دورية أكاديمية
أعرض في EDS

Effects of a pressure-ulcer audit and feedback regional programme at 1 and 2 years in nursing homes: A prospective longitudinal study.

التفاصيل البيبلوغرافية
العنوان: Effects of a pressure-ulcer audit and feedback regional programme at 1 and 2 years in nursing homes: A prospective longitudinal study.
المؤلفون: Righi L; Quality of Care Unit, University Hospitals of Geneva, Geneva, Switzerland.; Department of General Internal Medicine, Rehabilitation and Geriatrics, University of Geneva, Geneva, Switzerland.; Quality of Care and Clinical Networks, Tuscany Region, Italy., Ourahmoune A; Quality of Care Unit, University Hospitals of Geneva, Geneva, Switzerland.; Department of General Internal Medicine, Rehabilitation and Geriatrics, University of Geneva, Geneva, Switzerland., Béné N; Geneva Nursing Homes Association, Geneva, Switzerland., Rae AC; Health Care Research and Quality, University Hospitals of Geneva, Geneva, Switzerland., Courvoisier DS; Quality of Care Unit, University Hospitals of Geneva, Geneva, Switzerland.; Department of General Internal Medicine, Rehabilitation and Geriatrics, University of Geneva, Geneva, Switzerland., Chopard P; Quality of Care Unit, University Hospitals of Geneva, Geneva, Switzerland.; Department of General Internal Medicine, Rehabilitation and Geriatrics, University of Geneva, Geneva, Switzerland.
المصدر: PloS one [PLoS One] 2020 May 29; Vol. 15 (5), pp. e0233471. Date of Electronic Publication: 2020 May 29 (Print Publication: 2020).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Homes for the Aged*/economics , Nursing Homes*/economics , Regional Medical Programs*/economics , Regional Medical Programs*/statistics & numerical data , Regional Medical Programs*/trends, Pressure Ulcer/*prevention & control, Aged ; Aged, 80 and over ; Costs and Cost Analysis ; Female ; Humans ; Longitudinal Studies ; Male ; Nursing Audit/economics ; Pressure Ulcer/epidemiology ; Pressure Ulcer/nursing ; Prevalence ; Prospective Studies ; Switzerland/epidemiology
مستخلص: Introduction: Pressure ulcer is a frequent complication in patients hospitalized in nursing homes and has a serious impact on quality of life and overall health. Moreover, ulcer treatment is highly expensive. Several studies have shown that pressure ulcer prevention is cost-effective. Audit and feedback programmes can help improve professional practices in pressure ulcer prevention and thus reduce their occurrence. The aim of this study was to analyze, with a prospective longitudinal study, the effectiveness of an audit and feedback programme at 1- and 2-year follow-up for reducing pressure ulcer prevalence and enhancing adherence to preventive practices in nursing homes.
Methods: Pressure ulcer point prevalence and preventive practices were measured in 2015, 2016 and 2017 in nursing homes of the Canton of Geneva (Switzerland). Oral and written feedback was provided 2 months after every survey to nursing home reference nurses.
Results: A total of 27 nursing homes participated in the programme in 2015 and 2016 (4607 patients) and 15 continued in 2017 (1357 patients). Patients were mostly females, with mean age > 86 years and median length of stay about 2 years. The programme significantly improved two preventive measures: patient repositioning and anti-decubitus bed or mattress. It also reduced acquired pressure ulcers prevalence in nursing homes that participated during all 3 years (from 4.5% in 2015 to 2.9% in 2017, p 0.035), especially in those with more patients with pressure ulcers.
Conclusion: Audit and feedback is relatively easy to implement at the regional level in nursing homes and can enhance adherence to preventive measures and reduce pressure ulcers prevalence in the homes.
Competing Interests: The authors have declared that no competing interests exist.
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تواريخ الأحداث: Date Created: 20200530 Date Completed: 20200831 Latest Revision: 20231111
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7259581
DOI: 10.1371/journal.pone.0233471
PMID: 32469916
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0233471