RT Journal Article
SR Electronic
T1 Pressure ulcers and incontinence-associated dermatitis: effectiveness of the Pressure Ulcer Classification education tool on classification by nurses
JF Quality and Safety in Health Care
JO Qual Saf Health Care
FD BMJ Publishing Group Ltd
SP e3
OP e3
DO 10.1136/qshc.2008.028415
VO 19
IS 5
A1 Dimitri Beeckman
A1 Lisette Schoonhoven
A1 Jacqui Fletcher
A1 Katia Furtado
A1 Hilde Heyman
A1 Louis Paquay
A1 Dirk De Bacquer
A1 Tom Defloor
YR 2010
UL http://qualitysafety.bmj.com/content/19/5/e3.abstract
AB Context Previous studies report that pressure ulcer classification and differentiation from incontinence associated dermatitis are difficult. Incorrect classification and differentiation result in incorrect prevention and treatment. Education is important to spread evidence-based insights about this topic and to improve classification skills.Aim To assess the effectiveness of the Pressure Ulcer Classification (PUCLAS) education tool. PUCLAS was developed by the PUCLAS Workgroup of the European Pressure Ulcer Advisory Panel.Design Randomised controlled trial.Setting and participants A convenience sample of 1217 Belgian, Dutch, British and Portuguese nurses.Outcome measure Correct classification of pressure ulcer photographs and differentiation from photographs of incontinence-associated dermatitis.Results Baseline, 44.5% of the photographs were classified correctly. In the post-test, the results in the intervention group were significantly higher (63.2%) compared with the control group (53.1%; p<0.001). The percentage of correct assessments of incontinence associated dermatitis (IAD) was 70.7% in the intervention group and 35.6% in the control group (p<0.001). The skill to differentiate IAD from pressure ulcers was significantly associated with the experimental intervention (OR 4.07, 95% CI 3.21 to 5.15, p<0.001).Conclusion The PUCLAS tool improved pressure ulcer classification and IAD differentiation significantly.