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  • Does participating in a clinical trial affect subsequent nursing management? Post-trial care for participants recruited to the INTACT pressure ulcer prevention trial: A follow-up study

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    WebsterPUB3727.pdf (511.6Kb)
    Author(s)
    Webster, Joan
    Bucknall, Tracey
    Wallis, Marianne
    Mclnnes, Elizabeth
    Roberts, Shelley
    Chaboyer, Wendy
    Griffith University Author(s)
    Webster, Joan
    Wallis, Marianne
    Chaboyer, Wendy
    Roberts, Shelley J.
    Bucknall, Tracey
    Year published
    2017
    Metadata
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    Abstract
    Background: Participation in a clinical trial is believed to benefit patients but little is known about the post-trial effects on routine hospital-based care. Objectives: To describe (1) hospital-based, pressure ulcer care-processes after patients were discharged from a pressure ulcer prevention, cluster randomised controlled trial; and (2) to investigate if the trial intervention had any impact on subsequent hospital-based care. Methods: We conducted a retrospective analysis of 133 trial participants who developed a pressure ulcer during the clinical trial. We compared outcomes and care processes between participants who ...
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    Background: Participation in a clinical trial is believed to benefit patients but little is known about the post-trial effects on routine hospital-based care. Objectives: To describe (1) hospital-based, pressure ulcer care-processes after patients were discharged from a pressure ulcer prevention, cluster randomised controlled trial; and (2) to investigate if the trial intervention had any impact on subsequent hospital-based care. Methods: We conducted a retrospective analysis of 133 trial participants who developed a pressure ulcer during the clinical trial. We compared outcomes and care processes between participants who received the pressure ulcer prevention intervention and those in the usual care, control group. We also compared care processes according to the pressure ulcer stage. Results: A repositioning schedule was reported for 19 (14.3%) patients; 33 (24.8%) had a dressing applied to the pressure ulcer; 17 (12.8) patients were assessed by a wound care team; and 20 (15.0%) were seen by an occupational therapist. Patients in the trial’s intervention group were more likely to have the presence of a pressure ulcer documented in their chart (odds ratio (OR) 8.18, 95% confidence intervals (CI) 3.64– 18.36); to be referred to an occupational therapist OR 0.92 (95% CI 0.07; 0.54); to receive a pressure relieving device OR 0.31 (95% CI 0.14; 0.69); or a pressure relieving mattress OR 0.44 (95% CI 0.20; 0.96). Participants with Stage 2 or unstageable ulcers were more likely than others to have dressings applied to their wounds (p = < 0.001) and to be referred to an occupational therapist for protective devices (p = 0.022). Conclusion: Participants in the intervention group of a clinical trial were more likely to receive additional post trial care and improved documentation compared with those in the control group but documentation of pressure ulcer status and care is poor.
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    Journal Title
    International Journal of Nursing Studies
    Volume
    71
    DOI
    https://doi.org/10.1016/j.ijnurstu.2017.02.022
    Copyright Statement
    © 2017 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
    Subject
    Clinical Nursing: Primary (Preventative)
    Nursing
    Publication URI
    http://hdl.handle.net/10072/344240
    Collection
    • Journal articles

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