Developing a pressure ulcer risk factor minimum data set and risk assessment framework
Article first published online: 21 MAY 2014
© 2014 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd.
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Journal of Advanced Nursing
Volume 70, Issue 10, pages 2339–2352, October 2014
How to Cite
2014) Developing a pressure ulcer risk factor minimum data set and risk assessment framework. Journal of Advanced Nursing 70(10), 2339–2352. doi: 10.1111/jan.12444, , , , , , , , , , , , , , , , , , & (
- Issue published online: 11 SEP 2014
- Article first published online: 21 MAY 2014
- Manuscript Accepted: 5 APR 2014
- National Institute for Health Research (NIHR). Grant Number: RP-PG-0407-10056
- consensus study;
- pressure ulcer;
- risk factors;
- tissue viability
To agree a draft pressure ulcer risk factor Minimum Data Set to underpin the development of a new evidenced-based Risk Assessment Framework.
A recent systematic review identified the need for a pressure ulcer risk factor Minimum Data Set and development and validation of an evidenced-based pressure ulcer Risk Assessment Framework. This was undertaken through the Pressure UlceR Programme Of reSEarch (RP-PG-0407-10056), funded by the National Institute for Health Research and incorporates five phases. This article reports phase two, a consensus study.
A modified nominal group technique based on the Research and Development/University of California at Los Angeles appropriateness method. This incorporated an expert group, review of the evidence and the views of a Patient and Public Involvement service user group. Data were collected December 2010–December 2011.
The risk factors and assessment items of the Minimum Data Set (including immobility, pressure ulcer and skin status, perfusion, diabetes, skin moisture, sensory perception and nutrition) were agreed. In addition, a draft Risk Assessment Framework incorporating all Minimum Data Set items was developed, comprising a two stage assessment process (screening and detailed full assessment) and decision pathways.
The draft Risk Assessment Framework will undergo further design and pre-testing with clinical nurses to assess and improve its usability. It will then be evaluated in clinical practice to assess its validity and reliability. The Minimum Data Set could be used in future for large scale risk factor studies informing refinement of the Risk Assessment Framework.