Dissertation/Thesis Abstract

Future of healing: Creating a pressure ulcer prevention and management program in a long-term care setting
by Smith, Leathey E., D.N.P., Capella University, 2014, 54; 3616739
Abstract (Summary)

Skin integrity is one of the quality indicators used to evaluate nursing care of patients in long-term care and rehabilitation settings and yet pressure ulcers continue to occur at alarming rates among this population group. Using Patricia Benner’s: From Novice to Expert model, the IOWA Evidence Based Model, and the Ottawa Model of Research Use (OMRU) a quality improvement practice change was implemented in a long-term care and rehabilitation facility located in the Mid-Atlantic region of the United States. The target population consisted of registered nurses and licensed practical nurses caring for patients with pressure ulcers. The sample size included ten registered nurses, twenty License Practical Nurses, and seventy-four patients with pressure ulcers. The Casper Report, Braden Scale scores, Pressure Ulcer Score for Healing (Push Tool), and Pieper Pressure Ulcer Knowledge test was used to measure the project outcomes. The project results of the pressure ulcer education program indicated that all thirty nurses completed the exam. Descriptive analysis was used and showed pre-test scores with a mean and standard deviation of 79/7.99 and post test scores of 86.6/3.69 validating an increase of knowledge retained by the nurses after the education session. Pressure ulcer data during incidence and prevalence rounds indicated a decrease in healing times of pressure ulcers using the PUSH Tool. A decrease in pressure ulcer rates were noted by the number of pressure ulcers resolved each week in wound rounds. Retrospective chart reviews confirmed improved documentation and accurate Braden score documentation by nurses throughout the facility. The overall project results are anticipated to continually improve pressure ulcer outcomes of this population and can be used as a model for long-term care and rehabilitation facilities globally.

Indexing (document details)
Advisor: Forsythe, Lydia
Commitee: Axley, Lawrette, Forsythe, Lydia, Matthews, Teresa
School: Capella University
Department: School of Public Service Leadership
School Location: United States -- Minnesota
Source: DAI-B 75/08(E), Dissertation Abstracts International
Subjects: Nursing
Keywords: Long-term care, Pressure ulcer, Rehabilitation
Publication Number: 3616739
ISBN: 9781303836398
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