title: Understanding nurses' views on a pressure ulcer prevention care bundle: a first step towards successful implementation.
abstract: OBJECTIVE
  To explore nurses' views of the barriers and facilitators to the use of a newly devised patient-centred pressure ulcer prevention care bundle.
  
  
  BACKGROUND
  Given pressure ulcer prevention strategies are not implemented consistently, the use of a pressure ulcer care bundle may improve implementation given bundles generally assist in standardising care.
  
  
  METHODS
  A quality improvement project was undertaken after a pressure ulcer prevention care bundle was developed and pilot-tested.
  
  
  METHODS
  Short, conversational interviews with nurse explored their views of a patient-centred pressure ulcer care bundle. Interviews were audio-taped and transcribed. Inductive content analysis was used to analyse the transcripts.
  
  
  RESULTS
  A total of 20 nurses were interviewed. Five categories with corresponding subcategories emerged from the analysis. They were increasing awareness of pressure ulcer prevention, prompting pressure ulcer prevention activities, promoting active patient participation, barriers to using a pressure ulcer prevention care bundle and enabling integration of the pressure ulcer prevention care bundle into routine practice.
  
  
  CONCLUSIONS
  Benefits of using a patient-centred pressure ulcer prevention care bundle may include prompting patients and staff to implement prevention strategies and promote active patient participation in care. The success of the care bundle relied on both patients' willingness to participate and nurses' willingness to incorporate it into their routine work.
  
  
  CONCLUSIONS
  A patient-centred pressure ulcer prevention care bundle may facilitate more consistent implementation of pressure ulcer prevention strategies and active patient participation in care.
authors.affiliation: NHMRC Centre of Research Excellence in Nursing, Research Centre for Health Practice Innovation, Griffith Health Institute, Griffith University, Gold Coast, Qld, Australia.
authors.forename: Wendy
authors.initials: W
authors.lastname: Chaboyer
authors.forename: Brigid M
authors.initials: BM
authors.lastname: Gillespie
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003144:Communication Barriers; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D064872:Patient Care Bundles; D010358:Patient Participation; D010865:Pilot Projects; D003668:Pressure Ulcer / Q000451:nursing / Q000517:prevention & control*; D017592:Skin Care; D055815:Young Adult
keywords: care bundle; patient participation; pressure ulcer; pressure ulcer prevention