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Titre : | Implementation of Pressure Injury Prevention Best Practices Across 6 Canadian Rehabilitation Sites: Results From the Spinal Cord Injury Knowledge Mobilization Network (2019) |
Auteurs : | Carol Y. Scovil ; Jude J. Delparte ; Saagar Walia |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 100, n° 2, 2019) |
Article en page(s) : | p. 327-335 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Escarre ; Pratique factuelle (EBP) ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Mots-clés: | Pressure ulcer ; Spinal Cord Injuries ; Translational Medical Research ; Recherche médicale translationnelle |
Résumé : |
Objective To use the theoretical frameworks of implementation science to implement pressure injury (PI) prevention best practices in spinal cord injury (SCI) rehabilitation. Design Quality improvement. Setting Six Canadian SCI rehabilitation centers. Participants Inpatients (N=2371) admitted from 2011 to 2015. Interventions 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. Main Outcome Measures Implementation indicators (completion rates) and patient outcomes (PI incidence, patient education survey). Results After implementation, risk assessment completion rates improved from 46% to 94% (P<.05 between initial and full implementation stages completion rates improved for both interprofessional risk factor determination to prevention plans documentation of patient education also increased preimplementation at rehabilitation admission patients had pis with individuals developing new during rehabilitation. the overall pi prevalence was considering only stage or greater incidence there were no statistically significant differences in pre- postimplementation. surveys indicated that knowledge strategies.> Conclusions 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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318314473 |