Barriers and facilitators to implementing pressure injury guidelines for nutrition assessment and alternating pressure air mattress allocation : A qualitative study

Journal article

Wan, Ching Shan, Musgrave-Takeda, Mika, Gillespie, Brigid M., Tobiano, Georgia and McInnes, Elizabeth. (2025). Barriers and facilitators to implementing pressure injury guidelines for nutrition assessment and alternating pressure air mattress allocation : A qualitative study. Journal of Advanced Nursing. pp. 1-22. https://doi.org/10.1111/jan.16820
AuthorsWan, Ching Shan, Musgrave-Takeda, Mika, Gillespie, Brigid M., Tobiano, Georgia and McInnes, Elizabeth
Abstract

Aims
To investigate clinicians' views on barriers and facilitators to implementing pressure injury prevention guideline recommendations for nutrition assessment and treatment, and de-implementing inappropriate alternating pressure air mattress allocation.

Design
A qualitative descriptive study adhering to the COnsolidated criteria for REporting Qualitative research (COREQ) guidelines.

Methods
We conducted face-to-face or videoconference focus groups and semi-structured individual interviews with clinicians recruited from a metropolitan tertiary hospital. Participants were purposively sampled according to their years of clinical practice. Interview transcripts were thematically analysed inductively to derive barriers and facilitators to guideline uptake. These were then mapped to the Theoretical Domains Framework and behaviour change techniques to inform an evidence-based implementation intervention development to improve guideline uptake.

Results
Thirteen nurses, four occupational therapists and three dietitians were interviewed. Six themes illustrate three guideline-specific barriers and three common facilitators influencing nutrition- and mattress-related guideline uptake. The three barriers were: (1) nurses devalue the use of validated tools in nutrition screening; (2) nurses prioritise vital-sign-related nursing duties over feeding assistance according to clinical urgency; and (3) nurses consider air mattresses a preventative strategy irrespective of patient PI risks. Facilitators to improve guideline uptake were: (1) nurse-led interdisciplinary collaboration, (2) carer involvement and (3) easily accessible updated guidelines. Different Theoretical Domains Framework domains and behaviour change techniques were mapped to the identified nutrition- and mattress-related barriers.

Conclusion
The findings highlight three key nurses' attitudinal barriers to nutrition- and mattress-related guideline uptake, which inform the development of theory- and end-user-informed implementation interventions in pressure injury prevention.

Implications
An implementation strategical plan that addresses attitudinal barriers to improving guideline uptake for nutrition assessment and treatment and reducing air mattress overprescription appears critical in developing an intervention to enhance value-based practice, which will need to be evaluated in future trials.

Patient or Public Contribution
No Patient or Public Contribution.

Year2025
JournalJournal of Advanced Nursing
Journal citationpp. 1-22
PublisherJohn Wiley & Sons Ltd
ISSN1365-2648
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.16820
PubMed ID39936558
Scopus EID2-s2.0-85218831384
Open accessPublished as ‘gold’ (paid) open access
Page range1-22
FunderNational Health and Medical Research Council (NHMRC)
St Vincent's Hospital Melbourne
Publisher's version
License
File Access Level
Open
Output statusIn press
Publication dates
Online12 Feb 2025
Publication process dates
Accepted31 Jan 2025
Deposited05 Jun 2025
Additional information

© 2025 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.

This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Shi, Chunhu, Dumville, Jo, Cullum, Nicky, Rhodes, Sarah and McInnes, Elizabeth. (2020). Foam surfaces for preventing pressure ulcers. Cochrane Database of Systematic Reviews. (5), p. CD0136. https://doi.org/10.1002/14651858.CD013621
Alternative reactive support surfaces (non-foam or air-filled) for preventing pressure ulcers
Shi, C., Dumville, J. C., Cullum, N., Rhodes, S. and McInnes, E.. (2020). Alternative reactive support surfaces (non-foam or air-filled) for preventing pressure ulcers. Cochrane Database of Systematic Reviews. (5), p. CD013623.. https://doi.org/10.1002/14651858.CD013623
Reporting health research translation and impact in the curriculum vitae : A survey
Boland, L., Brosseau, L., Caspar, S., Graham, I. D., Hutchinson, A. M., Kothari, A., McNamara, K., McInnes, E., Angel, M. and Stacey, D.. (2020). Reporting health research translation and impact in the curriculum vitae : A survey. Implementation Science Communications. 1, p. 20. https://doi.org/10.1186/s43058-020-00021-9
A qualitative meta-synthesis investigating the experiences of the patient’s family when treatment is withdrawn in the intensive care unit
Coventry, Alysia, Ford, Rosemary, Rosenberg, John and McInnes, Elizabeth. (2020). A qualitative meta-synthesis investigating the experiences of the patient’s family when treatment is withdrawn in the intensive care unit. Journal of Advanced Nursing. 76(9), pp. 2222-2234. https://doi.org/10.1111/jan.14416
Repositioning for pressure injury prevention in adults (Review)
Gillespie, B. M., Walker, R. M., Latimer, S. L., Thalib, L., Whitty, J. A., McInnes, E. and Chaboyer, W. P.. (2020). Repositioning for pressure injury prevention in adults (Review). Cochrane Database of Systematic Reviews. Issue 6, p. CD009958. https://doi.org/10.1002/14651858.CD009958.pub3
Process evaluation of an implementation trial to improve the triage, treatment and transfer of stroke patients in emergency departments (T3 trial) : A qualitative study
McInnes, Elizabeth, Dale, Simeon, Craig, Louise, Phillips, Rosemary, Fasugba, Oyebola, Schadewaldt, Verena, Cheung, N. Wah, Cadilhac, Dominique A., Grimshaw, Jeremy M., Levi, Chris, Considine, Julie, McElduff, Patrick, Gerraty, Richard, Fitzgerald, Mark, Ward, Jeanette, D’Este, Catherine and Middleton, Sandy. (2020). Process evaluation of an implementation trial to improve the triage, treatment and transfer of stroke patients in emergency departments (T3 trial) : A qualitative study. Implementation Science. 15(1), p. Article 99. https://doi.org/10.1186/s13012-020-01057-0
Prevention and treatment of pressure injuries : A meta-synthesis of Cochrane Reviews
Walker, Rachel M., Gillespie, Brigid M., McInnes, Elizabeth, Moore, Zena, Eskes, Anne M., Patton, Declan, Harbeck, Emma L., White, Codi, Scott, Ian A. and Chaboyer, Wendy. (2020). Prevention and treatment of pressure injuries : A meta-synthesis of Cochrane Reviews. Journal of Tissue Viability. 29(4), pp. 227-243. https://doi.org/10.1016/j.jtv.2020.05.004
Preoperative and postoperative recommendations to surgical wound care interventions : A systematic meta-review of Cochrane Reviews
Gillespie, Brigid M., Walker, Rachel M., McInnes, Elizabeth, Moore, Zena, Eskes, Anne M., O'Connor, Tom, Harbeck, Emma, White, Codi, Scott, Ian A., Vermeulen, Hester and Chaboyer, Wendy. (2020). Preoperative and postoperative recommendations to surgical wound care interventions : A systematic meta-review of Cochrane Reviews. International Journal of Nursing Studies. 102, p. 103486. https://doi.org/10.1016/j.ijnurstu.2019.103486
Patient involvement in surgical wound care research : A scoping review
Muir, Rachel, Carlini, Joan Julie, Harbeck, Emma Louise, Gillespie, Brigid Mary, Tuffaha, Haitham Wadah, Walker, Rachel Michell, McInnes, Elizabeth Catherine, Latimer, Sharon Leanne, Lin, Frances Fengzhi, Pearcy, Josh Michael and Chaboyer, Wendy Pearl. (2020). Patient involvement in surgical wound care research : A scoping review. International Wound Journal. 17(5), pp. 1462-1482. https://doi.org/10.1111/iwj.13395
Increased fluid intake for the prevention of urinary tract infection in adults and children in all settings : A systematic review
Fasugba, O., Mitchell, B. G., McInnes, E., Koerner, J., Cheng, A. C., Cheng, H. and Middleton, S.. (2020). Increased fluid intake for the prevention of urinary tract infection in adults and children in all settings : A systematic review. Journal of Hospital Infection. 104(1), pp. 68-77. https://doi.org/10.1016/j.jhin.2019.08.016
The surgical patients' pressure injury incidence (SPPII) study: A cohort study of surgical patients and processes of care
Martinez-Garduno, Cintia Mayel, Rodgers, Jane, Phillips, Rosemary, Gunaratne, Anoja, Drury, Peta and McInnes, Elizabeth Catherine. (2019). The surgical patients' pressure injury incidence (SPPII) study: A cohort study of surgical patients and processes of care. Wound Practice & Research. 27(2), pp. 120 - 128. https://doi.org/10.33235/wpr.27.2.86-94
A systems change intervention for nurse-led smoking cessation care in hospitals
Malone, Victoria, Ezard, Nadine, Clifford, Brendan, Middleton, Sandy, McInnes, Elizabeth and Bonevski, Billie. (2019). A systems change intervention for nurse-led smoking cessation care in hospitals. Collegian. 26(2), pp. 235-241. https://doi.org/10.1016/j.colegn.2018.07.007
Nurse-initiated acute stroke care in emergency departments : The triage, treatment, and transfer implementation cluster randomized controlled trial
Middleton, Sandy, Dale, Simeon, Cheung, N. Wah, Cadilhac, Dominique A., Grimshaw, Jeremy M., Levi, Chris, McInnes, Elizabeth, Considine, Julie, McElduff, Patrick, Gerraty, Richard, Craig, Louise Eisten, Schadewaldt, Verena, Fitzgerald, Mark, Quinn, Clare, Cadigan, Greg, Denisenko, Sonia, Longworth, Mark, Ward, Jeanette and D'Este, Catherine. (2019). Nurse-initiated acute stroke care in emergency departments : The triage, treatment, and transfer implementation cluster randomized controlled trial. Stroke. 50(6), pp. 1346-1355. https://doi.org/10.1161/STROKEAHA.118.020701
Pressure injury prevalence and predictors among older adults in the first 36 hours of hospitalisation
Latimer, Sharon, Chaboyer, Wendy, Thalib, Lukman, McInnes, Elizabeth Catherine, Bucknall, Tracey and Gillespie, Brigid M.. (2019). Pressure injury prevalence and predictors among older adults in the first 36 hours of hospitalisation. Journal of Clinical Nursing. 28(21 - 22), pp. 4119 - 4127. https://doi.org/10.1111/jocn.14967
Does the addition of non-approved inclusion and exclusion criteria for rtPA impact treatment rates? Findings in Australia, the UK, and the USA
Craig, Louise E., Middleton, Sandy, Hamilton, Helen, Cudlip, Fern, Swatzell, Victoria, Alexandrov, Andrei V., Lightbody, Elizabeth, Watkins, Caroline, Philip, Sheeba, Cadihac, Dominique A., McInnes, Elizabeth, Dale, Simeon and Alexandrov, Anne W.. (2019). Does the addition of non-approved inclusion and exclusion criteria for rtPA impact treatment rates? Findings in Australia, the UK, and the USA. Interventional Neurology. 8(1), pp. 1-12. https://doi.org/10.1159/000493020
Validating the Alberta Context Tool in a multi-site Australian emergency department nurse population
Schadewaldt, Verena, McElduff, Benjamin, D'Este, Catherine, McInnes, Elizabeth, Dale, Simeon, Gunaratne, Anoja, Squires, Janet, Cadilhac, Dominique A. and Middleton, Sandy. (2019). Validating the Alberta Context Tool in a multi-site Australian emergency department nurse population. PLoS ONE. 14(4), p. Article e0215153. https://doi.org/10.1371/journal.pone.0215153
Support surfaces for treating pressure ulcers
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally E. M. and Leung, Vannessa. (2018). Support surfaces for treating pressure ulcers. Cochrane Database of Systematic Reviews. 10, pp. 1 - 4. https://doi.org/10.1002/14651858.CD009490.pub2
Implementation of a patient blood management program in an Australian private hospital orthopedic unit
Morgan, Paul N., Coleman, Patrick L., Martinez-Garduno, Cintia Mayel, Gunaratne, Anoja W., McInnes, Elizabeth and Middleton, Sandy. (2018). Implementation of a patient blood management program in an Australian private hospital orthopedic unit. Journal of Blood Medicine. 9, pp. 83-90. https://doi.org/10.2147/JBM.S157571
End-of-life-care in the ICU : A qualitative meta-synthesis investigating the experiences and perceptions of the patients family
Coventry, Alysia, McInnes, Elizabeth Catherine, Resenberg, John and Ford, Rosemary. (2017). End-of-life-care in the ICU : A qualitative meta-synthesis investigating the experiences and perceptions of the patients family. 41st ANZICS/ACCCN Annual Scientific Meeting on Intensive Care. 20 - 22 Oct 2016 Australia: Elsevier Ltd. https://doi.org/10.1016/j.aucc.2017.02.013
Adherence to evidence-based pressure injury prevention guidelines in routine clinical practice: A longitudinal study
Chaboyer, Wendy, Bucknall, Tracey, Gillespie, Brigid, Thalib, Lukman, McInnes, Elizabeth, Considine, Julie, Murray, Edel, Duffy, Paula, Tuck, Michelle and Harbeck, Emma. (2017). Adherence to evidence-based pressure injury prevention guidelines in routine clinical practice: A longitudinal study. International Wound Journal. 14(6), pp. 1290 - 1298. https://doi.org/10.1111/iwj.12798
Does participating in a clinical trial affect subsequent nursing management? Post-trial care for participants recruited to the INTACT pressure ulcer prevention trial : A follow-up study
Webster, Joan, Bucknall, Tracey, Wallis, Marianne, McInnes, Elizabeth, Roberts, Shelley and Chaboyer, Wendy. (2017). Does participating in a clinical trial affect subsequent nursing management? Post-trial care for participants recruited to the INTACT pressure ulcer prevention trial : A follow-up study. International Journal of Nursing Studies. 71, pp. 34-38. https://doi.org/10.1016/j.ijnurstu.2017.02.022
Testing a systematic approach to identify and prioritise barriers to successful implementation of a complex healthcare intervention
Craig, Louise E., Churilov, Leonid, Olenko, Liudmyla, Cadilhac, Dominique A., Grimley, Rohan, Dale, Simeon, Martinez-Garduno, Cintia, McInnes, Elizabeth, Considine, Julie, Grimshaw, Jeremy M. and Middleton, Sandy. (2017). Testing a systematic approach to identify and prioritise barriers to successful implementation of a complex healthcare intervention. BMC Medical Research Methodology. 17(1), p. Article 24. https://doi.org/10.1186/s12874-017-0298-4
Patients' perceptions of a pressure ulcer prevention care bundle in hospital : A qualitative descriptive study to guide evidence-based practice
Roberts, Shelley, Wallis, Marianne, McInnes, Elizabeth, Bucknall, Tracey, Banks, Merrilyn, Ball, Lauren and Chaboyer, Wendy. (2017). Patients' perceptions of a pressure ulcer prevention care bundle in hospital : A qualitative descriptive study to guide evidence-based practice. Worldviews on Evidence-Based Nursing. 14(5), pp. 385-393. https://doi.org/10.1111/wvn.12226
The use of advanced web-based survey design in Delphi research
Helms, Christopher, Gardner, Anne and McInnes, Elizabeth. (2017). The use of advanced web-based survey design in Delphi research. Journal of Advanced Nursing. 73(8), pp. 3168 - 3177. https://doi.org/10.1111/jan.13381
Initial psychometric testing and validation of the patient participation in pressure injury prevention scale
Chaboyer, Wendy, Harbeck, Emma, Bucknall, Tracey, McInnes, Elizabeth, Thalib, Lukman, Whitty, Jennifer, Wallis, Marianne and Gillespie, Brigid. (2017). Initial psychometric testing and validation of the patient participation in pressure injury prevention scale. Journal of Advanced Nursing. 73(9), pp. 2237-2247. https://doi.org/10.1111/jan.13289
The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial
Whitty, Jennifer A., McInnes, Elizabeth, Bucknall, Tracey, Webster, Joan, Gillespie, Brigid M., Banks, Merrilyn, Thalib, Lukman, Wallis, Marianne, Cumsille, Jose, Roberts, Shelley and Chaboyer, Wendy. (2017). The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial. International Journal of Nursing Studies. 75, pp. 35 - 42. https://doi.org/10.1016/j.ijnurstu.2017.06.014
Screening for aspiration risk associated with dysphagia in acute stroke (Protocol)
Boaden, Elizabeth, Doran, Dawn, Burnell, Jane, Clegg, Andrew, Dey, Paola, Hurley, Margaret, Alexandrov, Anne, McInnes, Elizabeth and Watkins, Caroline L.. (2017). Screening for aspiration risk associated with dysphagia in acute stroke (Protocol). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD012679
Process evaluation of a cluster-randomised trial testing a pressure ulcer prevention care bundle: A mixed-methods study
Roberts, Shelley, McInnes, Elizabeth, Bucknall, Tracey, Wallis, Marianne, Banks, Merrilyn and Chaboyer, Wendy. (2017). Process evaluation of a cluster-randomised trial testing a pressure ulcer prevention care bundle: A mixed-methods study. Implementation Science. 12(18), pp. 1 - 9. https://doi.org/10.1186/s13012-017-0547-2
Development of a theory-informed implementation intervention to improve the triage, treatment and transfer of stroke patients in emergency departments using the Theoretical Domains Framework (TDF) : The T3 Trial
Craig, Louise E., Taylor, Natalie, Grimley, Rohan, Cadilhac, Dominique A., McInnes, Elizabeth, Phillips, Rosemary, Dale, Simeon, O'Connor, Denise, Levi, Chris, Fitzgerald, Mark, Considine, Julie, Grimshaw, Jeremy M., Gerraty, Richard, Cheung, N. Wah, Ward, Jeanette and Middleton, Sandy. (2017). Development of a theory-informed implementation intervention to improve the triage, treatment and transfer of stroke patients in emergency departments using the Theoretical Domains Framework (TDF) : The T3 Trial. Implementation Science. 12(1), p. Article 88. https://doi.org/10.1186/s13012-017-0616-6
The effectiveness of clinical networks in improving quality of care and patient outcomes: A systematic review of quantitative and qualitative studies
Brown, Bernadette B., Patel, Cyra, McInnes, Elizabeth C., Mays, Nicholas, Young, Jane and Haines, Mary. (2016). The effectiveness of clinical networks in improving quality of care and patient outcomes: A systematic review of quantitative and qualitative studies. BMC Health Services Research. 16(360), pp. 1 - 16. https://doi.org/10.1186/s12913-016-1615-z
Identifying the barriers and enablers for a triage, treatment, and transfer clinical intervention to manage acute stroke patients in the emergency department : A systematic review using the theoretical domains framework (TDF)
Craig, Louise E., McInnes, Elizabeth, Taylor, Natalie, Grimley, Rohan, Cadilhac, Dominique A., Considine, Julie and Middleton, Sandy. (2016). Identifying the barriers and enablers for a triage, treatment, and transfer clinical intervention to manage acute stroke patients in the emergency department : A systematic review using the theoretical domains framework (TDF). Implementation Science. 11, p. Article 157. https://doi.org/10.1186/s13012-016-0524-1
The effect of a patient centred care bundle intervention on pressure ulcer incidence (INTACT): A cluster randomised trial
Chaboyer, Wendy, Bucknall, Tracey, Webster, Joan, McInnes, Elizabeth, Brigid, Gillespie, Banks, Merrilyn, Whitty, Jennifer, Thalib, Lukman, Roberts, Shelly, Tallott, Mandy, Cullum, Nicky and Wallis, Marianne. (2016). The effect of a patient centred care bundle intervention on pressure ulcer incidence (INTACT): A cluster randomised trial. International Journal of Nursing Studies. 64, pp. 63 - 71. https://doi.org/10.1016/j.ijnurstu.2016.09.015
Nurses' perceptions of a pressure ulcer prevention care bundle: A qualitative descriptive study
Roberts, Shelly, McInnes, Elizabeth, Wallis, Marianne, Bucknall, Tracey, Banks, Merrilyn and Chaboyer, Wendy. (2016). Nurses' perceptions of a pressure ulcer prevention care bundle: A qualitative descriptive study. BMC Nursing. 15(64), pp. 1 - 10. https://doi.org/10.1186/s12912-016-0188-9
Experiences of nurse practitioners and medical practitioners working in collaborative practice models in primary healthcare in Australia: A multiple case study using mixed methods
Schadewaldt, Verena I., McInnes, Elizabeth C., Hiller, Janet E. and Gardner, Pamela Anne. (2016). Experiences of nurse practitioners and medical practitioners working in collaborative practice models in primary healthcare in Australia: A multiple case study using mixed methods. BMC Family Practice. 17(99), pp. 1 - 16. https://doi.org/10.1186/s12875-016-0503-2
Consensus on an Australian Nurse practitioner specialty framework using Delphi methodology: results from the CLLEVER 2 study
Helms, Christopher, Gardner, Anne and McInnes, Elizabeth. (2016). Consensus on an Australian Nurse practitioner specialty framework using Delphi methodology: results from the CLLEVER 2 study. Journal of Advanced Nursing. 73(2), pp. 1 - 15. https://doi.org/10.1111/jan.13109
Stroke unit nurse managers’ views of individual and organisational factors liable to influence evidence-based practice : A survey
Drury, Peta, McInnes, Elizabeth, Hardy, Jennifer, Dale, Simeon and Middleton, Sandy. (2016). Stroke unit nurse managers’ views of individual and organisational factors liable to influence evidence-based practice : A survey. International Journal of Nursing Practice. 22(2), pp. 169-178. https://doi.org/10.1111/ijn.12396
Triage, treatment and transfer of patients with stroke in emergency department trial (the T3 Trial) : A cluster randomised trial protocol
Middleton, Sandy, Levi, Chris, Dale, Simeon, Chung, N. Wah, McInnes, Elizabeth, Considine, Julie, D'Este, Catherine, Cadilhac, Dominique A., Grimshaw, Jeremy, Gerraty, Richard, Craig, Louise, Schadewaldt, Verena, McElduff, Patrick, Fitzgerald, Mark, Quinn, Clare, Cadigan, Greg, Denisenko, Sonia, Longworth, Mark and Ward, Jeanette. (2016). Triage, treatment and transfer of patients with stroke in emergency department trial (the T3 Trial) : A cluster randomised trial protocol. Implementation Science. 11, p. Article 139. https://doi.org/10.1186/s13012-016-0503-6
What are the reasons for clinical network success? A qualitative study
McInnes, Elizabeth C., Haines, Mary, Dominello, Amanda, Kalucy, Deanna, Jammali-Blasi, Asmara, Middleton, Sandy and Klineberg, Emily. (2016). What are the reasons for clinical network success? A qualitative study. BMC Health Services Research. 15(497), p. Article 497. https://doi.org/10.1186/s12913-015-1096-5
The effectiveness of clinical networks in improving quality of care and patient outcomes: A systematic review of quantitative and qualitative studies
Brown, Bernadette, Patel, Cyra, McInnes, Elizabeth, Mays, Nicholas, Young, Jane and Haines, Mary. (2016). The effectiveness of clinical networks in improving quality of care and patient outcomes: A systematic review of quantitative and qualitative studies. BMC Health Services Research. 16(6), pp. 1 - 16. https://doi.org/10.1186/s12913-016-1615-z
The effect of a patient centred care bundle intervention on pressure ulcer incidence (INTACT): A cluster randomised trial
Chaboyer, Wendy, Bucknall, Tracey, Webster, Joan, McInnes, Elizabeth Catherine, Gillespie, Brigid M., Banks, Merrilyn, Whitty, Jennifer A., Thalib, Lukman, Roberts, Shelley, Tallott, Mandy, Cullum, Nicky and Wallis, Marianne. (2016). The effect of a patient centred care bundle intervention on pressure ulcer incidence (INTACT): A cluster randomised trial. International Journal of Nursing Studies. 64, pp. 63 - 71. https://doi.org/10.1016/j.ijnurstu.2016.09.015
A survey of acute care clinicians views on factors influencing hand hygiene practice and actions to improve hand hygiene compliance
Jammali-Blasi, Asmara, McInnes, Elizabeth and Middleton, Sandy. (2016). A survey of acute care clinicians views on factors influencing hand hygiene practice and actions to improve hand hygiene compliance. Infection, Disease and Health. 21(1), pp. 16-25. https://doi.org/10.1016/j.idh.2016.01.004
Disinvesting in ineffective and inappropriate practice: The neglected side of evidence-based health care?
Harvey, Gillian and McInnes, Elizabeth Catherine. (2015). Disinvesting in ineffective and inappropriate practice: The neglected side of evidence-based health care? Worldviews on Evidence-Based Nursing. 12(6), pp. 309 - 312. https://doi.org/10.1111/wvn.12137
Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care : Effects of a targeted protocol implementation for nursing and medical staff
Knowles, Serena, Lam, Lawrence T., McInnes, Elizabeth, Elliott, Doug, Hardy, Jennifer and Middleton, Sandy. (2015). Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care : Effects of a targeted protocol implementation for nursing and medical staff. BMC Nursing. 14, p. Article 6. https://doi.org/10.1186/s12912-015-0056-z
Disinvesting in Ineffective and Inappropriate Practice: The Neglected Side of Evidence-Based Health Care?
Harvey, Gillian and McInnes, Elizabeth. (2015). Disinvesting in Ineffective and Inappropriate Practice: The Neglected Side of Evidence-Based Health Care? Worldviews on Evidence-Based Nursing. 12(6), pp. 309 - 312. https://doi.org/10.1111/wvn.12137
INTroducing A Care bundle To prevent pressure injury (INTACT) in at-risk patients: a protocol for a cluster randomised trial.
Griffith, Wendy, Bucknall, Tracey, Webster, Joan, McInnes, Elizabeth, Banks, Merrilyn, Wallis, Marianne, Gillespie, Brigid, Whitty, Jennifer, Thalib, Lukman, Roberts, Shelley and Cullum, Nicky. (2015). INTroducing A Care bundle To prevent pressure injury (INTACT) in at-risk patients: a protocol for a cluster randomised trial. International Journal of Nursing Studies. 52(11), pp. 1659 - 1668. https://doi.org/10.1016/j.ijnurstu.2015.04.018
A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene
McInnes, Elizabeth, Phillips, Rosemary, Middleton, Sandy and Gould, Dinah. (2014). A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. BMC Infectious Diseases. 14, p. Article 611. https://doi.org/10.1186/s12879-014-0611-3
Investigating characteristics of collaboration between nurse practitioners and medical practitioners in primary healthcare: A mixed methods multiple case study protocol
Schadewaldt, Verena, McInnes, Elizabeth, Hiller, Janet and Gardner, Anne. (2014). Investigating characteristics of collaboration between nurse practitioners and medical practitioners in primary healthcare: A mixed methods multiple case study protocol. Journal of Advanced Nursing. 70(5), pp. 1184 - 1193. https://doi.org/10.1111/jan.12269
Management of fever, hyperglycemia, and swallowing dysfunction following hospital admission for acute stroke in New South Wales, Australia
Drury, Peta, Levi, Christopher, McInnes, Elizabeth, Hardy, Jennifer, Ward, Jeanette, Grimshaw, Jeremy M., D'Este, Catherine, Dale, Simeon, McElduff, Patrick, Cheung, N. Wah, Quinn, Clare, Griffiths, Rhonda, Evans, Malcolm, Cadilhac, Dominique and Middleton, Sandy. (2014). Management of fever, hyperglycemia, and swallowing dysfunction following hospital admission for acute stroke in New South Wales, Australia. International Journal of Stroke. 9(1), pp. 23-31. https://doi.org/10.1111/ijs.12194
Repositioning for pressure ulcer prevention in adults
Gillespie, Brigid, Chaboyer, Wendy, McInnes, Elizabeth, Kent, Bridie, Whitty, Jennifer and Thalib, Lukman. (2014). Repositioning for pressure ulcer prevention in adults. Cochrane Database of Systematic Reviews. 4(4), pp. 1 - 35. https://doi.org/10.1002/14651858.CD009958.pub2
Quality in Acute Stroke Care (QASC) : Process evaluation of an intervention to improve the management of fever, hyperglycaemia and swallowing dysfunction following acute stroke
Drury, Peta, Levi, Christopher, D'Este, Catherine, McElduff, Patrick, McInnes, Elizabeth, Hardy, Jennifer, Dale, Simeon, Cheung, N. Wah, Grimshaw, Jeremy M., Quinn, Clare, Ward, Jeanette, Evans, Malcolm, Cadilhac, Dominique, Griffiths, Rhonda and Middleton, Sandy. (2014). Quality in Acute Stroke Care (QASC) : Process evaluation of an intervention to improve the management of fever, hyperglycaemia and swallowing dysfunction following acute stroke. International Journal of Stroke. 9(6), pp. 766-776. https://doi.org/10.1111/ijs.12202
The role of patients in pressure injury prevention: A survey of acute care patients
McInnes, Elizabeth, Chaboyer, Wendy, Murray, Edel, Allen, Todd and Jones, Peter. (2014). The role of patients in pressure injury prevention: A survey of acute care patients. BMC Nursing. 13(41), pp. 1 - 8. https://doi.org/10.1186/s12912-014-0041-y
Evaluation of the implementation of a bowel management protocol in intensive care : Effect on clinical practices and patient outcomes
Knowles, Serena, McInnes, Elizabeth, Elliott, Doug, Hardy, Jennifer and Middleton, Sandy. (2014). Evaluation of the implementation of a bowel management protocol in intensive care : Effect on clinical practices and patient outcomes. Journal of Clinical Nursing. 23(5-6), pp. 716-730. https://doi.org/10.1111/jocn.12448
Educational outreach visits to improve nurses' use of mechanical venous thromboembolism prevention in hospitalized medical patients
Duff, Jed, Walker, Kim, Abdulla, Omari, Middleton, Sandy and McInnes, Elizabeth. (2013). Educational outreach visits to improve nurses' use of mechanical venous thromboembolism prevention in hospitalized medical patients. Journal of Vascular Nursing. 31(4), pp. 139-149. https://doi.org/10.1016/j.jvn.2013.04.002
Acute care patient mobility patterns and documented pressure injury prevention: an observational study and survey
McInnes, Elizabeth, Chaboyer, Wendy, Allen, Todd, Murray, Edel and Webber, Louise. (2013). Acute care patient mobility patterns and documented pressure injury prevention: an observational study and survey. Wound Practice & Research.
Educational outreach visits to improve venous thromboembolism prevention in hospitalised medical patients : A prospective before-and-after intervention study
Duff, Jed, Omari, Abdulla, Middleton, Sandy, McInnes, Elizabeth and Walker, Kim. (2013). Educational outreach visits to improve venous thromboembolism prevention in hospitalised medical patients : A prospective before-and-after intervention study. BMC Health Services Research. 13, p. Article 398. https://doi.org/10.1186/1472-6963-13-398
P159: The views of senior hospital managers on innovative strategies to improve hand hygiene adherence: a qualitative study
McInnes, Elizabeth and Phillips, R. (2013). P159: The views of senior hospital managers on innovative strategies to improve hand hygiene adherence: a qualitative study. Antimicrobial Resistance and Infection Control. 2(1). https://doi.org/10.1186/2047-2994-2-S1-P159
Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care: An integrative review
Schadewaldt, Verena, McInnes, Elizabeth, Hiller, Janet and Gardner, Anne. (2013). Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care: An integrative review. BMC Family Practice. 14(132), pp. 1 - 11. https://doi.org/10.1186/1471-2296-14-132
Research involvement, support needs, and factors affecting research participation: A survey of Mental Health Consultation Liaison Nurses
McMaster, Rose, Jammali-Blasi, Asmara, Andersson-Noorgard, Kurt, Cooper, Kerrie and McInnes, Elizabeth. (2013). Research involvement, support needs, and factors affecting research participation: A survey of Mental Health Consultation Liaison Nurses. International Journal of Mental Health Nursing. https://doi.org/10.1111/j.1447-0349.2012.00857.x
Support surfaces for treating pressure injury: A Cochrane systematic review
McInnes, Elizabeth, Jammali-Blasi, Asmara, Cullum, Nicky, Bell-Syer, Sally and Dumville, Jo. (2013). Support surfaces for treating pressure injury: A Cochrane systematic review. International Journal of Nursing Studies. https://doi.org/10.1016/j.ijnurstu.2012.05.008
Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ
Tong, Allison, Flemming, Kate, McInnes, Elizabeth, Oliver, Sandy and Craig, Jonathon. (2012). Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology. 12(181), pp. 1 - 8. https://doi.org/10.1186/1471-2288-12-181
The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis
Flemmings, Kate and McInnes, Elizabeth. (2012). The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis. In In K. Haines and C. Lockwood (Ed.). Synthesizing qualitative research: Choosing the right approach pp. 59 - 82 John Wiley & Sons. https://doi.org/10.1002/9781119959847.ch4
Preventing pressure ulcers-are pressure-redistributiong support surfaces effective?: A Cochrane systematic review and meta-analysis
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally, Dumville, Jo and Cullum, Nicky. (2012). Preventing pressure ulcers-are pressure-redistributiong support surfaces effective?: A Cochrane systematic review and meta-analysis. International Journal of Nursing Studies. 49(3), pp. 345 - 359. https://doi.org/10.1016/j.ijnurstu.2011.10.014
A qualitative study of stakeholder views of the conditions for and outcomes of successful clinical networks
McInnes, Elizabeth, Middleton, Sandy, Gardner, Glenn, Haines, Mary, Haertsch, Maggie, Paul, Christine L. and Castaldi, Peter. (2012). A qualitative study of stakeholder views of the conditions for and outcomes of successful clinical networks. BMC Health Services Research. 12(1), p. Article 49. https://doi.org/10.1186/1472-6963-12-49
Determinants of successful clinical networks : The conceptual framework and study protocol
Haines, Mary, Brown, Bernadette, Craig, Jonathan, D'Este, Catherine, Elliott, Elizabeth, Klineberg, Emily, McInnes, Elizabeth, Middleton, Sandy, Paul, Christine, Redman, Sally and Yano, Elizabeth M.. (2012). Determinants of successful clinical networks : The conceptual framework and study protocol. Implementation Science. 7(16), pp. 1-10. https://doi.org/10.1186/1748-5908-7-16
Peri-operative nurses' knowledge and reported practice of pressure injury risk assessment and prevention : A before-after intervention study
Sutherland-Fraser, Sally, McInnes, Elizabeth, Maher, Elisabeth and Middleton, Sandy. (2012). Peri-operative nurses' knowledge and reported practice of pressure injury risk assessment and prevention : A before-after intervention study. BMC Nursing. 11, p. Article 25. https://doi.org/10.1186/1472-6955-11-25
Preventing pressure ulcers -- Are pressure-redistributing support surfaces effective? A Cochrane systematic review and meta-analysis
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally, Dumville, Jo and Cullum, Nicky. (2012). Preventing pressure ulcers -- Are pressure-redistributing support surfaces effective? A Cochrane systematic review and meta-analysis. International Journal of Nursing Studies. 49(3), pp. 345 - 359. https://doi.org/10.1016/j.ijnurstu.2011.10.014
The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis
Flemmings, Kate and McInnes, Elizabeth. (2012). The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis. In In K. Haines and C. Lockwood (Ed.). Choosing the right approach pp. 59 - 82 John Wiley & Sons. https://doi.org/10.1002/9781119959847.ch4
Repositioning for pressure ulcer prevention in adults (Protocol)
Gillespie, Brigid, Chaboyer, Wendy, McInnes, Elizabeth, Kent, Bridie and Whitty, Jennifer. (2012). Repositioning for pressure ulcer prevention in adults (Protocol). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD009958
End-of-life care in the intensive care unit: A systematic review of qualitative studies investigating the experiences and perceptions of the patient's families
Coventry, Alysia, McInnes, Elizabeth and Rosenberg, John. (2012). End-of-life care in the intensive care unit: A systematic review of qualitative studies investigating the experiences and perceptions of the patient's families. JBI Database of Systematic Reviews and Implementation Reports. 10, pp. 95 - 106. https://doi.org/10.11124/jbisrir-2012-177
Older people's views in relation to risk of falling and need for intervention: A meta-ethnography
McInnes, Elizabeth, Seers, Kate and Tutton, Liz. (2011). Older people's views in relation to risk of falling and need for intervention: A meta-ethnography. Journal of Advanced Nursing. 67(12), pp. 2525 - 2536. https://doi.org/10.1111/j.1365-2648.2011.05707.x
Support surfaces for pressure ulcer prevention (Review)
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally E. M., Dumville, Jo C. and Cullum, Nicky. (2011). Support surfaces for pressure ulcer prevention (Review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD001735.pub4
A study of 90-day outcomes for a cohort of patients admitted to an Australian metropolitan acute stroke unit
Jammali-Blasi, Asmara, McInnes, Elizabeth, Markus, Romesh, Faux, Steven, O'Loughlin, Grainne, Dale, Simeon and Middleton, Sandy. (2011). A study of 90-day outcomes for a cohort of patients admitted to an Australian metropolitan acute stroke unit. Journal of Vascular Nursing. 29(1), pp. 3-10. https://doi.org/10.1016/j.jvn.2010.11.004
Support surfaces for treating pressure ulcers (Review)
McInnes, Elizabeth, Dumville, Jo C., Jammali-Blasi, Asmara and Bell-Syer, Sally E. M.. (2011). Support surfaces for treating pressure ulcers (Review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD009490
Support surfaces for pressure ulcer prevention (Review)
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally, Dumville, Jo and Cullum, Nicky. (2011). Support surfaces for pressure ulcer prevention (Review). Cochrane Database of Systematic Reviews. 21(21-22), pp. 3195 - 3198. https://doi.org/10.1002/14651858.CD001735.pub4
Who to turn to? Knowing the 'ropes' in an underbounded health care system
Chiarella, Mary and McInnes, Elizabeth. (2010). Who to turn to? Knowing the 'ropes' in an underbounded health care system. Contemporary Nurse. 36(February), pp. 10 - 20. https://doi.org/10.5172/conu.2010.36.1-2.010
Testing the effect of a targeted intervention on nurses' compliance with 'best practice' mechanical venous thromboembolism prevention
Li, Francesca, Walker, Kim, McInnes, Elizabeth and Duff, Jed. (2010). Testing the effect of a targeted intervention on nurses' compliance with 'best practice' mechanical venous thromboembolism prevention. Journal of Vascular Nursing. 28(3), pp. 92 - 96. https://doi.org/10.1016/j.jvn.2010.06.002
Celebrating connecting with communities: Coproduction in global primary health care
Chiarella, Mary, Savage, Jane and McInnes, Elizabeth. (2010). Celebrating connecting with communities: Coproduction in global primary health care. Primary Health Care Research and Development. 11(2), pp. 108 - 122.
In their own words: Support surfaces to prevent pressure ulcers
McInnes, Elizabeth. (2010). In their own words: Support surfaces to prevent pressure ulcers. Journal of Evidence-Based Medicine. 3(2), pp. 132 - 132. https://doi.org/10.1111/j.1756-5391.2010.01081.x
Letter: Evidence-based wound care in the UK: A response to David Leaper's Editorial in International Wound Journal April 2009 6(2)
Bell-Syer, Sally, Brady, Marian, Bruce, Julie, Cullum, Nicky A., Foxlee, Ruth, Jull, Andrew, Margolis, David, McInnes, Elizabeth, Nelson, Andre, O'Meara, Susan and Ubbink, Dirk. (2009). Letter: Evidence-based wound care in the UK: A response to David Leaper's Editorial in International Wound Journal April 2009 6(2). International Wound Journal. 6(4), pp. 306 - 309. https://doi.org/10.1111/j.1742-481X.2009.00620_1.x
Support surfaces for pressure ulcer prevention
McInnes, Elizabeth, Cullum, Nicky A., Bell-Syer, Sally, Dumville, Jo C. and Jammali-Blasi, Asmara. (2008). Support surfaces for pressure ulcer prevention. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD001735.pub3
Support surfaces for pressure ulcer prevention
McInnes, Elizabeth, Cullum, Nicky, Bell-Syer, Sally and Legood, Rosa. (2008). Support surfaces for pressure ulcer prevention. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD001735.pub2
An overview of the competency movement in nursing and midwifery
Tho, Debra, Chiarella, Mary, McInnes, Elizabeth and Lau, Cecilia. (2008). An overview of the competency movement in nursing and midwifery. Collegian. 15(2), pp. 45 - 53. https://doi.org/10.1016/j.colegn.2008.02.001
Using the qualitative assessment and review instrument (QARI) software to synthesise studies on older people's views and experiences of falls prevention
McInnes, Elizabeth and Wimpenny, Peter. (2008). Using the qualitative assessment and review instrument (QARI) software to synthesise studies on older people's views and experiences of falls prevention. International Journal of Evidence-Based Healthcare. 6(3), pp. 337 - 344.
Legality, morality and reality - the role of the nurse in maintaining standards of care
Chiarella, Mary and McInnes, Elizabeth. (2008). Legality, morality and reality - the role of the nurse in maintaining standards of care. Australian Journal of Advanced Nursing. 26(1), pp. 77 - 83.
A systematic review of older people's perceptions of facilitators and barriers to participation in falls-prevention interventions
Bunn, Frances, Dickinson, Angela, Barnett-Page, Elaine, McInnes, Elizabeth and Horton, Khim. (2008). A systematic review of older people's perceptions of facilitators and barriers to participation in falls-prevention interventions. Ageing and Society. 28(4), pp. 449 - 472. https://doi.org/10.1017/S0144686X07006861
Clinical practice guidelines for the assessment and prevention of falls in older people
McInnes, Elizabeth, Gibbons, Elizabeth and Chandler-Oatts, Jacqueline. (2005). Clinical practice guidelines for the assessment and prevention of falls in older people. Worldviews on Evidence-Based Nursing. 2(1), pp. 33 - 36. https://doi.org/10.1111/j.1524-475X.2005.04094.x
Developing a guideline on the use of pressure-relieving
Legood, Rosa and McInnes, Elizabeth. (2005). Developing a guideline on the use of pressure-relieving. Journal of Advanced Nursing. 50(3), pp. 307 - 314. https://doi.org/10.1111/j.1365-2648.2005.03394.x
The prevention of pressure ulcers
Rycroft-Malone, Jo and McInnes, Elizabeth. (2004). The prevention of pressure ulcers. Worldviews on Evidence-Based Nursing. 1(2), pp. 146 - 149. https://doi.org/10.1111/j.1741-6787.2004.04032.x
Evidence review on older people's views and experiences of falls prevention strategies
McInnes, Elizabeth and Askie, Lisa. (2004). Evidence review on older people's views and experiences of falls prevention strategies. Worldviews on Evidence-Based Nursing. 1(1), pp. 20 - 37. https://doi.org/10.1111/j.1741-6787.2004.04013.x
Developing national clinical practice guidelines :the NICE experience
McInnes, Elizabeth. (2004). Developing national clinical practice guidelines :the NICE experience. Implementing evidence based practice in nursing and midwifery. Adelaide, Australia: The Joanna Briggs Institute. pp. 73 - 76
The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care
McInnes, Elizabeth. (2004). The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care. Journal of Tissue Viability. 14(1), pp. 4 - 23.
Evidence-based practice
Richens, Yana, Loftus-Hills, Alison and McInnes, Elizabeth Catherine. (2003). Evidence-based practice. In In S. Hinchliff, S. Norman and J. Schober (Ed.). Nursing practice and health care pp. 149 - 176 Hodder Arnold.