Preventing pressure injury in an operating room in Taiwan: a best practice implementation project.

Abstract

Introduction: Operating room pressure injuries (ORPIs) serve as a critical measure of health care quality.

Objective: The aim of this project was to reduce incidence of ORPIs in an operating room of a medical center in eastern Taiwan by promoting evidence-based strategies.

Methods: This project was conceptually informed by the JBI Model of Evidence-based Healthcare, in particular, the conceptualization of evidence implementation as inclusive of context analysis, implementation, and evaluation of outcomes using evidence-based quality indicators. Within the seven-phase implementation process, we used audit and feedback in a pre- and post-test design to measure baseline compliance, develop an implementation strategy responsive to gaps in compliance, and undertake a final evaluation to measure changes in compliance to evaluate the impact of our project. The JBI software, PACES, and JBI's situational analysis method, GRiP, were used to support data collection and implementation planning. There were five evidence-based criteria; our sample size was 30 patients for each criterion. The team carried out the project from March to July 2024.

Results: After implementing the strategies, the average knowledge test score for the prevention of ORPIs among nurses rose from 40 to 100. Compliance of patients with prevention management of ORPIs using evidence-based guidelines reached 100%, while the incidence of ORPIs decreased from 1.31% to 0.34%.

Conclusions: ORPIs are a crucial medical care quality indicator in hospital. In our project, through multi-disciplinary collaboration, innovative experiential learning methods, and a virtual nurse application, it was possible to enhance the knowledge and compliance of nurses in terms of reducing ORPIs.

Spanish abstract: http://links.lww.com/IJEBH/A364.