{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T05:39:17Z","timestamp":1733895557956,"version":"3.30.1"},"reference-count":19,"publisher":"Mark Allen Group","issue":"Sup12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Community Nurs"],"published-print":{"date-parts":[[2024,12,2]]},"abstract":"<jats:p> Assessment of pressure ulcer (PU) risk is important in clinical practice and the need to document it in the patient's record is paramount. Despite national and international guidelines highlighting the need to document PU risk, nursing documentation remains variable. The first article in this series discussed the evidence base underpinning the development of clinical guidelines for PUs, alongside the creation of bundle approach for PU prevention. The second article presented the results of a clinical audit exploring compliance against a PU prevention bundle (aSSKINg framework) in an adult community nursing setting in the South East of England. This final article in the series presents the results of a quality improvement project that involved a clinical audit following the implementation of the aSSKINg framework into the electronic patient record (EPR). The aim was to improve nursing documentation for patients with PU risk. The clinical audit was conducted in two parts, with a pilot phase running between 6 February 2023 and 15 April 2023. After the template implementation into the EPR, a follow-up audit was undertaken between 1 November 2023 and 31 January 2024. Overall compliance against the aSSKINg framework improved, especially the completion of the PURPOSE-T on the first visit, full skin assessment and repositioning advice. Following the pilot phase, the aSSKINg template was rolled out in a phased approach to the adult community nursing, enhanced care home matrons and urgent community response teams. <\/jats:p>","DOI":"10.12968\/bjcn.2024.0121","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T16:56:23Z","timestamp":1733849783000},"page":"S16-S21","source":"Crossref","is-referenced-by-count":0,"title":["Integration of the aSSKINg framework into the electronic patient record: a quality improvement project"],"prefix":"10.12968","volume":"29","author":[{"given":"Susan","family":"Martin","sequence":"first","affiliation":[{"name":"Tissue Viability Nurse Specialist Sussex Community NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Holloway","sequence":"additional","affiliation":[{"name":"Reader and Programme Director, Cardiff University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Watts","sequence":"additional","affiliation":[{"name":"Digital Nurse Specialist, Sussex Community NHS Foundation Trust"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1186\/1471-2288-10-67","volume":"10","author":"Arain M","year":"2010","journal-title":"BMC Med Res Methodol"},{"issue":"6","key":"B2","doi-asserted-by":"crossref","first-page":"1290","DOI":"10.1111\/iwj.12798","volume":"14","author":"Chaboyer W","year":"2017","journal-title":"Int Wound J"},{"issue":"8","key":"B3","first-page":"198","volume":"48","author":"Christoff P","year":"2018","journal-title":"Curr Probl Pediatr Adolesc Health Care"},{"issue":"8","key":"B4","doi-asserted-by":"crossref","first-page":"e015616","DOI":"10.1136\/bmjopen-2016-015616","volume":"7","author":"Clark M","year":"2017","journal-title":"BMJ Open"},{"issue":"6","key":"B6","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/S0899-9007(99)00084-2","volume":"15","author":"Ferguson M","year":"1999","journal-title":"Nutrition"},{"issue":"5","key":"B7","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1001\/jamainternmed.2022.0372","volume":"182","author":"Gaffney A","year":"2022","journal-title":"JAMA Intern Med"},{"issue":"3","key":"B8","doi-asserted-by":"crossref","first-page":"e000905","DOI":"10.1136\/bmjoq-2019-000905","volume":"9","author":"Gupta P","year":"2020","journal-title":"BMJ Open Qual"},{"issue":"4","key":"B9","doi-asserted-by":"crossref","first-page":"e417","DOI":"10.1111\/hsc.12742","volume":"27","author":"Lavall\u00e9e JF","year":"2019","journal-title":"Health Soc Care Community"},{"issue":"2","key":"B10","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.jogn.2019.01.005","volume":"48","author":"Lowe NK","year":"2019","journal-title":"J Obstet Gynecol Neonatal Nurs"},{"key":"B11","doi-asserted-by":"crossref","first-page":"S28","DOI":"10.12968\/bjcn.2024.0064","volume":"29","author":"Martin S","year":"2024","journal-title":"Br J Community Nurs"},{"issue":"6","key":"B12","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1111\/jhn.13026","volume":"35","author":"McCray S","year":"2022","journal-title":"J Hum Nutr Diet"},{"issue":"6","key":"B16","doi-asserted-by":"crossref","DOI":"10.3310\/pgfar03060","volume":"3","author":"Nixon J","year":"2015","journal-title":"Programme Grants Appl Res"},{"key":"B17","unstructured":"Polit D, Beck C. 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