passim.en_GB
dc.identifier.issn0969-0700 (Print)en_GB
dc.identifier.issn0969-0700 (Linking)en_GB
dc.identifier.pmid21647065en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207077-
dc.description.abstractOBJECTIVE: To explore the nature and quality of documented care planning for pressure ulcers in a large teaching hospital in the Republic of Ireland. METHOD: A mixed method design was used; this encompassed a descriptive survey that retrospectively evaluated nursing records (n=85) in two wards (orthopaedic and care of the older adult) and a focus group (n=13) that explored nurses' perspectives of the factors influencing concordance and the quality of nursing documentation. Only records of at-risk patients (Waterlow score of >10) were included. RESULTS: It was identified that 47% (n=40) were assessed as at high or very high risk of developing a pressure ulcer. Fifty-two patients (61%) had a weekly risk assessment, but 25% (n=21) had only one follow-up assessment. Only 45% (n=38) of charts had some evidence of documented care planning, and of those 53% (n=20) had no evidence of implementation of the care plan and 66% (n=25) had no evidence of outcome evaluation. Only 48% (n=41) of this at-risk population was nutritionally assessed. Of patients admitted with and without a pressure ulcer, there was no record of regular positioning in 70% (n=59) and 60% (n=51) respectively. CONCLUSION: Documentation on pressure ulcer care is not standardised and requires development. Conflict of interest: None.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshAttitude of Health Personnelen_GB
dc.subject.meshHospitals, Teaching/methodsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshNursing Evaluation Researchen_GB
dc.subject.meshNursing Records/*standardsen_GB
dc.subject.meshPressure Ulcer/*nursingen_GB
dc.subject.meshProcess Assessment (Health Care)en_GB
dc.subject.meshYoung Adulten_GB
dc.titleAn exploration of nursing documentation of pressure ulcer care in an acute setting in Ireland.en_GB
dc.contributor.departmentBeaumont Hospital, Dublin, Ireland. juliejordanobrien@beaumont.ieen_GB
dc.identifier.journalJournal of wound careen_GB
dc.description.provinceLeinster-
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