Education and Ethics In Nursing ISSN: 2322-5300

Localization of the clinical guidelines for the prevention of pressure ulcers in hospitalized elderly: study protocol of tool localization

https://doi.org/10.22034/ethic.2024.2034552.1080
Volume 13, special issue
July 2024
Pages 20-29
Education and Ethics In Nursing ISSN: 2322-5300

Document Type : Original Article

Authors

Mahrokh Keshvari 1
Ahmadreza Yazdannik 2
Farzin Khorvash 3
abolfazl Zeynali Hossein Abadi 4

1 Associate Professor of Nursing, Department of Geriatric and Community Health Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

2 Retired Assistant Professor of Nursing, Department of Critical Care Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

3 Department of Infectious Diseases and Tropical Medicine, School of Medicine Nosocomial Infection Research Center Al-Zahra Hospital. Isfahan University of Medical Sciences.Isfahan.Iran

4 MSc of Geriatric Nursing, Department of Geriatric and Community Health Nursing, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract
Introduction:
With the increase in the elderly population and their continuous hospitalization, it has caused the spread of chronic diseases among them. One of the complications that affects the elderly after hospitalization is pressure ulcer, which requires local tools to prevent it.
Method: The current research was conducted based on the stages of localization of the clinical guide (Adaptation) of the international network of clinical guidelines, in three stages of preparation, localization and finalization of the compiled clinical guide. During the study, by searching for the available resources and evaluating them by experts with Egri 2 tool, a draft clinical guide was prepared and in the finalization stage, it was revised by the target users including: doctors and nurses and using the RAM technique. A panel of experts was organized and the text of the clinical guide was compiled in the form of systematic and valid expressions, flexible, transparent, reviewable, clinically auditable and capable of being implemented in the clinical environment.                                                  
Discussion: Clinical medicine guidelines in a systematic way, with reference to valid research evidence, helped health service providers to increase safety, effectiveness of interventions, analysis of national conditions and needs; Therefore, the localization of clinical guidelines in the field of pressure ulcer prevention in hospitalized elderly people, which is necessary due to the increase in their population and the lack of a written and evidence-based clinical guide in this field.
Conclusion: Localization of the clinical guidelines for the prevention of pressure ulcers in the hospitalized elderly, for the use of treatment team members, which was done with the ADAPTE method.
 

Keywords

Pressure Ulcer
Clinical Guide
Elderly
Localization
Hospitalization
Prevention
  1. 10 facts on ageing and health: world health organization; 2017 [Available from: https://www.who.int/features/factfiles/ageing/en/.
  2. world report on aging and health https://www.who.int/life-course/publications/2015-ageing-report/en/: world health organization; 2015 [WHO Library Cataloguing-in-Publication Data]. Available from: https://www.who.int/life-course/publications/2015-ageing-report/en/.
  3. Population and Housing Census 2015. National Statistics Center of Iran: National Statistics Center of Iran; 2015.
  4. Forecasting the population and average annual growth of the whole country in five-year periods from 2016 to 2046 with six scenarios assuming fertility. Statistical Center of Iran; 1400

5.Zeinalhajlou AA, Amini A, Tabrizi JS. Consequences of population aging in Iran with emphasis on its increasing challenges on the health system (literature review). Depiction of Health. 2015;6(1):54-64.

6.Nahid Fem's rezhe, Hervi Majideh,. The needs of hospitalized elderly patients. Elder. 2013: 42-52

7.Alderden J, Whitney JD, Taylor SM, Zaratkiewicz S. Risk profile characteristics associated with outcomes of hospital-acquired pressure ulcers: a retrospective review. Critical Care Nurse. 2011;31(4):30-43.

8.Moore Z, Cowman S. Pressure ulcer prevalence and prevention practices in care of the older person in the Republic of Ireland. Journal of Clinical Nursing. 2012;21(3‐4):362-71.

9.Theisen S, Drabik A, Stock S. Pressure ulcers in older hospitalised patients and its impact on length of stay: a retrospective observational study. Journal of clinical nursing. 2012;21(3‐4):380-7.

10.Gist S, Tio-Matos I, Falzgraf S, Cameron S, Beebe M. Wound care in the geriatric client. Clinical interventions in aging. 2009;4:269.

11.Kottner J, Cuddigan J, Carville K, Balzer K, Berlowitz D, Law S, et al. Prevention and treatment of pressure ulcers/injuries: The protocol for the second update of the international Clinical Practice Guideline 2019. Journal of tissue viability. 2019;28(2):51-8.

  1. Abdi AH, ZeighamiMohammadi S, Hoseini M, Babagholzadeh S, Farmani P. Mortality and Length of Hospital Stay in Elderly with Hospital–Acquired Pressure Ulcer in Alborz Hospital of Karaj (2012). Alborz University Medical Journal. 2018;7(1):15-23.
  2. de Souza DMST, de Gouveia Santos VLC, Iri HK, Oguri MYS. Predictive validity of the Braden Scale for Pressure Ulcer Risk in elderly residents of long-term care facilities. Geriatric Nursing. 2010;31(2):95-104.
  3. Abdi AH, ZeighamiMohammadi S, Hoseini M, Babagholzadeh S, Farmani P. Mortality and Length of Hospital Stay in Elderly with Hospital–Acquired Pressure Ulcer in Alborz Hospital of Karaj (2012). Alborz University Medical Journal. 2018;7(1):15-23.
  4. de Souza DMST, de Gouveia Santos VLC, Iri HK, Oguri MYS. Predictive validity of the Braden Scale for Pressure Ulcer Risk in elderly residents of long-term care facilities. Geriatric Nursing. 2010;31(2):95-104.
  5. Chianca T, Rezende J, Borges EL, Nogueira VL, Caliri M. Pressure ulcer knowledge among nurses in a Brazilian university hospital. Ostomy Wound Manage. 2010;56(10):58-64.
  6. Graham R, Mancher M, Wolman D, Greenfield S, Steinberg E. Institute of Medicine. Clinical Practice Guidelines We Can Trust [Internet]. Washington: The National Academy Press; 2011.
  7. Fervers B BJ, Voellinger R, Brouwers M, Browman GP, Graham ID, Harrison MB, Latreille J, Mlika-Cabane N, Paquet L, Zitzelsberger L. Guideline adaptation: an approach to enhance efficiency in guideline development and improve utilisation. BMJ quality & safety. 2011 Mar:1;20(3):228-36.
  8. Sadeghniiat Haghighi k, Eftekhari S, Mirzaaghaee F, Aminian O. Adaptation of clinical practice guidelines for manual titration of CPAP and BPAP in patients with obstructive sleep apnea %J Occupational Medicine Quarterly Journal. 2016;8(2):37-50.
  9. Tayyaba K. Designing a clinical guide for the safe preparation and administration of injectable chemotherapy drugs and the cares resulting from the administration in adult patients with cancer for nurses working in Iranian oncology centers [dissertation]. Isfahan: Isfahan University of Medical Sciences; 2018.
  10. Karimi A. Localization of clinical guidelines for the prevention of functional decline in hospitalized elderly [dissertation]: Isfahan University of Medical Sciences; 1400.

22.Hosseini, Nazafarin, Forozan Jahormi, Fatemeh, Akbar Tabar Tori, Mahdi, Moghimi, Masoud, Shafi, Maryam Al-Sadat, Ramzanali, Helena. Investigating the effect of teaching lifestyle dimensions in a family-oriented way on improving the lifestyle of the elderly. Education and ethics in nursing, 1401; 11(1-2): 100-107. doi: 10.22034/ethic.2022.700729

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