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An Educational Implementation Process Staff Survey: Lessons Learned

Delmore, Barbara, PhD, RN, CWCN, MAPWCA, IIWCC-NYU; Kent, Martha, EdD, RN, NEA-BC

Advances in Skin & Wound Care: May 2018 - Volume 31 - Issue 5 - p 234–238
doi: 10.1097/01.ASW.0000531353.31608.aa

OBJECTIVE: To evaluate the education process for the effective use of the Munro Pressure Ulcer Risk Assessment Scale by practicing perioperative staff at an urban tertiary medical center. Given that pressure injury formation is tied to the surgical process, there is a need for a pressure injury risk assessment scale that addresses the uniqueness of the perioperative process.

METHODS: Participants were staff who worked in the surgical admissions area, the main operating room, and the main postanesthesia care unit. The authors’ facility was 1 of 8 participants in a multisite study. Each site was required to educate staff using standard written instructions and an instructional webinar. However, sites were also encouraged to consider any other methods that would successfully engage the staff in the learning process. After the education process, staff were surveyed and asked to evaluate the educational interventions.

MAIN RESULTS: Findings indicated that the staff did not prefer written instructions alone but rather preferred a combination of different learning modalities and media to assist them in using the Munro Scale effectively.

CONCLUSIONS: This article discusses the strategies required to engage staff in the implementation process of this scale, the barriers encountered during this implementation, and the implications for perioperative nursing using this scale. The lessons learned from conducting this research provided insight into engaging and educating the adult learner in a new process.

At NYU Langone Health in New York, Barbara Delmore, PhD, RN, CWCN, MAPWCA, IIWCC-NYU, is Senior Nurse Scientist, Center for Innovation in the Advancement of Care, and Clinical Assistant Professor, Hansjörg Wyss Department of Plastic Surgery; and Martha Kent, EdD, RN, NEA-BC, is Senior Director of Nursing, Quality and Patient Safety Perioperative Services.

Acknowledgements: The authors thank the following individuals and groups for their contributions and support: The Tisch surgical admission staff, sixth floor operating room staff, and postanesthesia care unit staff; Gary Kwok; and Mary Dobbie.

The authors have disclosed that their institution received a Cardinal Health E3 Grant in collaboration with Association of periOperative Registered Nurses in relation to this work.

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

Submitted May 11, 2017; accepted in revised form November 17, 2017.

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