Developing a pressure ulcer risk factor minimum data set and risk assessment framework. (21st May 2014)

• Record Type: Journal Article
• Authors: Coleman, Susanne; Nelson, E. Andrea; Keen, Justin; Wilson, Lyn; McGinnis, Elizabeth; Dealey, Carol; Stubbs, Nikki; Muir, Delia; Farrin, Amanda; Dowding, Dawn; Schols, Jos M.G.A.; Cuddigan, Janet; Berlowitz, Dan; Jude, Edward; Vowden, Peter; Bader, Dan L.; Gefen, Amit; Oomens, Cees W.J.; Schoonhoven, Lisette; Nixon, Jane
• Is Part Of: Journal of advanced nursing. Volume 70:Number 10(2014:Oct.)
• Page Start: 2339
• Page End: 2352
• Publication Date: 2014-05-21
• Subjects: Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.12444
• Languages: English
• ISSNs: 0309-2402

Abstract

<abstract abstract-type="main" id="jan12444-abs-0001"> <title>Abstract</title> <sec id="jan12444-sec-0001" sec-type="section"> <title>Aim</title> <p>To agree a draft pressure ulcer risk factor Minimum Data Set to underpin the development of a new evidenced‐based Risk Assessment Framework.</p> </sec> <sec id="jan12444-sec-0002" sec-type="section"> <title>Background</title> <p>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.</p> </sec> <sec id="jan12444-sec-0003" sec-type="section"> <title>Design</title> <p>Consensus study.</p> </sec> <sec id="jan12444-sec-0004" sec-type="section"> <title>Method</title> <p>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.</p> </sec> <sec id="jan12444-sec-0005" sec-type="section"> <title>Findings</title> <p>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.</p> </sec> <sec id="jan12444-sec-0006" sec-type="section"> <title>Conclusion</title> <p>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.</p> </sec> </abstract>