The PUSH Tool

Abstract

To determine the perceived usefulness of the Pressure Ulcer Scale for Healing (PUSH). A convenience sample identified through the National Pressure Ulcer Advisory Panel Web site as users or registered users of the PUSH tool. A survey instrument was developed to capture experience, ease of use, and perceived utility and weakness of the PUSH tool. Of 103 respondents, most (79) agreed or strongly agreed that PUSH required an appropriate amount of time to complete. It was also found to be reliable and easy to use and teach to others. Respondents were not as positive regarding usefulness, with 75% indicating that increased PUSH scores prompt patient and treatment reassessment. Respondents agreed or strongly agreed that improvement is possible in the size subscale (59%), the tissue type subscale (49%), and the exudate amount subscale (32%). Most commonly indicated for improvement was the addition of wound depth information. Respondents generally found PUSH easy to use and helpful in pressure ulcer management. Specific areas of improvement were also identified.