Enhancing Nursing Knowledge and Practice in a Rehabilitation Assisted Living Facility Through an Evidence-Based Pressure Injury Prevention Education Model.

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Journal of gerontological nursing Pub Date : 2026-09-01 Epub Date: 2026-07-06 DOI:10.3928/00989134-20260630-01
Nicole M West, Tiffany J Calderon, Carrie L Buch
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引用次数: 0

Abstract

Purpose: Pressure injuries are a persistent problem in assisted living facilities (ALFs), especially among patients aged ≥65 years who have limited mobility. Enhancing nursing knowledge and adherence to evidence-based prevention strategies is essential. The current quality improvement project implemented the Agency for Healthcare Research and Quality (AHRQ) Pressure Injury Prevention Toolkit to strengthen nursing practices in an ALF rehabilitation unit.

Method: Over 6 weeks, 11 nurses participated in modular workshops on the Braden Scale, skin assessments, repositioning, nutrition, support surfaces, staging, and individualized care planning. Nursing knowledge was measured using the Pressure Ulcer Knowledge Test (PUKT) before and after the intervention. Thirty-five care plans were audited postintervention for prevention strategy documentation.

Results: PUKT scores increased from 80.7% to 97.4%. Of the 35 care plans, 94% documented prevention strategies, including 100% repositioning and Braden Scale use, 97% skin assessments, 91% incontinence care, and 85% nutritional support.

Conclusion: Targeted education improved nursing knowledge and documentation, supporting evidence-based care for older adults.

通过循证压力伤害预防教育模式提高康复辅助生活设施护理知识与实践。
目的:压力损伤是辅助生活设施(ALFs)中一个持续存在的问题,特别是在≥65岁且活动受限的患者中。加强护理知识和坚持循证预防战略至关重要。目前的质量改进项目实施了卫生保健研究和质量局(AHRQ)压力伤害预防工具包,以加强ALF康复单位的护理实践。方法:在6周的时间里,11名护士参加了关于布雷登量表、皮肤评估、重新定位、营养、支撑面、分期和个性化护理计划的模块化研讨会。干预前后采用压疮知识测验(PUKT)测量护理知识。干预后对35份护理计划进行了预防策略文件审计。结果:PUKT评分由80.7%提高到97.4%。在35个护理计划中,94%记录了预防策略,包括100%重新定位和布雷登量表的使用,97%的皮肤评估,91%的失禁护理和85%的营养支持。结论:有针对性的教育提高了护理知识和文献记录,支持了老年人的循证护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.00
自引率
7.70%
发文量
98
审稿时长
6-12 weeks
期刊介绍: The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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