Bergquist-Beringer S, Daley CM, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2011 Mar 1;volume 38(2):145-54.
1. J Wound Ostomy Continence Nurs. 2011 Mar-Apr;38(2):145-54. doi:
10.1097/WON.0b013e31820ad115.
Adapting pressure ulcer prevention for use in home health care.
Bergquist-Beringer S(1), Daley CM.
Author information:
(1)School of Nursing, The University of Kansas, Kansas City, KS 66160, USA.
sbergquistberinger@kumc.edu
PURPOSE: Clinical practice guidelines on pressure ulcer (PU)prevention have been
written primarily for inpatient settings,but we currently lack data as to how
these guidelines have been adapted for use in home health care. The purpose of
this study was to delineate interventions and activities used to prevent PU in
home health care.
DESIGN: Focus group study using text analysis.
SUBJECTS: A focus group was conducted with 9 certified wound care nurses who
practiced in home health care at least 50% of the time. Most of the participants
had 10 or more years of home health experience and 5 or more years of wound care
experience.
METHODS: The single 75-minute focus group was convened by teleconference and
audiotaped. A semistructured moderator's guide was used to lead the discussion.
Transcribed data were analyzed using standard text analysis. Preliminary results
were distributed to focus group participants for review, comment, or
clarification, and refined as needed.
RESULTS: Certified wound care nurse participants used an array of interventions,
including those recommended by clinical practice guidelines, to prevent PU in
home health patients.However, specific activities differed from those performed
in hospitals and nursing homes. Interventions unique to homehealth care included
(1) assessment of patients' economic and insured status to determine
implementation options, (2) assessment of caregiving resources and caregivers'
ability to manage PU prevention, and (3) collaboration with community resources
and health care vendors to obtain needed prevention materials and supplies.
CONCLUSION: Findings provide insight into guideline adaptation in home health
care and suggest that PU prevention in the homehealth care setting is more
complex than that in hospitals and nursing homes and requires significant skills
in communication and collaboration.
DOI: 10.1097/WON.0b013e31820ad115
PMID: 21326116 [Indexed for MEDLINE]
