Skin Care Resource Teams: Successful Strategies to Implement Evidence-Based Practice

被引:1
作者
Dailey, Maureen [1 ]
机构
[1] Vista Chron Care Solut, Clin Operat, Greenbelt, MD 20770 USA
关键词
wounds; skin; evidence based; quality; care; outcomes; disease management;
D O I
10.1177/1084822304270024
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Quality, cost, and patient access are critical to a home health care agency's success in a competitive market. Creating a learning environment is key to both staff satisfaction and positive patient care outcomes. Preventing adverse events and providing evidence-based care management for high-volume populations are key to an agency's reputation for quality, cost-efficient care. This article describes the implementation of evidence-based guidelines for pressure ulcer prevention and wound care utilizing the continuous quality improvement process in performance improvement (PI) via Skin Care Resource Team (SCRT) implementation. Factors addressed are clinical quality, cost, staff motivation, productivity, and documentation burden. Effective and efficient strategies described in PI are SCRT support and rollout and integration of consistent appropriate wound, ostomy, and continence nurse consults via telehealth. The importance of linking evidence-based practice with the agency's vision, goals, resources, and employee incentives is discussed.
引用
收藏
页码:78 / 87
页数:10
相关论文
共 19 条
[1]  
*AG HLTH CAR POL R, 1994, AHCPR PUB
[2]  
*AG HLTH CAR POL R, 1992, AHCPR PUB
[3]  
BARKER AM, 1992, TRANSFORMATIONAL NUR
[4]  
Benedetto E., 2003, REMINGTON REPORT, V11, P42
[5]  
Bergquist S, 1999, Adv Wound Care, V12, P339
[6]   Predicting pressure ulcer risk - A multisite study of the predictive validity of the Braden Scale [J].
Bergstrom, N ;
Braden, B ;
Kemp, M ;
Champagne, M ;
Ruby, E .
NURSING RESEARCH, 1998, 47 (05) :261-269
[7]   A primer on leading the improvement of systems [J].
Berwick, DM .
BRITISH MEDICAL JOURNAL, 1996, 312 (7031) :619-622
[8]  
Bryant R A, 2001, Ostomy Wound Manage, V47, P26
[9]  
Cavazos J., 2002, REMINGTON REPORT, V10, P14
[10]  
Covey S. R., 1992, PRINCIPLE CTR LEADER