The quality of pressure ulcer prediction and prevention in home health care

被引:20
作者
Bergquist, S [1 ]
机构
[1] Univ Kansas, Sch Nursing, Kansas City, KS 66160 USA
关键词
D O I
10.1016/j.apnr.2004.07.005
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The purpose of this study was to assess the quality of pressure ulcer prediction and prevention in home health care. Randomly selected Medicare-certified home care agencies in four midwestern states were surveyed. The overall response rate was 44% (n = 128). Approximately half (57.8%) of the responding agencies assessed all patients for pressure ulcer risk upon admission; another 4.7% assessed only chair or bed-bound patients. Clinical nursing judgment was the most commonly (72%) used method for assessing risk; only 21% of the agencies used a validated tool such as the Braden Scale or the Norton Scale to identify those at risk. Approximately one third of the reporting agencies had prediction and/or prevention policies. Only 18.0% of home health care agencies identified recommended interventions in a pressure ulcer prevention protocol. Findings suggest opportunities for improvement in pressure ulcer prediction and prevention practice in home health care. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:148 / 154
页数:7
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