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Table 2 Compliance with the CPG recommendations for the prevention and treatment of pressure ulcers

From: Impact of advanced practice nurses in hospital units on compliance with clinical practice guidelines: a quasi-experimental study

 

Baseline (pre-intervention)

12 months (post-intervention)

Within-group pre-post difference

APHN

Control

p value

APHN

Control

p value

APHN (p value)

Control (p value)

PU risk assessment among candidates for extended care

65%

60%

0.633

94%

62%

<.001

29 pp. (0.000)

1 pp. (0.878)

PU risk reassessment

12%

13%

0.816

83%

16%

<.001

72 pp. (0.000)

3 pp. (0.644)

Daily assessment of skin condition

7%

2%

0.322

69%

22%

<.001

62 pp. (0.000)

20 pp. (0.001)

Barrier / moisturiser cream or oil

72%

70%

0.807

89%

47%

<.001

17 pp. (0.064)

−23 pp. (0.018)

Daily record of skin condition

0%

43%

0.000

97%

36%

<.001

97 pp. (0.000)

−7 pp. (0.455)

Postural changes scheduled

67%

55%

0.205

92%

67%

0.007

24 pp. (0.009)

13 pp. (0.181)

Pressure modification/Pressure relief support (PMS/PRS)

93%

87%

0.504

92%

89%

1.000

−1 pp. (1.000)

2 pp. (0.714)

Nutritional assessment

21%

30%

0.304

33%

16%

0.060

12 pp. (0.214)

−14 pp. (0.089)

Full record of PU characteristics

84%

83%

0.927

100%

95%

0.275

16 pp. (0.014)

12 pp. (0.057)

PU treatment schedule

81%

87%

0.469

94%

93%

1.000

13 pp. (0.101)

6 pp. (0.308)

Patients’ and families’ understanding of condition

58%

60%

0.824

86%

78%

0.343

28 pp. (0.006)

18 pp. (0.045)

  1. PU: Pressure ulcer; APHN Advanced practice hospitalization nurse; pp. Percentage point