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Evaluation of the dissemination and implementation of a nutritional guideline for pressure ulcer care

Evaluation of the dissemination and implementation of a nutritional guideline for pressure ulcer care
Evaluation of the dissemination and implementation of a nutritional guideline for pressure ulcer care
Objective: In 2004 the European Pressure Ulcer Advisory Panel nutritional working group developed a nutritional guideline for pressure ulcer prevention and treatment. This study investigated the degree to which the guideline was disseminated and implemented in clinical practice. Method: A cross-sectional study was undertaken in health-care organisations in the Netherlands, Germany and the UK. A printed, standardised questionnaire which followed Rogers’ model of the innovation-decision process was developed, translated and distributed to 1087 health-care organisations. Results: The response rate was 33% (n=363). Sixty-one per cent of respondents knew of the guideline. Twenty-five per cent had applied it to their clinical practice and used it for nutritional screening. The main barrier to the provision of nutritional support appeared to be lack of knowledge and skills. Conclusion: One year after its dissemination, more than half of respondents knew of the guideline, with one in four applying it to their practice. The guideline was better disseminated and implemented in the Netherlands and UK than in Germany, where only 4% of participants had used it. Declaration of interest: Numico Netherlands gave EPUAP an unrestricted educational grant.
guideline evaluation, nutrition, pressure ulcer, EPUAP, implementation, dissemination
0969-0700
201-205
Meijers, J.M.M.
72851968-9242-4a75-a7aa-02d2d2cbcf72
Schols, J.M.G.A.
3107766d-cb72-4e96-ba6a-9ea337082ba5
Jackson, P.A.
3c8d3f5f-6ad6-4796-9d3c-55f976e29b29
Langer, G.
a2a51f69-a305-47f9-8b25-ebedd6d2e91f
Clark, M.
15f1407b-b560-42a1-850e-4e214fa297b0
Halfens, R.J.G.
16830c8d-7a0a-453b-b567-a4bbbd11c007
Meijers, J.M.M.
72851968-9242-4a75-a7aa-02d2d2cbcf72
Schols, J.M.G.A.
3107766d-cb72-4e96-ba6a-9ea337082ba5
Jackson, P.A.
3c8d3f5f-6ad6-4796-9d3c-55f976e29b29
Langer, G.
a2a51f69-a305-47f9-8b25-ebedd6d2e91f
Clark, M.
15f1407b-b560-42a1-850e-4e214fa297b0
Halfens, R.J.G.
16830c8d-7a0a-453b-b567-a4bbbd11c007

Meijers, J.M.M., Schols, J.M.G.A., Jackson, P.A., Langer, G., Clark, M. and Halfens, R.J.G. (2007) Evaluation of the dissemination and implementation of a nutritional guideline for pressure ulcer care. Journal of Wound Care, 16 (5), 201-205.

Record type: Article

Abstract

Objective: In 2004 the European Pressure Ulcer Advisory Panel nutritional working group developed a nutritional guideline for pressure ulcer prevention and treatment. This study investigated the degree to which the guideline was disseminated and implemented in clinical practice. Method: A cross-sectional study was undertaken in health-care organisations in the Netherlands, Germany and the UK. A printed, standardised questionnaire which followed Rogers’ model of the innovation-decision process was developed, translated and distributed to 1087 health-care organisations. Results: The response rate was 33% (n=363). Sixty-one per cent of respondents knew of the guideline. Twenty-five per cent had applied it to their clinical practice and used it for nutritional screening. The main barrier to the provision of nutritional support appeared to be lack of knowledge and skills. Conclusion: One year after its dissemination, more than half of respondents knew of the guideline, with one in four applying it to their practice. The guideline was better disseminated and implemented in the Netherlands and UK than in Germany, where only 4% of participants had used it. Declaration of interest: Numico Netherlands gave EPUAP an unrestricted educational grant.

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More information

Published date: 5 May 2007
Keywords: guideline evaluation, nutrition, pressure ulcer, EPUAP, implementation, dissemination

Identifiers

Local EPrints ID: 50734
URI: http://eprints.soton.ac.uk/id/eprint/50734
ISSN: 0969-0700
PURE UUID: b8d40d3f-fed1-4b6e-9d34-ea55bb0ed2c6

Catalogue record

Date deposited: 19 Mar 2008
Last modified: 08 Jan 2022 07:03

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Contributors

Author: J.M.M. Meijers
Author: J.M.G.A. Schols
Author: P.A. Jackson
Author: G. Langer
Author: M. Clark
Author: R.J.G. Halfens

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