Towards international consensus on patient harm: perspectives on pressure injury policy

Jackson, D; Hutchinson, M; Barnason, S; Li, W; Mannix, J; Neville, S; Piper, D; Power, T; Smith, GD; Usher, K

Towards international consensus on patient harm: perspectives on pressure injury policy

Jackson, D

Hutchinson, M Barnason, S Li, W Mannix, J Neville, S

Piper, D Power, T

Smith, GD Usher, K

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Publication Type:: Journal Article
Citation:: Journal of nursing management, 2016, 24 (7), pp. 902 - 914
Issue Date:: 2016-10-01

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Field	Value	Language
dc.contributor.author	Jackson, D https://orcid.org/0000-0001-5252-5325	en_US
dc.contributor.author	Hutchinson, M	en_US
dc.contributor.author	Barnason, S	en_US
dc.contributor.author	Li, W	en_US
dc.contributor.author	Mannix, J	en_US
dc.contributor.author	Neville, S https://orcid.org/0000-0002-1699-6143	en_US
dc.contributor.author	Piper, D	en_US
dc.contributor.author	Power, T https://orcid.org/0000-0002-3334-0322	en_US
dc.contributor.author	Smith, GD	en_US
dc.contributor.author	Usher, K https://orcid.org/0000-0002-9686-5003	en_US
dc.date.available	2016-04-04	en_US
dc.date.issued	2016-10-01	en_US
dc.identifier.citation	Journal of nursing management, 2016, 24 (7), pp. 902 - 914	en_US
dc.identifier.uri	http://hdl.handle.net/10453/137764
dc.description.abstract	© 2016 John Wiley & Sons Ltd. AIMS: To analyse influential policies that inform practice related to pressure injury management in Australia, England, Hong Kong, New Zealand, Scotland and the United States of America.BACKGROUND: Pressure injuries are associated with significant harm to patients, and carry economic consequences for the health sector. Internationally, preventing and managing pressure injuries is a key nursing activity and quality indicator.EVALUATION: Comparative review and synthesis of pressure injury policies that inform practice.KEY ISSUES: The predominant focus of policy is on patient risk assessment, compliance with documentation and pressure relief. Financial penalty for institutions is emerging as a strategy where pressure injuries occur. Comparisons of prevalence rates are hampered by the lack of consensus on data collection and reporting. To date there has been little evaluation of policy implementation and implemented policy strategies, associated guidelines remain founded upon expert opinion and low-level evidence.IMPLICATIONS FOR NURSING MANAGEMENT: The pressure injury policy agenda has fostered a discourse of attention to incidents, compliance and penalty (sanctions). Prevention and intervention strategies are informed by technical and biomedical interpretations of patient risk and harm, with little attention given to the nature or design of nursing work. Considerable challenges remain if this policy agenda is successfully to eliminate pressure injury as a source of patient harm.	en_US
dc.relation.ispartof	Journal of nursing management	en_US
dc.relation.isbasedon	10.1111/jonm.12396	en_US
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Risk Assessment	en_US
dc.subject.mesh	Consensus	en_US
dc.subject.mesh	Internationality	en_US
dc.subject.mesh	Health Policy	en_US
dc.subject.mesh	Policy Making	en_US
dc.subject.mesh	United States	en_US
dc.subject.mesh	Hong Kong	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	England	en_US
dc.subject.mesh	Scotland	en_US
dc.subject.mesh	New Zealand	en_US
dc.subject.mesh	Pressure Ulcer	en_US
dc.subject.mesh	Patient Harm	en_US
dc.title	Towards international consensus on patient harm: perspectives on pressure injury policy	en_US
dc.type	Journal Article
utslib.citation.volume	7	en_US
utslib.citation.volume	24	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
pubs.issue	7	en_US
pubs.publication-status	Published	en_US
pubs.volume	24	en_US

Abstract:

© 2016 John Wiley & Sons Ltd. AIMS: To analyse influential policies that inform practice related to pressure injury management in Australia, England, Hong Kong, New Zealand, Scotland and the United States of America.BACKGROUND: Pressure injuries are associated with significant harm to patients, and carry economic consequences for the health sector. Internationally, preventing and managing pressure injuries is a key nursing activity and quality indicator.EVALUATION: Comparative review and synthesis of pressure injury policies that inform practice.KEY ISSUES: The predominant focus of policy is on patient risk assessment, compliance with documentation and pressure relief. Financial penalty for institutions is emerging as a strategy where pressure injuries occur. Comparisons of prevalence rates are hampered by the lack of consensus on data collection and reporting. To date there has been little evaluation of policy implementation and implemented policy strategies, associated guidelines remain founded upon expert opinion and low-level evidence.IMPLICATIONS FOR NURSING MANAGEMENT: The pressure injury policy agenda has fostered a discourse of attention to incidents, compliance and penalty (sanctions). Prevention and intervention strategies are informed by technical and biomedical interpretations of patient risk and harm, with little attention given to the nature or design of nursing work. Considerable challenges remain if this policy agenda is successfully to eliminate pressure injury as a source of patient harm.

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http://hdl.handle.net/10453/137764