Document Detail

Assessing the need for developing a comprehensive content-validated pressure ulcer guideline.
MedLine Citation:
PMID:  19037134     Owner:  NLM     Status:  MEDLINE    
Healthcare professionals need evidence-based strategies and guidelines for care to optimize pressure ulcer prevention and management. Differences among pressure ulcer guidelines confuse caregivers, reducing consistency of care. To assess the need for a comprehensive content-validated guideline document, the Association for the Advancement of Wound Care Guideline Subcommittee evaluated current pressure ulcer guideline recommendations by compiling 10 pressure ulcer-specific guidelines existing before June 2008 on the National Guideline Clearinghouse website along with the National Pressure Ulcer Advisory Panel (draft), European Pressure Ulcer Advisory Panel (draft), and Wound Healing Society guidelines. Steps for each aspect of pressure ulcer management were compiled and inconsistent recommendations identified. Currently available pressure ulcer guidelines were found to differ in definitions, aspects of care, validation, evidence criteria, and procedural recommendations, potentially affecting consistency and quality of all aspects of pressure ulcer management, including diagnosis, prevention, treatment, and outcomes measurement. To address these inconsistencies, a comprehensive list of Pressure Ulcer Care Initiative (PUCI) steps was prepared for content validation and posted on, enabling healthcare professionals interested in improving the consistency and quality of pressure ulcer prevention and care to participate in this process. All steps with a content validity index > 0.75 (rated clinically relevant by survey respondents) and/or with A-level standardized clinical evidence support will be included in the comprehensive PUCI guideline. Content validation of recommendations is an important first step to improving the consistency of pressure ulcer care.
Laura Bolton; Sue Girolami; Stephanie Slayton; Teri M Berger; Linda Foster; Kathy T Whittington; Diane Merkle;
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Ostomy/wound management     Volume:  54     ISSN:  0889-5899     ISO Abbreviation:  Ostomy Wound Manage     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-27     Completed Date:  2009-03-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8912029     Medline TA:  Ostomy Wound Manage     Country:  United States    
Other Details:
Languages:  eng     Pagination:  22-30     Citation Subset:  N    
Department of Surgery, Robert Wood Johnson University Medical School, New Brunswick, New Jersey, USA.
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MeSH Terms
Evidence-Based Practice / organization & administration*
Needs Assessment / organization & administration*
Practice Guidelines as Topic*
Pressure Ulcer / classification,  diagnosis,  therapy*
Randomized Controlled Trials as Topic
Reproducibility of Results
Research Design / standards
Severity of Illness Index
Skin Care* / standards
Societies, Scientific / organization & administration
United States
Mona M Baharestani / ; James H Quillen / ; Roslyn S Jordan / ; Sophia Kahn / ; Patrick McNees / ; Laurie Rappl /

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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