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dc.contributor.authorGardiner, Len_US
dc.contributor.authorLampshire, Sen_US
dc.contributor.authorBiggins, Aen_US
dc.contributor.authorMcMurray, Aen_US
dc.contributor.authorNoake, Nen_US
dc.contributor.authorVan Zyl, Zyl Men_US
dc.contributor.authorVickery, Jen_US
dc.contributor.authorWoodage, Ten_US
dc.contributor.authorLodge, Jen_US
dc.contributor.authorEdgar, Men_US
dc.date.accessioned2017-04-24T10:24:53Z
dc.date.available2017-04-24T10:24:53Z
dc.date.issued2008en_US
dc.date.modified2012-09-18T22:28:00Z
dc.identifier.issn13232495en_US
dc.identifier.doihttp://www.awma.com.au/journal/1602_01.pdfen_US
dc.identifier.urihttp://hdl.handle.net/10072/38534
dc.description.abstractThe study reported here describes a 1 year programme to promote best practice in maintaining skin integrity, ensuring consistent clinical practices in relation to skin care, and managing skin breakdown. The analysis included baseline data on skin breakdown; comparisons of policy and practice with clinical guidelines and best practice locally, interstate and internationally; a quality improvement trial focusing on mobility, skin condition, diet and hydration, hygiene and elimination; and implementation of best practice, including analysis of the relative quality and clinical outcomes of products, practices and documentation strategies. Product evaluation by nurses and patients showed that all mattresses trialled were effective in minimising or preventing skin breakdown. All chair cushions were rated effective in preventing breakdown - some were easier to use than others, although all were rated highly by patients. A retrospective chart audit indicated substantial improvements in consistent use of the Braden scale, and the number of risks identified. Completed risk assessments increased by 19.6% to 70%. Initial assessment increased from 16.5% to 44.6%, with identification of dietary insufficiency increasing from 3.4% to 10.6%. Hospital acquired pressure lesions were reduced from 6.4% to 5.8%. The most notable improvement (from 1.3% of patients to 43.9%) occurred in the completion of subsequent pressure risk assessments, with a modest increase in repositioning. The use of overlays and special mattresses increased, with heel raisers increasing from 11% to 82.4%. The project demonstrated the value of a comprehensive team approach to clinical care and demystified evidence-based practice (EBP).en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_US
dc.format.extent542408 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_US
dc.publisherCambridge Publishingen_US
dc.publisher.placeAustraliaen_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofpagefrom5en_US
dc.relation.ispartofpageto15en_US
dc.relation.ispartofissue2en_US
dc.relation.ispartofjournalWound Practice and Researchen_US
dc.relation.ispartofvolume16en_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchNursing not elsewhere classifieden_US
dc.subject.fieldofresearchcode111099en_US
dc.titleEvidence-based best practice in maintaining skin integrityen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.rights.copyrightCopyright 2008 AWMA. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.en_US
gro.date.issued2008
gro.hasfulltextFull Text


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