{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T05:25:30Z","timestamp":1770269130294,"version":"3.49.0"},"reference-count":46,"publisher":"Wiley","issue":"23-24","license":[{"start":{"date-parts":[[2017,3,22]],"date-time":"2017-03-22T00:00:00Z","timestamp":1490140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001027","name":"Department of Health and Ageing, Australian Government","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001027","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To evaluate the implementation of the Champions for Skin Integrity model on facilitating uptake of evidence\u2010based wound management and improving skin integrity in residents of aged care facilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The incidence of skin tears, pressure injuries and leg ulcers increases with age, and such wounds can be a serious issue in aged care facilities. Older adults are not only at higher risk for wounds related to chronic disease but also injuries related to falls and manual handling requirements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A longitudinal, pre\u2013post design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Champions for Skin Integrity model was developed using evidence\u2010based strategies for transfer of evidence into practice. Data were collected before and six months after implementation of the model. Data on wound management and skin integrity were obtained from two random samples of residents (<jats:italic>n<\/jats:italic>\u00a0=\u00a0200 pre; <jats:italic>n<\/jats:italic>\u00a0=\u00a0201 post) from seven aged care facilities. A staff survey was also undertaken (<jats:italic>n<\/jats:italic>\u00a0=\u00a0126 pre; <jats:italic>n<\/jats:italic>\u00a0=\u00a0143 post) of experience, knowledge and evidence\u2010based wound management. Descriptive statistics were calculated for all variables. Where relevant, <jats:italic>chi<\/jats:italic>\u2010square for independence or <jats:italic>t<\/jats:italic>\u2010tests were used to identify differences between the pre\u2010\/postdata.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a significant decrease in the number of residents with a wound of any type (54% pre vs 43% post, \u03c7<jats:sup>2<\/jats:sup> 4\u00b72, <jats:italic>p<\/jats:italic>\u00a0=\u00a00\u00b7041), as well as a significant reduction in specific wound types, for example pressure injuries (24% pre vs 10% post, \u03c7<jats:sup>2<\/jats:sup> 14\u00b71, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00\u00b7001), following implementation of the model. An increase in implementation of evidence\u2010based wound management and prevention strategies was observed in the postimplementation sample in comparison with the preimplementation sample. This included use of limb protectors and\/or protective clothing 6% pre vs 20% post (\u03c7<jats:sup>2<\/jats:sup> 17\u00b70, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00\u00b7001) and use of an emollient or soap alternative for bathing residents (50% pre vs 74% post, \u03c7<jats:sup>2<\/jats:sup> 13\u00b79, <jats:italic>p<\/jats:italic>\u00a0=\u00a00\u00b7001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implementation of the model in this sample fostered an increase in implementation of evidence\u2010based wound management and prevention strategies, which was associated with a decrease in the prevalence and severity of wounds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>This study suggests the Champions for Skin Integrity model has the potential to improve uptake of evidence\u2010based wound management and improve skin integrity for older adults.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13752","type":"journal-article","created":{"date-parts":[[2017,2,8]],"date-time":"2017-02-08T14:12:49Z","timestamp":1486563169000},"page":"4276-4285","source":"Crossref","is-referenced-by-count":33,"title":["Reduced prevalence and severity of wounds following implementation of the Champions for Skin Integrity model to facilitate uptake of evidence\u2010based practice in aged care"],"prefix":"10.1111","volume":"26","author":[{"given":"Helen E.","family":"Edwards","sequence":"first","affiliation":[{"name":"Faculty of Health Institute of Health and Biomedical Innovation Queensland University of Technology (QUT) Kelvin Grove Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne M.","family":"Chang","sequence":"additional","affiliation":[{"name":"School of Nursing Institute of Health and Biomedical Innovation Queensland University of Technology (QUT) Kelvin Grove 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