ArticleBMJ open2019
Preventing pressure injury in nursing homes: developing a care bundle using the Behaviour Change Wheel.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- How Have Quality Improvement Strategies Been Adopted and How Has Impact Been Assessed in Care Homes for Older People? A Systematic Search and Narrative Review.International journal of older people nursing · 2025Pooled it
- Development of a theory-based intervention to increase cognitively able frail elders' engagement with advance care planning using the behaviour change wheel.BMC health services research · 2021Pooled it
- The Barriers and Facilitators to Implementing Pressure Injury Prevention Strategies: A Qualitative Study Among Nursing Home Staff in Sri Lanka.International wound journal · 2026Article
- Barriers and Facilitators to Implementing Pressure Injury Guidelines for Nutrition Assessment and Alternating Pressure Air Mattress Allocation: A Qualitative Study.Journal of advanced nursing · 2025Article
- Intervention in Healthcare Teams to Promote Adherence to the Integration of Care for People at Risk of Pressure Injuries Between Hospitals and Communities: A Scoping Review.International wound journal · 2025Article
- Nurses' Knowledge, Attitudes, and Practices in Pressure Injury Prevention: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Nurses' Perspectives on the Use of Prophylactic Dressings to Prevent Pressure Injury: A Qualitative Study.Journal of clinical nursing · 2025Article
- A model to increase care delivery in nursing homes: The role of Institutional Special Needs Plans.Health services research · 2025Article
- Quality of care as perceived by caregivers and residents in aged care homes in Sri Lanka: a qualitative study.BMC geriatrics · 2024Article
- Increasing physical activity levels in care homes for older people: a quantitative scoping review of intervention studies to guide future research.Disability and rehabilitation · 2023Article
- Using a theory-informed approach to guide the initial development of a post-tuberculosis care package in British Columbia, Canada.BMC health services research · 2023Article
- Article
- Strengthening and supporting nurses' communication with mechanically ventilated patients in the intensive care unit: Development of a communication intervention.International journal of nursing studies advances · 2021Article
- Supporting Occupational Physicians in the Implementation of Workers' Health Surveillance: Development of an Intervention Using the Behavior Change Wheel Framework.International journal of environmental research and public health · 2021Article
- Pressure injuries among admissions to a hospital in the tropics.International wound journal · 2020Article
- A Logic Model for Evaluation and Planning in an Adult Day Care for Disabled Japanese Old People.International journal of environmental research and public health · 2020Article
- Preventing pressure ulcers in nursing homes using a care bundle: A feasibility study.Health & social care in the community · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo develop, with nurse specialists and nursing home care staff, a theory and evidence-informed
designThe development of a care bundle.
methodsWe undertook a detailed, multistaged and theoretically driven development process. First, we identified evidence-informed pressure injury prevention practices: these formed an initial set of possible target behaviours to be considered for inclusion in the bundle. During a 4-hour workshop and supplemental email consultation with a total of 13 healthcare workers, we agreed the key target behaviours for the care bundle. We explored with staff the barriers and facilitators to prevention activity and defined intervention functions and behaviour change practices using the Behaviour Change Wheel.
settingNorth West England.
resultsThe target behaviours consisted of three elements: support surfaces, skin inspection and repositioning. We identified capability, opportunity and reflective motivation as influencing the pressure injury prevention behaviours of nursing home care staff. The intervention functions (education, training, modelling) and behaviour change techniques (information about social and environmental consequences, information on health consequences, feedback on behaviour, feedback on the outcome of behaviour, prompts/cues, instruction on how to perform the behaviour, demonstration of behaviour) were incorporated into the care bundle.
conclusionThis is the first description of a pressure injury prevention care bundle for nursing homes developed using the Behaviour Change Wheel. Key stakeholders identified and prioritised the appropriate target behaviours to aid pressure injury prevention in a nursing home setting.
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Registered trials
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