Understanding nurses' views on a pressure ulcer prevention care bundle: a first step towards successful implementation
Article first published online: 20 MAR 2014
© 2014 John Wiley & Sons Ltd
Journal of Clinical Nursing
Volume 23, Issue 23-24, pages 3415–3423, December 2014
How to Cite
Chaboyer, W. and Gillespie, B. M. (2014), Understanding nurses' views on a pressure ulcer prevention care bundle: a first step towards successful implementation. Journal of Clinical Nursing, 23: 3415–3423. doi: 10.1111/jocn.12587
- Issue published online: 17 NOV 2014
- Article first published online: 20 MAR 2014
- Manuscript Accepted: 10 FEB 2014
- Griffith University Chronic Diseases Area of Strategic Investment Fund
- care bundle;
- patient participation;
- pressure ulcer;
- pressure ulcer prevention
Aims and Objectives
To explore nurses' views of the barriers and facilitators to the use of a newly devised patient-centred pressure ulcer prevention care bundle.
Given pressure ulcer prevention strategies are not implemented consistently, the use of a pressure ulcer care bundle may improve implementation given bundles generally assist in standardising care.
A quality improvement project was undertaken after a pressure ulcer prevention care bundle was developed and pilot-tested.
Short, conversational interviews with nurse explored their views of a patient-centred pressure ulcer care bundle. Interviews were audio-taped and transcribed. Inductive content analysis was used to analyse the transcripts.
A total of 20 nurses were interviewed. Five categories with corresponding subcategories emerged from the analysis. They were increasing awareness of pressure ulcer prevention, prompting pressure ulcer prevention activities, promoting active patient participation, barriers to using a pressure ulcer prevention care bundle and enabling integration of the pressure ulcer prevention care bundle into routine practice.
Benefits of using a patient-centred pressure ulcer prevention care bundle may include prompting patients and staff to implement prevention strategies and promote active patient participation in care. The success of the care bundle relied on both patients' willingness to participate and nurses' willingness to incorporate it into their routine work.
Relevance to Clinical Practice
A patient-centred pressure ulcer prevention care bundle may facilitate more consistent implementation of pressure ulcer prevention strategies and active patient participation in care.