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Implementation of Pressure Injury Prevention Best Practices Across 6 Canadian Rehabilitation Sites: Results From the Spinal Cord Injury Knowledge Mobilization Network

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العنوان: Implementation of Pressure Injury Prevention Best Practices Across 6 Canadian Rehabilitation Sites: Results From the Spinal Cord Injury Knowledge Mobilization Network
المؤلفون: Suzanne Humphreys, F. Proteau, Luc Noreau, J. Vachon, C. Koning, Saagar Walia, Jude J. Delparte, M. Casimir, L.T. McMillan, J. Knox, B. Stoesz, L. Mumme, S. Orenczuk, J. Reader, Vanessa K. Noonan, Heather M. Flett, M. Genereaux, N. Birchall, A. Lloyd, C. Lubin, S. Côté, M. Mouneimne, J. Wesenger, S.D. Guy, R.J. Riopelle, G. Aguillon, J. Sommerdyk, C. Fraser, J. Beaulieu, Dalton L. Wolfe, C. Oga, C.Y. Scovil, R. Parmar, Carol Y. Scovil, P. Wright, Jean-François Lemay, M. Mark, S. Miles, G. Erickson, Shane McCullum, S. Nicol, I. Robidoux, H.M. Flett, Rebecca Charbonneau, T. Isaacs, Marie-Thérèse Laramée, L. Hamilton, Michelle Wallace, J.T. Hsieh, T.M. Domingo, H. Askes, D. Bélanger, Colleen O'Connell, C. Van Doesburg, D.J. Leber, L. Bloetjes, V. Lemay, J. Gagliardi, J. Brown, A.S. Burns, N. McKenzie, J. Crocker, W. Reinhart-McMillan, J. Savoie, A. Casalino, Kent Bassett-Spiers, L. Crouse, K. Bayless, D.L. Wolfe, M. Wallace, Phalgun B. Joshi, G. MacIsaac, Catherine Truchon, M.A. Duda, Stacey Guy, Anthony S. Burns, S. Walia, D. Jarvis, Anna Kras-Dupuis, J.J. Delparte, M. Cwiklewich, M. Paiva, C. Joly
المصدر: Archives of Physical Medicine and Rehabilitation. 100:327-335
بيانات النشر: Elsevier BV, 2019.
سنة النشر: 2019
مصطلحات موضوعية: Adult, Male, Canada, 030506 rehabilitation, medicine.medical_specialty, Inservice Training, Quality management, Evidence-based practice, Best practice, medicine.medical_treatment, Psychological intervention, Physical Therapy, Sports Therapy and Rehabilitation, Rehabilitation Centers, Risk Assessment, 03 medical and health sciences, 0302 clinical medicine, Patient Education as Topic, Risk Factors, medicine, Humans, Knowledge mobilization, Spinal Cord Injuries, Aged, Pressure Ulcer, Rehabilitation, business.industry, Incidence, Middle Aged, Practice Guidelines as Topic, Physical therapy, Female, Clinical Competence, 0305 other medical science, Risk assessment, business, 030217 neurology & neurosurgery, Patient education
الوصف: To use the theoretical frameworks of implementation science to implement pressure injury (PI) prevention best practices in spinal cord injury (SCI) rehabilitation.Quality improvement.Six Canadian SCI rehabilitation centers.Inpatients (N=2371) admitted from 2011 to 2015.The SCI Knowledge Mobilization Network (SCI KMN) selected and implemented 2 PI prevention best practices at 6 Canadian SCI rehabilitation centers: (1) completing a comprehensive PI risk assessment comprised of a structured risk assessment instrument followed by an individualized, interprofessional risk factor determination and prevention plan; and (2) providing structured and individualized PI prevention patient education. Active Implementation Frameworks provided a systematic approach to best practice implementation.Implementation indicators (completion rates) and patient outcomes (PI incidence, patient education survey).After implementation, risk assessment completion rates improved from 46% to 94% (P.05). Between initial (2012-2013) and full (2014-2015) implementation stages, completion rates improved for both interprofessional risk factor determination (67% to 96%) and prevention plans (67% to 94%). Documentation of patient education also increased to 86% (vs. 71% preimplementation). At rehabilitation admission 22% of patients had PIs, with 14% of individuals developing new PIs during rehabilitation. The overall PI prevalence was 30%. Considering only PIs of stage 2 or greater, prevalence was 21% and incidence 7%. There were no statistically significant differences in PI incidence between pre- and postimplementation. Patient education surveys indicated that PI education improved patients' knowledge of prevention strategies.Active Implementation Frameworks supported successful implementation of PI prevention best practices across the 6 participating SCI KMN sites. Achieving a reduction in PI incidence will require additional measures, and there is an ongoing need to strengthen the evidence base underpinning PI prevention guidelines.
تدمد: 0003-9993
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ae34005459d4975c0904dacbeb266e4c
https://doi.org/10.1016/j.apmr.2018.07.444
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....ae34005459d4975c0904dacbeb266e4c
قاعدة البيانات: OpenAIRE
الوصف
تدمد:00039993