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Developing a pressure ulcer risk factor minimum data set and risk assessment framework

Developing a pressure ulcer risk factor minimum data set and risk assessment framework
Developing a pressure ulcer risk factor minimum data set and risk assessment framework
AIM: To agree a draft pressure ulcer risk factor Minimum Data Set to underpin the development of a new evidenced-based Risk Assessment Framework.

BACKGROUND: 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.

DESIGN: Consensus study.

METHOD: 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.

FINDINGS: 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.

CONCLUSION: 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.
0309-2402
2339-2352
Coleman, Susanne
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Nelson, E. Andrea
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Keen, Justin
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Wilson, Lyn
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McGinnis, Elizabeth
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Dealey, Carol
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Stubbs, Nikki
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Muir, Delia
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Farrin, Amanda
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Dowding, Dawn
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Schols, Jos M.G.A.
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Cuddigan, Janet
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Berlowitz, Dan
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Jude, Edward
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Vowden, Peter
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Bader, Dan L.
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Gefen, Amit
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Oomens, Cees W.J.
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Schoonhoven, Lisette
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Nixon, Jane
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Coleman, Susanne
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Nelson, E. Andrea
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Keen, Justin
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Wilson, Lyn
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McGinnis, Elizabeth
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Dealey, Carol
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Stubbs, Nikki
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Muir, Delia
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Farrin, Amanda
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Dowding, Dawn
6cce5277-971f-4300-afb9-6939a8eef892
Schols, Jos M.G.A.
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Cuddigan, Janet
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Berlowitz, Dan
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Jude, Edward
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Vowden, Peter
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Bader, Dan L.
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Gefen, Amit
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Oomens, Cees W.J.
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Schoonhoven, Lisette
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Nixon, Jane
398a18ca-d331-483d-818a-f6017cabc248

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 and Nixon, Jane (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). (PMID:24845398)

Record type: Article

Abstract

AIM: To agree a draft pressure ulcer risk factor Minimum Data Set to underpin the development of a new evidenced-based Risk Assessment Framework.

BACKGROUND: 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.

DESIGN: Consensus study.

METHOD: 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.

FINDINGS: 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.

CONCLUSION: 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.

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Published date: October 2014
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 369167
URI: http://eprints.soton.ac.uk/id/eprint/369167
ISSN: 0309-2402
PURE UUID: a87dba78-c29a-4c15-85a6-8cb6ee679816
ORCID for Dan L. Bader: ORCID iD orcid.org/0000-0002-1208-3507
ORCID for Lisette Schoonhoven: ORCID iD orcid.org/0000-0002-7129-3766

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Date deposited: 29 Sep 2014 10:49
Last modified: 15 Mar 2024 03:41

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Contributors

Author: Susanne Coleman
Author: E. Andrea Nelson
Author: Justin Keen
Author: Lyn Wilson
Author: Elizabeth McGinnis
Author: Carol Dealey
Author: Nikki Stubbs
Author: Delia Muir
Author: Amanda Farrin
Author: Dawn Dowding
Author: Jos M.G.A. Schols
Author: Janet Cuddigan
Author: Dan Berlowitz
Author: Edward Jude
Author: Peter Vowden
Author: Dan L. Bader ORCID iD
Author: Amit Gefen
Author: Cees W.J. Oomens
Author: Jane Nixon

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