Comparative analysis: Implementation of improved pressure injury prevention programs in health organisations - Canada and Australia.

Abstract

This study investigates results from implementation of Improved Pressure Injury Prevention Programs in two large healthcare organisations: North York General Hospital in Canada, and Ballarat Health Services in Australia. The purpose of the study is to compare findings from similar programs implemented in health care organisations in two different national health systems. Methods Two programs with a common methodology emphasising the role of nursing; nursing leadership, the empowerment of nurses, and the development of nursing skills and capacities—within the context of a multi-disciplinary clinical care strategy. Implementation across both organisations involved a broad range of organisational functions, including leadership, planning, measurement, monitoring, training, the adoption of best-practice clinical protocols, and the engagement of patients and families. Findings Implementation of Improved Pressure Injury Prevention Programs in the two organisations proved to be highly effective, showing significant, measurable results within one year. The data confirm significant reductions in pressure injury prevalence rates and major changes in wound management practices. A significant reduction in daily dressing changes, enabling more efficient utilisation of nursing resources. In addition, infection rates were reduced to zero and all serious pressure injuries were effectively eliminated in both cases. Application in wound care practice Nursing practice offers an effective starting point for pressure injury prevention and management. A focus on ‘the basics’ of patient care can yield significant clinical benefits. Implementation of a successful and sustainable pressure injury prevalence reduction program, if implemented in a disciplined and rigorous manner, offers the potential to deliver both improved clinical outcomes and more efficient utilisation of clinical resources.