| Assessing the need for developing a comprehensive content-validated pressure ulcer guideline. | |
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MedLine Citation:
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PMID: 19037134 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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 www.aawconline.org, 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. |
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Authors:
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Laura Bolton; Sue Girolami; Stephanie Slayton; Teri M Berger; Linda Foster; Kathy T Whittington; Diane Merkle; |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Ostomy/wound management Volume: 54 ISSN: 0889-5899 ISO Abbreviation: Ostomy Wound Manage Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-11-27 Completed Date: 2009-03-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8912029 Medline TA: Ostomy Wound Manage Country: United States |
Other Details:
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Languages: eng Pagination: 22-30 Citation Subset: N |
Affiliation:
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Department of Surgery, Robert Wood Johnson University Medical School, New Brunswick, New Jersey, USA. llbolton@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Evidence-Based Practice
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organization & administration* Humans 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 |
| Investigator | |
Investigator/Affiliation:
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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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