Developing a pressure ulcer risk factor minimum data set and risk assessment framework

Susanne Coleman, E. Andrea Nelson, Justin Keen, Lyn Wilson, Elizabeth McGinnis, Carol Dealey, Nikki Stubbs, Delia Muir, Amanda Farrin, Dawn Dowding, Jos M.G.A. Schols, Janet Cuddigan, Dan Berlowitz, Edward Jude, Peter Vowden, Dan L. Bader, Amit Gefen, Cees W.J. Oomens, Lisette Schoonhoven, Jane Nixon

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

Aim. To agree a draft pressure ulcer risk factor Minimum Data Set to underpin the development of a new evidenced-based Risk Assessment Framework. Background. A recent systematic review identified the need for a pressure ulcer risk factor Minimum Data Set and development and validation of an evidencedbased pressure ulcer Risk Assessment Framework. This was undertaken through the Pressure UlceR Programme Of reSEarch (RP-PG-0407-10056), funded by the National Institute for Health Research and incorporates five phases. This article reports phase two, a consensus study. Design. Consensus study. Method. A modified nominal group technique based on the Research and Development/University of California at Los Angeles appropriateness method. This incorporated an expert group, review of the evidence and the views of a Patient and Public Involvement service user group. Data were collected December 2010-December 2011. Findings. The risk factors and assessment items of the Minimum Data Set (including immobility, pressure ulcer and skin status, perfusion, diabetes, skin moisture, sensory perception and nutrition) were agreed. In addition, a draft Risk Assessment Framework incorporating all Minimum Data Set items was developed, comprising a two stage assessment process (screening and detailed full assessment) and decision pathways. Conclusion. The draft Risk Assessment Framework will undergo further design and pre-testing with clinical nurses to assess and improve its usability. It will then be evaluated in clinical practice to assess its validity and reliability. The Minimum Data Set could be used in future for large scale risk factor studies informing refinement of the Risk Assessment Framework.

Original languageEnglish (US)
Pages (from-to)2339-2352
Number of pages14
JournalJournal of advanced nursing
Volume70
Issue number10
DOIs
StatePublished - Oct 1 2014

Keywords

  • consensus study
  • nursing
  • pressure ulcer
  • risk factors
  • tissue viability

ASJC Scopus subject areas

  • Nursing(all)

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    Coleman, S., Nelson, E. A., Keen, J., Wilson, L., McGinnis, E., Dealey, C., Stubbs, N., Muir, D., Farrin, A., Dowding, D., Schols, J. M. G. A., Cuddigan, J., Berlowitz, D., Jude, E., Vowden, P., Bader, D. L., Gefen, A., Oomens, C. W. J., Schoonhoven, L., & Nixon, J. (2014). Developing a pressure ulcer risk factor minimum data set and risk assessment framework. Journal of advanced nursing, 70(10), 2339-2352. https://doi.org/10.1111/jan.12444