Performance and Influencing Factors of Evidence‐Based Pressure Ulcer Care Among Acute Care Hospital Nurses

2019 ◽  
Vol 16 (1) ◽  
pp. 29-35
Author(s):  
Ji‐Kyo Kim ◽  
Sung‐Hee Yoo ◽  
Ju‐Hee Nho ◽  
Jae‐Kyun Ju
Keyword(s):  
Acute Care ◽  
Influencing Factors ◽  
Pressure Ulcer ◽  
Acute Care Hospital ◽  
Hospital Nurses ◽  
Evidence Based ◽  
Care Hospital

Clean or sterile technique when inserting indwelling urinary catheter: An evaluation of nurses’ and assistant nurses’ interpretations of a guideline at an acute-care hospital in Sweden

2018 ◽  
Vol 39 (2) ◽  
pp. 92-97
Author(s):  
Aysel Kulbay ◽  
Ann Tammelin
Keyword(s):  
Urinary Bladder ◽  
Acute Care ◽  
Urinary Catheter ◽  
Acute Care Hospital ◽  
Evidence Based ◽  
Urinary Catheterization ◽  
Care Hospital ◽  
Urinary Catheters ◽  
Sterile Technique ◽  
Assistant Nurses

Insertion of indwelling urinary catheters should be performed in a way that minimizes the risk of introducing bacteria to the urinary bladder. Nurses and assistant nurses from three departments at an acute-care hospital in Sweden answered a questionnaire about their insertion of urinary catheterization. Of the 563 nurses, 92% answered the questionnaire. Among the 492 who performed catheterization, 58% ( n = 287) said that they followed the hospital guideline. Two-thirds of those following the hospital guideline said that they used clean technique and one-third sterile technique. In all, 82% considered the catheter should be kept sterile while inserted but only 16% described all the prerequisites to achieve this. Over 90% of the respondents performed catheterization less than once a week. Our conclusion is that a guideline should describe every step of catheterization in detail and that an evidence-based process for implementation of the guideline is necessary to achieve uniformity in performance.

Screening for pressure ulcer risk in an acute care hospital

2002 ◽  
Vol 55 (5) ◽  
pp. 498-504 ◽  
Author(s):  
Thomas V Perneger ◽  
Anne-Claire Raë ◽  
Jean-Michel Gaspoz ◽  
François Borst ◽  
Olga Vitek ◽  
...  
Keyword(s):  
Acute Care ◽  
Pressure Ulcer ◽  
Acute Care Hospital ◽  
Care Hospital

A Multi-Method Study of the Geriatric Learning Needs of Acute Care Hospital Nurses in Ontario, Canada

2015 ◽  
Vol 39 (1) ◽  
pp. 66-76 ◽  
Author(s):  
Mary T. Fox ◽  
Jeffrey I. Butler ◽  
Malini Persaud ◽  
Deborah Tregunno ◽  
Souraya Sidani ◽  
...  
Keyword(s):  
Acute Care ◽  
Acute Care Hospital ◽  
Learning Needs ◽  
Hospital Nurses ◽  
Care Hospital

scholarly journals A Single Long-Term Acute Care Hospital Experience with a Pressure Ulcer Prevention Program

2014 ◽  
Vol 40 (4) ◽  
pp. 224-234 ◽  
Author(s):  
Daniel L. Young ◽  
Cathy Borris-Hale ◽  
Margaret Falconio-West ◽  
Debashish Chakravarthy
Keyword(s):  
Acute Care ◽  
Pressure Ulcer ◽  
Prevention Program ◽  
Acute Care Hospital ◽  
Care Hospital ◽  
Pressure Ulcer Prevention ◽  
Hospital Experience ◽  
Ulcer Prevention

scholarly journals Implementing an Evidence-Based Practice Change for Alcohol Withdrawal in an Acute Care Hospital

2021 ◽  
Author(s):  
◽  
Theresa Carroll
Keyword(s):  
At Risk ◽  
Acute Care ◽  
Alcohol Withdrawal ◽  
Acute Care Hospital ◽  
The United States ◽  
Withdrawal Symptoms ◽  
Evidence Based ◽  
Care Hospital ◽  
Standard Facility ◽  
Patients At Risk

Practice Problem: Alcohol Use Disorders (AUD) affects a significant portion of the population in the United States. When AUD is either unrecognized or inadequately treated in the acute care setting it can lead to medical complications, increased length or stay (LOS), increased healthcare expense, and increased patient mortality. PICOT: In a population of adult patients admitted to an acute care hospital progressive care unit (P), how does applying an initial evidence-based screening tool to detect risk for moderate to severe alcohol withdrawal, the PAWSS (I), compare to no standard screening or assessment for potential alcohol withdrawal symptoms (C) affect the occurrence of patient deterioration for acute alcohol withdrawal symptoms (O) within an eight week timeframe (T)? Intervention: The PAWSS tool was utilized to screen all patients admitted to the progressive care unit. Patients identified at moderate to severe risk by a score of ≥4 were treated according to the standard facility practice with included CIWA-Ar monitoring and medication management with benzodiazepine medication. Outcome: The project was able to demonstrate a significant decrease in the mean LOS for those patients identified at risk and treated for AWS, with an average decrease of 50 hours in length of stay for those patients treated during the project implementation. Conclusion: Early recognition of patients at risk for AWS is an important component of effective management and treatment. Further study is needed into best practices for treatment of patients at risk, and internal compliance measures within the organization.

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