Informed Application of the Standards on Support Surface Performance for Clinically Meaningful Use.

Adv Skin Wound Care

Cynthia Sylvia, DNurs, MSc, MA, RN, CWCN, is Managing Member of Cynthia Sylvia LLC, Charles Town, West Virginia. Paula Gruccio, MSN, RN, CWCN, is an Independent Wound Care Consultant. Rosalyn Jordan, MSc, BSN, RN, CWCN, WCC, is an Independent Clinical Consultant, Tuscaloosa, Alabama. Susan Smith Morello, BSN, RN, CWOCN, is an Independent Clinical Consultant, Omaha, Nebraska. Kristen Thurman, PT, CWS, is Vice President of Clinical Affairs, Wellsense, Birmingham, Michigan. All of the authors are members of the Support Surface Standards Initiative (S3I); Ms Jordan is the organization's Secretary, and Ms Thurman is a cochair. Acknowledgments: The S3I was founded by the National Pressure Ulcer Advisory Panel (NPUAP) in 2001. On November 7, 2019, the NPUAP announced a name change to the National Pressure Injury Advisory Panel (NPIAP). This article reflects the name change only as it applies historically, because the work was completed prior to the name change. The NPIAP currently provides oversight and support for S3I through the NPIAP Research Committee. As the parent organization for S3I, NPUAP board members reviewed this article. The authors thank Dr Janet Cuddigan for her editing assistance. The article supports the mission of the NPIAP by translating the work of S3I to more effectively support clinical decisions regarding support surface selection and use. The NPIAP review does not constitute an official NPIAP position or policy. The authors disclose that Ms Gruccio was a full-time employee of Stryker Medical during study completion. Further, Ms Thurman is the Vice President of Clinical Affairs for Wellsense, a manufacturer of continuous bedside pressure mapping. The authors have disclosed no other financial relationships related to this article. Submitted September 10, 2019; accepted in revised form December 31, 2019.

Published: November 2020

Background: The Support Surface Standards Initiative (S3I) has evolved with the goal of standardizing language and performance evaluation of support surfaces. There is a consumer need for education about support surface standards to transfer new information with clinical relevance.

Objective: To develop a framework for meaningful dialogue through consensus building that drives value-based purchasing, propose a clinically relevant path for understanding how to apply data from the standards into critical interprofessional analysis and support surface selection, and navigate the first tier of a process targeted as an educational initiative within the Standards Committee.

Methods: The authors purposively sampled the S3I Tissue Integrity Group with a semi-structured qualitative survey to identify the essential components of support surfaces standard performance testing. A two-phase interview and review process was implemented within the larger S3I group to achieve consensus on content for knowledge transfer, with a threshold of 80% agreement within the Standards Committee.

Results: Meaningful consensus was achieved on content associated with knowledge transfer of standards data. These standards will function as reliable benchmarks, enabling consumers to compare individual characteristics of one support surface to another. Product comparison will be based on the single characteristics of support surfaces and how those characteristics are relevant to the specific needs of the individual patient or patient populations, transferred in language that is meaningful to end users of the standards.

Conclusions: The consensus process facilitated construction of a clinically relevant, interprofessional framework for the product selection process within the Standards Committee. It will enable the next tier of educational dissemination beyond the Standards Committee to a broader base of consumers to engage in value-based purchasing with enhanced understanding of support surface performance characteristics.

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http://dx.doi.org/10.1097/01.ASW.0000717212.46956.fcDOI Listing

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