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Evaluating the impact of the tissue viability seating guidelines

Stephens, Melanie, Bartley, Carol, Samuriwo, Ray and Stubbs, Nikki 2021. Evaluating the impact of the tissue viability seating guidelines. Journal of Tissue Viability 10.1016/j.jtv.2020.12.003
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Abstract

Introduction Internationally, guidelines are developed to ensure safe, effective, person centred, timely, efficient, and effective practice. However, their use in clinical practice is found to be variable. The Tissue Viability Society (TVS) published updated seating guidelines in 2017, yet, little is known about how these guidelines are being used. Methods The aim of this evaluation was to gauge the impact of the Tissue Viability Seating Guidelines on clinical practice and policy. A cross-sectional questionnaire was used to elicit the responses from anyone with an interest or role within seating and pressure ulcer prevention and management. The survey was distributed through a variety of methods including email to members of the Tissue Viability Society and social media platforms from September to December 2019. Results and Discussion: There were thirty-nine responses, the bulk of which were from healthcare professionals across primary and secondary care. All but one respondent was from the United Kingdom. Eleven had incorporated the latest TVS seating guidance into policy and sixteen into practice. The results of our survey demonstrates congruence with the literature as the main themes that emerged included incorporating the guidance into everyday clinical practice, education, and training, and as a resource or dissemination tool. Barriers to implementation included being unaware of the guidelines and unaware of one's own professional and collective organisational responsibility to guideline dissemination. However, many respondents were planning to incorporate the guidelines using a variety of methods. Conclusion This survey has shown there are some examples of successful implementation of the TVS Seating guidelines. Future TVS guidelines should include implementation strategies, interventions, and goals for local champions to ensure barriers to implementation are both assessed and addressed. Future work could also include a trial of the guidelines within a pilot project.

Item Type: Article
Date Type: Published Online
Status: In Press
Schools: Healthcare Sciences
Publisher: Elsevier
ISSN: 0965-206X
Date of First Compliant Deposit: 1 January 2021
Date of Acceptance: 18 December 2020
Last Modified: 20 Jan 2021 12:11
URI: http://orca.cf.ac.uk/id/eprint/137223

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