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Survey Results from the Philippines: NPUAP Changes in Pressure Injury Terminology and Definitions

Ayello, Elizabeth, A., PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN; Delmore, Barbara, PhD, RN, CWCN, MAPWCA, IIWCC-NYU; Smart, Hiske, RN, MA Nursing Science (PU for CHE), Hons B. Soc Sc. Nursing Science (UFS); Sibbald, R., Gary, BSc, MD, DSc (Hons), MEd, FRCPC (Med Derm), FAAD, MAPWCA

doi: 10.1097/01.ASW.0000526714.93344.97
Features: Original Investigation

OBJECTIVE: To determine the opinions of healthcare clinicians in the Philippines regarding the 2016 National Pressure Ulcer Advisory Panel (NPUAP) terminology changes and revised staging definitions.

DESIGN AND SETTING: A survey methodology was used in Manila, Philippines. Convenience samples of healthcare clinicians of varying disciplines and employment settings were invited to participate in this research.

INTERVENTIONS: A survey was administered at key intervals regarding the revised NPUAP terminology changes and revised staging definitions. The survey was administered before and after an interactive, basic 2-day wound course was conducted.

MAIN RESULTS: Results revealed strong support for the 2016 NPUAP terminology change from pressure ulcer to pressure injury and the revised staging definitions.

CONCLUSIONS: Since the NPUAP changed its terminology and revised the staging definitions, the wound care community has been responding to those changes. Because pressure injuries are a global health concern, the opinions of clinicians outside the United States are equally valuable. The healthcare clinicians in the Philippines surveyed appear to embrace the new terminology changes and revised staging definitions put forth by the NPUAP.

Elizabeth A. Ayello, PhD, RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN, is Faculty, Excelsior College School of Nursing, Albany, New York, President, Ayello Harris & Associates, Inc, Copake, New York, and Clinical Editor, Advances in Skin & Wound Care, Philadelphia, Pennsylvania. Barbara Delmore, PhD, RN, CWCN, MAPWCA, IIWCC-NYU, is Senior Nurse Scientist, Center for Innovations in the Advancement of Care, NYU Langone Medical Center, New York. Hiske Smart, MA Nursing Science (PU for CHE), Hons B. Soc Sc. Nursing Science (UFS), RN, is a Clinical Nurse Specialist, Wound Care and Hyperbaric Oxygen Therapy Unit, King Hamad University Hospital, Busaiteen, Bahrain. R. Gary Sibbald, BSc, MD, DSc (Hons), MEd, FRCPC (Med Derm), FAAD, MAPWCA, is Professor of Medicine and Public Health and Director, International Interprofessional Wound Care Course and Masters of Science in Community Health, Dalla Lana School of Public Health, University of Toronto, Ontario, Canada; and Clinical Editor, Advances in Skin & Wound Care, Philadelphia, Pennsylvania.

Acknowledgements: Thank you to Aceleen Monteagudo and her team for data collection assistance in the Philippines. A special thank you to Evan X. Accardi for his tremendous efforts in organizing the data and helping us to analyze it. Dr Delmore discloses that she is a member of the National Pressure Ulcer Advisory Panel (NPUAP) board of directors as of January 2017. Dr Ayello discloses that she was the 1999 NPUAP President and is a former member of the board of directors.

The authors have disclosed that they have no other financial relationships related to this article.

Submitted April 6, 2017; accepted in revised form August 25, 2017.

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