Reduced prevalence and severity of wounds following implementation of the Champions for Skin Integrity model to facilitate uptake of evidence‐based practice in aged care

Helen E. Edwards, Anne M. Chang, Michelle Gibb, Kathleen J. Finlayson, Christina Parker, Maria O'Reilly, Jan McDowell and Patricia Shuter

Journal of Clinical Nursing, 2017, vol. 26, issue 23-24, 4276-4285

Abstract: Aims and objectives To evaluate the implementation of the Champions for Skin Integrity model on facilitating uptake of evidence‐based wound management and improving skin integrity in residents of aged care facilities. Background The incidence of skin tears, pressure injuries and leg ulcers increases with age, and such wounds can be a serious issue in aged care facilities. Older adults are not only at higher risk for wounds related to chronic disease but also injuries related to falls and manual handling requirements. Design A longitudinal, pre–post design. Methods The Champions for Skin Integrity model was developed using evidence‐based strategies for transfer of evidence into practice. Data were collected before and six months after implementation of the model. Data on wound management and skin integrity were obtained from two random samples of residents (n = 200 pre; n = 201 post) from seven aged care facilities. A staff survey was also undertaken (n = 126 pre; n = 143 post) of experience, knowledge and evidence‐based wound management. Descriptive statistics were calculated for all variables. Where relevant, chi‐square for independence or t‐tests were used to identify differences between the pre‐/postdata. Results There was a significant decrease in the number of residents with a wound of any type (54% pre vs 43% post, χ2 4·2, p = 0·041), as well as a significant reduction in specific wound types, for example pressure injuries (24% pre vs 10% post, χ2 14·1, p

Date: 2017
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