Sunday, November 2, 2003

This presentation is part of : Enhancing the Quality of Nursing Practice: Innovations and Challenges

The Development of Clinical Practice Guidelines for the Prediction and Prevention of Pressure Ulcers Using a Transdisciplinary Approach

Linda D. Murray, FRCNA, AFCHSE, Faculty of Communication and Health Sciences, Faculty of Communication and Health Sciences, Edith Cowan University, Joondalup, Westn Australia, Australia
Learning Objective #1: Describe the rationale for the development of clinical practice guidelines for the prediction and prevention of pressure ulcers
Learning Objective #2: Describe the essential elements of successful transdisciplinary collaboration to produce evidence-based guidelines for clinical practice

This paper will describe the development and publication of Australian Clinical Practice Guidelines for the Prediction and Prevention of Pressure ulcers.

Pressure ulcers have been identified as a worldwide problem that have influenced patient /client morbidity and mortality. The literature identified that the incidence of pressure ulcers in hospitals ranges from 2.7 to 29.5 per cent, with prevalence rates ranging from 9.2 to 66 per cent. Australian studies have identified prevalence rates at the lower end of this range.

The Australian Wound Management Association Inc. (AWMA) is a national body with membership drawn from health care professionals. AWMA aims to promote increased awareness, knowledge and the application of effective wound management.

In 1996, the AWMA Pressure Ulcer Interest Sub-committee (PUISC) was formed. This PUISC consisted of 19 transdisiciplinary representatives with a wealth of professional expertise in a range of health care settings. The objectives of the Sub-committee were to:

* develop national clinical guidelines to identify adults at risk°¨ of developing pressure ulcers and outline interventions for prevention;

* collate national published data on the incidence and prevalence of pressure ulcers in Australia;

* produce an inventory of pressure reducing and pressure relieving equipment; and

* disseminate and update the guidelines.

In 2001, AWMA published Clinical Practice Guidelines designed to assist health care professionals and consumers to make appropriate clinical decisions. These guidelines provide recommendations regarding the delivery of quality care across a range of health care settings and are designed to assist decision making, based on the best information available at the date of publication.

The Guidelines have stimulated further research in the area of pressure ulcer prevention and management. A doctoral candidate is undertaking research to identify the effect on pressure ulcer prevalence in tertiary institutions folowing the introduction of the guidelines.

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