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Implementation of a guideline for pressure ulcer prevention in home care: pretest–post‐test study

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  • Louis Paquay
  • Sabine Verstraete
  • Renild Wouters
  • Frank Buntinx
  • Katrien Vanderwee
  • Tom Defloor
  • Hendrik Van Gansbeke

Abstract

Aims and objectives. To investigate the effect of the implementation of a patient and family education programme for pressure ulcer prevention in an organisation for home care nursing on guideline adherence and on prevalence and severity of pressure ulcers and to examine the determining factors for the application of measures for pressure ulcer prevention. Background. Quality improvement programmes in pressure ulcer prevention are not always successful. Design. Implementation study using a pretest–post‐test design. Data were collected in three probability samples. The first post‐test data collection was held after six months, the second after 18 months. Method. Statistical analysis was used, comparing the pretest sample and the second post‐test sample. Results. After 18 months, the proportion of subjects with adherent measures had increased from 10·4–13·9%, the proportion of subjects with non‐adherent measures decreased from 45·7–36·0%, the proportion of subjects without pressure ulcer prevention increased from 43·9–50·1% (p

Suggested Citation

  • Louis Paquay & Sabine Verstraete & Renild Wouters & Frank Buntinx & Katrien Vanderwee & Tom Defloor & Hendrik Van Gansbeke, 2010. "Implementation of a guideline for pressure ulcer prevention in home care: pretest–post‐test study," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(13‐14), pages 1803-1811, July.
  • Handle: RePEc:wly:jocnur:v:19:y:2010:i:13-14:p:1803-1811
    DOI: 10.1111/j.1365-2702.2009.03170.x
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