HealthResJ, health, medicine, nursing, research https://ejournals.epublishing.ekt.gr/index.php/HealthResJ/sitemap

Assessment of nurses’ and assistants’ knowledge on the prevention and management of pressure ulcers

PDF
Published: Jan 11, 2022
DOI: https://doi.org/10.12681/healthresj.29195
Keywords:
Knowledge nurses pressure ulcers prevention management
Eleni Vrachni
RN, MSc, Pathological Department, General Hospital of Athens “Korgialeneio-Benakeio” Hellenic Red Cross
Evridiki Kaba
Associate Professor, Nursing Department, University of West Attica
Georgia Fasoi
Associate Professor, Nursing Department, University of West Attica
Areti Stavropoulou
Lecturer, Department of Nursing, University of West Attica
Maria Bourazani
RN, MSc, PhD(c), Anesthesiology Department, General Anticancer Oncology Hospital of Athens “Agios Savvas”
Martha Kelesi
Professor, Nursing Department, University of West Attica
Abstract

Background: The pressure ulcers constitute a major clinical problem with enormous socio-economic consequences worldwide. Nurses' knowledge on pressure ulcers’ management plays a crucial role in the prevalence of pressure ulcers.

Aim: The investigation of nurses’ knowledge, working in a general hospital, regarding the prevention and management of pressure ulcers.

Material and Method: It was a cross-sectional study using a structured questionnaire. The sample consisted of 54 nurses and assistants working in medical and surgical departments of a General Hospital in Athens, Greece. The collection of data took place from June 2019 until November 2019. The analysis of data conducted using the IBM SPSS® program, version 25 (IBM Corp. in Armonk, NY).

Results: The mean age of the participants was 42,73 ±8,42 years, and 90,6% were women, with an average work experience of 19,05±9,84 years. The age of nurses of the sample was not associated with the knowledge regarding the prevention of pressure ulcers (p = 0,80).  No significant differences were found between their knowledge and the department of work, or the years of work experience and the related seminars organized in the department (p > 0,05). Nurses who had a postgraduate degree had statistically significant more correct answers (p = 0,01).

Conclusions: Despite the development of nursing science in the treatment of pressure ulcers, nurses continue to present insufficient knowledge in the daily clinical practice. Τhe implementation of clinical guidelines and the continuing education courses may help nurses to enhance their knowledge.

Article Details
  • Section
  • Original Articles

Copyright notice:

The journal "Health and Research Journal" reserves the rights for copyright of the content of the website and also the copyright of the articles published.

By virtue of their appearance in this journal, the articles are free to be used for non-commercial purposes. However, the articles cannot and must not be used in anyway, published elsewhere or modified without any reference to the author and the first publication of the article.

Downloads
Download data is not yet available.
References
Vasilopoulos G. Knowledge, attitudes and practices of nurses in Greece on the prevention and treatment of pres-sure ulcers. Doctoral Thesis. University of Peloponnese, Sparta 2015.
Gouda AM, Kadda O, Marvaki K, Kapadohos T, Argyriou G, Stamou A et al. Exploration of Intensive Care Unit Nurses’ knowledge of pressure ulcer prevention and management. Rostrum of Asclepius 2014; (13):102–117.
Chatzi Μ, Tsaras K, Papathanasiou Ι. The prevention and treatment of pressure ulcers. Interscientific Health Care 2009;1 (2):43-50.
Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic re-view. Annals of internal medicine 2013; 158(5 Pt 2):410–416.
Sidiras G, Karaviti V, Nikoli A. Quality of life in patients with pressure ulcers. A review. Perioperative Nursing 2018; 7(1): 27–37.
Santamaria N, Liu W, Gerdtz M, Sage S, McCann J, Freeman A, Vassiliou T, DeVincentis S, Ng AW, Manias E, Knott J, Liew D. The cost-benefit of using soft silicone multilayered foam dressings to prevent sacral and heel pressure ulcers in trauma and critically ill patients: a within-trial analysis of the Border Trial. Int Wound J 2015;12(3):344-50. doi: 10.1111/iwj.12160.
Ocampo W, Cheung A, Baylis B, Clayden N, Conly JM, Ghali WA, Ho CH, Kaufman J, Stelfox HT, Hogan DB. Eco-nomic Evaluations of Strategies to Prevent Hospital-Acquired Pressure Injuries. Adv Skin Wound Care 2017;30(7):319-333. doi: 10.1097/01.ASW.0000520289.89090.b0.
Mitchell A. Adult pressure area care: preventing pressure ulcers. British journal of nursing (Mark Allen Publishing) 2018; 27(18):1050–1052.
Khojastehfar S, Najafi Ghezeljeh T, Haghani S. Factors re-lated to knowledge, attitude, and practice of nurses in in-tensive care unit in the area of pressure ulcer prevention: A multicenter study. J Tissue Viability 2020; 29(2):76-81. doi: 10.1016/j.jtv.2020.02.002.
Lotfi M, Aghazadeh AM, Asgarpour H, Nobakht A. Iranian nurses' knowledge, attitude and behaviour on skin care, prevention and management of pressure injury: A descrip-tive cross-sectional study. Nurs Open. 2019 12;6(4):1600-1605. doi: 10.1002/nop2.365.
Bahadur S, Ayub A. Effects of nurses' knowledge, attitude and behavior on their practice to prevent and treat pres-sure ulcers: a review article. Pak J Public Health 2014; 4(1).
Rizany I, Hariyati RTS, Handayani H. Factors that affect the development of nurses' competencies: a systematic review. Enferm Clin 2018; 28:154-157. doi: 10.1016/S1130-8621(18)30057-3.
Samuriwo R. The impact of nurses' values on the preven-tion of pressure ulcers. Br J Nurs 2010;19(15) doi: 10.12968/bjon.2010.19.Sup5.77702.
Aydogan S, Caliskan N. A Descriptive Study of Turkish In-tensive Care Nurses' Pressure Ulcer Prevention Knowledge, Attitudes, and Perceived Barriers to Care. Wound Manag Prev 2019;65(2):39-47.
Etafa W, Argaw Z, Gemechu E, Melese B. Nurses' attitude and perceived barriers to pressure ulcer prevention. BMC Nurs 2018; 14. doi: 10.1186/s12912-018-0282-2.
Berihu H, Wubayehu T, Teklu T, Zeru T, Gerensea H. Prac-tice on pressure ulcer prevention among nurses in selected public hospitals, Tigray, Ethiopia. BMC Res Notes 2020;13(1):207. doi: 10.1186/s13104-020-05049-7.
Qaddumi J, Khawaldeh A. Pressure ulcer prevention knowledge among Jordanian nurses: a cross- sectional study. BMC Nurs 2014;13(1):6. doi: 10.1186/1472-6955-13-6.
Dimou P, Kourakos M, Margari M, Kaba E, Fasoi G, Kelesi M. Nursing personnel’s knowledge regarding pressure sore management in a public hospital’s medical and surgical wards. Hellenic Journal of Nursing Science 2019; 2(2):38-49
Soozani A, Raei M, Montazeri A, Nasiri E, Hamidzadeh A, Pourheidari M. The effect of education on knowledge and performance of nurses in prevention and control of pres-sure sore. Mod Care Scient Quart Birjand Nurs Midwifery Fac 2012;9(1):16–23
Gunningberg L, Mårtensson G, Mamhidir AG, Florin J, Muntlin Athlin Å, Bååth C. Pressure ulcer knowledge of registered nurses, assistant and student nurses: a descrip-tive, comparative multicentre study in Sweden. Int Wound J 2015;12(4):462-8. doi: 10.1111/iwj.12138.
Nuru N, Zewdu F, Amsalu S, Mehretie Y. Knowledge and practice of nurses towards prevention of pressure ulcer and associated factors in Gondar University Hospital, Northwest Ethiopia. BMC Nurs 2015;14 (34). doi: 10.1186/s12912-015-0076-8.
Dalvand S, Ebadi A, Gheshlagh RG. Nurses' knowledge on pressure injury prevention: a systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assess-ment Tool. Clin Cosmet Investig Dermatol 2018;11: 613-620. doi: 10.2147/CCID.S186381.
Mwebaza I, Katende G, Groves S, Nankumbi J. Nurses' knowledge, practices, and barriers in care of patients with pressure ulcers in a ugandan teaching hospital. Nurs Res Pract 2014; 973602. doi: 10.1155/2014/973602.
Saleh MY, Al-Hussami M, Anthony D. Pressure ulcer pre-vention and treatment knowledge of Jordanian nurses. J Tissue Viability 2013;22(1):1-11. doi: 10.1016/j.jtv.2013.01.003.
Kaddourah B, Abu-Shaheen AK, Al-Tannir M. Knowledge and attitudes of health professionals towards pressure ul-cers at a rehabilitation hospital: a cross-sectional study. BMC Nurs 2016; 15 (17). doi: 10.1186/s12912-016-0138-6.
Ünver S, Fındık ÜY, Özkan ZK, Sürücü Ç. Attitudes of surgi-cal nurses towards pressure ulcer prevention. J Tissue Via-bility 2017;26(4):277-281. doi: 10.1016/j.jtv.2017.09.001.
Feng H, Li G, Xu C, Ju C. Educational campaign to increase knowledge of pressure ulcers. Br J Nurs 2016; 25(12).
doi: 10.12968/bjon.2016.25.12. S30.
Khojastehfar S, Najafi Ghezeljeh T, Haghani S. Factors re-lated to knowledge, attitude, and practice of nurses in in-tensive care unit in the area of pressure ulcer prevention: A multicenter study. J Tissue Viability 2020;29(2):76-81. doi: 10.1016/j.jtv.2020.02.002.
Vaggelatou A, Vassilopoulos G. Kalemikerakis I, Fasoi G, Vlachou E, Kelesi M. Investigation of knowledge, attitudes and perception of nursing staff in oncology hospital re-garding the prevention and treatment of pressure ulcers. Hellenic Journal of Nursing 2017;10(3):13-21.
Seo Y, Roh YS. Effects of pressure ulcer prevention training among nurses in long-term care hospitals. Nurse Educ To-day 2020; 84. doi: 10.1016/j.nedt.2019.104225.
Most read articles by the same author(s)