Improving Wound Care in Residential Aged Care Facilities: Development, Validation and Use of a Novel Knowledge Translation Framework

Abstract

Introduction

Wounds and skin conditions are common in residential aged care settings and can result in significant physical, psychosocial and economic impacts on residents and care systems. Ensuring high-quality evidence-based wound and skin care in residential aged care facilities is essential to promote resident well-being. However, the integration of such practices is a complex knowledge translation endeavour, influenced by contextual challenges. A comprehensive, systematic and theory-based framework can be used to guide the complex process. The aim of this study was to develop and validate a framework for wound care knowledge translation in residential aged care facilities.

Method

A multi-method, three-phase design was used. Phase 1 involved two systematic reviews to identify elements from theoretical and empirical perspectives, resulting in a draft framework. Phase 2 consisted of an online participatory design workshop with 10 key stakeholders to contextualise the elements identified in Phase 1. In Phase 3, a two-round modified e-Delphi process was conducted with 11 international experts to refine and validate the framework.

Results

The developed framework, which recognises knowledge translation as a process, comprises four vertical phases: pre-implementation, implementation, evaluation and sustainment. Additionally, it includes four horizontal components: Process steps, Adoption process, Values as a moral compass and Engagement for individual behaviour change and team development. Consensus was reached on the ‘PAVE’ framework's comprehensiveness, relevance, usability and value for guiding knowledge translation in residential aged care facilities.

Conclusion

The PAVE framework offers a tool for implementation scientists, gerontology nurses and researchers to plan and guide knowledge translation for establishing evidence-based wound and skin care practices in residential aged care facilities, improving the quality and safety of care to older people. The framework holds potential for broader application across various interventions and healthcare settings. Future studies should explore the PAVE framework's effectiveness in diverse healthcare settings.