Process evaluation of a cluster-randomised trial testing a pressure ulcer prevention care bundle: a mixed-methods study

Shelley Roberts; Elizabeth McInnes; Tracey Bucknall; Marianne Wallis; Merrilyn Banks; Wendy Chaboyer

doi:10.1186/s13012-017-0547-2

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Process evaluation of a cluster-randomised trial testing a pressure ulcer prevention care bundle: a mixed-methods study

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Process evaluation of a cluster-randomised trial testing a pressure ulcer prevention care bundle: a mixed-methods study

Shelley Roberts, Elizabeth McInnes, Tracey Bucknall, Marianne Wallis, Merrilyn Banks and Wendy Chaboyer

Implementation Science, Vol.12(1), pp.18-18

13/02/2017

DOI: https://doi.org/10.1186/s13012-017-0547-2

PMCID: PMC5307838

PMID: 28193242

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Abstract

Complex intervention

Care bundle

Pressure ulcer prevention

Pressure injury prevention

Patient participation

Research

Process evaluation

Cluster-randomised trial

Background: As pressure ulcers contribute to significant patient burden and increased health care costs, their prevention is a clinical priority. Our team developed and tested a complex intervention, a pressure ulcer prevention care bundle promoting patient participation in care, in a cluster-randomised trial. The UK Medical Research Council recommends process evaluation of complex interventions to provide insight into why they work or fail and how they might be improved. This study aimed to evaluate processes underpinning implementation of the intervention and explore end-users' perceptions of it, in order to give a deeper understanding of its effects. Methods: A pre-specified, mixed-methods process evaluation was conducted as an adjunct to the main trial, guided by a framework for process evaluation of cluster-randomised trials. Data was collected across eight Australian hospitals but mainly focused on the four intervention hospitals. Quantitative and qualitative data were collected across the evaluation domains: recruitment, reach, intervention delivery and response to intervention, at both cluster and individual patient level. Quantitative data were analysed using descriptive and inferential statistics. Qualitative data were analysed using thematic analysis.

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Title: Process evaluation of a cluster-randomised trial testing a pressure ulcer prevention care bundle: a mixed-methods study
Creators: Shelley Roberts (Author) - Griffith University
Elizabeth McInnes (Author) - Australian Catholic University
Tracey Bucknall (Author) - Deakin University
Marianne Wallis (Author) - University of the Sunshine Coast
Merrilyn Banks (Author) - Royal Brisbane and Women's Hospital Foundation
Wendy Chaboyer (Author) - Griffith University
Publication Details: Implementation Science, Vol.12(1), pp.18-18
Publisher: BioMed Central; London
Identifiers: 991012926995102368
Copyright: © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Academic Unit: Nursing; Faculty of Health
Language: English
Resource Type: Journal article

Process evaluation of a cluster-randomised trial testing a pressure ulcer prevention care bundle: a mixed-methods study

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