Confusion Assessment Method CAM by hjkuiw354


									                                        Tool and Resource Evaluation Template
                     Adapted by NARI from an evaluation template created by Melbourne Health.

Some questions may not be applicable to every tool and resource.

Name and purpose     Name of the resource: Skin Integrity: Its maintenance and support. A guide to the principles of
                     prevention and management of skin tears, leg oedema, wounds and pressure injury (booklet)
                     Author(s) of the resource: Eastern Health.
                     Please state why the resource was developed and what gap it proposes to fill: The booklet
                     aims to provide clinicians caring for older patients with an easily accessible, easily portable, easy
                     to read education resource for to use in the maintenance and support of skin integrity. It is
                     intended to provide an evidence based quick guide that can be used in conjunction with health
                     networks clinical practice guidelines. It contains links and references to further resources.

Target audience      Please check all that apply:
(the tool is to be
used by)                Health service users          Carers
                        Medical staff                Nursing staff           Any member of an interdisciplinary team
                        Medical specialist, please specify:
                        Specific allied health staff, please specify:
                         Other: GPs, practice nurses, student health professionals

Target               Is the resource targeted for a specific setting? Please check all that apply:
(to be used on/in)      Emergency Department            Inpatient acute        Inpatient subacute         Ambulatory
                         Other, please specify: Also suitable for residential care and as an education resource for
                     clinicians anywhere.
                     For which particular health service users would you use this resource (e.g. a person with
                     suspected cognitive impairment)?
                     The resource is for clinicians to assist in support of skin integrity in older patients. Can also be
                     applied to younger patients. It is not written for service users, though parts of it may be used to
                     assist in education of patients and carers.

Structure of tool      Website                Education package             Video
                       Pamphlet               Assessment tool               Screening tool
                       Methodology            Resource guide                Awareness raising resource (posters etc.)
                       Other, please specify:
                     Please state the size of the resource (e.g. number of pages, minutes to read):
                     A5 booklet, 28 pages plus cover. Can be quickly read in 5 – 10 minutes, but is intended to be used
                     as a reference, and contains links to further reading.

Availability and     Is the resource readily available?          Yes   No      Unknown       Not applicable
cost of tool
                     Is there a cost for the resource?         Yes     No    Unknown        Not applicable
                     Please state how to get the resource:
                     Skin Integrity Booklet is provided below:
                     A guide to the principles of prevention and management
                     Needs to be printed. Cost approx $1.00 per copy.

Field test           Field Testing Template

Applicability to     Is the resource suitable for use in rural health services (e.g. the necessary staff are usually
rural settings and   available in rural settings)?    Yes     No     Unknown      Not applicable
culturally and       Is the resource available in different languages?
diverse                 Yes     No      Unknown        Not applicable Not currently. Is readily translatable. Has been
populations          designed for use by clinicians in Victoria. Not for service users.
                     Is the content appropriate for different cultural groups?
                        Yes     No      Unknown       Not applicable

Person-centred       Does the resource adhere to/promote person-centred health care?
principles               Yes     No     Unknown        Not applicable

Training              Is additional training necessary to use the resource?
requirements            Yes      No     Unknown       Not applicable

Administration        How long does the resource take to use?          0-5 mins     5-15 mins      15-25mins      25mins+
                      Can the resource be used as a standalone, or must it be used in conjunction with other
                      tools, resources, and procedures?

                          Must be used with other resources,
                          Can be used with other tools,
                      Has aspects of all of these. Can be used as standalone for basic principles.
                      Is intended to be used as a guide in conjunction with local Clinical Practice Guidelines, clinical
                      expertise and available products.
                      Promotes the use of other tools, specifically an evidence based pressure risk assessment tool,
                      such as the Braden, Norton or Waterlow scales, the STAR skin tear classification tool (contained in
                      the resource booklet, the AWMA pressure ulcer grading guide, and the DHS Move Move Move.pdf
                      page for patient and carer education).

Data collection and   Are additional resources required to collect and analyse data from the resource?
                        Yes     No     Unknown        Not applicable

Sensitivity and       Sensitivity is the proportion of people that will be correctly identified by the tool.
specificity           Specificity is the probability that an individual who does not have the condition being tested
                      for will be correctly identified as negative.

                      Has the sensitivity and specificity of the resource been reported?
                        Yes     No     Unknown       Not applicable

Face Validity         Does the resource appear to meet the intended purpose?
                        Yes     No    Unknown     Not applicable

Reliability           Reliability is the extent to which the tool’s measurements remain consistent over repeated
                      tests of the same subject under identical conditions. Inter-rater reliability measures
                      whether independent assessors will give similar scores under similar conditions.

                      Has the reliability of the resource been reported?
                        Yes     No      Unknown       Not applicable

Strengths             What are the strengths of the resource? Is the resource easy to understand and use? Are
                      instructions provided on how to use the resource? Is the resource visually well presented
                      (images, colour, font type/ size)? Does the resource use older friendly terminology (where
                      relevant), avoiding jargon?

                      Please state any other known strengths, using dot points:
                          •   Comprehensive guide to principles of skin integrity risk management within a small
                          •   Well presented with colour coded tabs for each of 7 topics.
                          •   Simple. Easy to read format.
                          •   Easily portable.
                          •   Well received by clinicians where field tested.
                          •   Appropriate for use across the continuum of care including acute, subacute, residential
                              care and anywhere in the community.
                          •   Suitable for experienced clinicians and for students.
                          •   Promotes person-centred care.
                          •   Promotes consideration of other functional domains as well as skin integrity.

Limitations           What are the limitations of the tool/resource? Is the tool/resource difficult to understand
                      and use? Are instructions provided on how to use the tool/resource? Is the tool/resource
                      poorly presented (images, colour, font type/ size)? Does the tool/resource use difficult to
                      understand jargon?
                  Please state any other known limitations, using dot points:
                  Will need review and updating every two years to reflect changes in
                       •   Current evidence base
                       •   Product availability

References and    Supporting references and associated reading.
further reading                                            th
                  Carville, K. (2005). Wound care manual (5 ed.). Osborne Park, WA: Silver Chain Foundation

                  Best practice approaches to minimise functional decline in the older person across the acute, sub-
                  acute and residential aged care settings. 2004 and 2007 update

                  Australian Wound Management Association



                  Would Union of Wound Healing Societies

                  European Wound Management Association


         for STAR Skin Tear Classification System

         for phases of wound healing

         for wound bed preparation (note: no www
                  before URL)


                  Registered Nurses’ Association of Ontario 2007 (Revised) Nursing best practice guideline
                  Assessment and Management of Stage 1 – 14 Pressure Ulcers

                  Queensland Health, Queensland Government 2004, Pressure ulcer prevention an management
                  resource guidelines.

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