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İşeri Ö, Ursavaş FE. The influence of the online education provided using the six thinking hat method on the knowledge and attitudes of nursing students regarding pressure injury prevention; a pilot study. J Tissue Viability 2024:S0965-206X(24)00049-4. [PMID: 38679544 DOI: 10.1016/j.jtv.2024.04.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Revised: 03/08/2024] [Accepted: 04/10/2024] [Indexed: 05/01/2024]
Abstract
AIM The study aims to investigate the influence of the online education given to nursing undergraduate students using the Six Thinking Hat Method (STHM) on their knowledge and attitudes related to pressure injury (PI) prevention. METHODS This pilot study was conducted between March-June 2023. The research sample consists of 25 participants in the intervention group and 25 in the control group. The intervention group received an online education carried out utilizing the STHM. Data were collected using the Student Demographic Information Form, the Turkish version of the Pressure Injury Knowledge Assessment Tool 2.0 (PIKAT 2.0-Tr), and the Attitude Towards the Pressure Ulcer Prevention Instrument (APuP). RESULTS While there was no significant difference between the PIKAT 2.0-Tr and APuP mean scores of the groups at the pre-test measurements (p > 0.05), a difference was observed in favor of the intervention group in the first month (post-test 1) and third month (post-test 2) measurements (p < 0.05). The education provided through the STHM resulted in a meaningful and moderate effect, with an 11.7% increase in the PIKAT 2.0-Tr scores (η2 = 0.117; p = 0.003) and a substantial 29.5% increase in the APuP scores (η2 = 0.295; p = 0.000) for the students in the intervention group. CONCLUSION It has been determined that the STHM, as an active teaching method, increases students' knowledge levels on PI prevention, supports the retention of knowledge, and enhances their attitudes. The STHM can be incorporated into nursing education as one of the innovative teaching methods.
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Affiliation(s)
- Özge İşeri
- Faculty of Health Sciences, Surgical Nursing Department, Ondokuz Mayıs University, Samsun, Turkey.
| | - Figen Erol Ursavaş
- Faculty of Health Sciences, Surgical Nursing Department, Çankırı Karatekin University, Çankırı, Turkey.
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Hammad BM, Eqtait FA, Ayed AJ, Salameh BS, Fashafsheh IH, Saleh MYN. Insights into pressure injury prevention: Assessing the knowledge, attitudes, and practices of Palestinian nursing students. J Tissue Viability 2024:S0965-206X(24)00036-6. [PMID: 38521681 DOI: 10.1016/j.jtv.2024.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Revised: 03/01/2024] [Accepted: 03/18/2024] [Indexed: 03/25/2024]
Abstract
AIM To assess the knowledge, attitudes, and practices of Palestinian nursing students towards pressure injury prevention. MATERIALS AND METHODS A descriptive cross-sectional study was conducted with 455 nursing students recruited from Arab American University-Palestine, employing a total population sample. Data collection forms include socio-demographic information, the Pressure Ulcer Knowledge Assessment Tool, Attitude towards Pressure Ulcer Prevention Instrument and Pressure Injury Preventive Practices scale. RESULTS The study found that students had a mean knowledge score of 54% (14.04/26), a positive attitude score of 75.8% (39.42/52), and demonstrated a fair level of practice 75.3% (30.12/40). Significant differences were observed in the Knowledge, Attitude, and Practice total scores, linked to academic year, clinical experience, and the number of attended departments during clinical training (p < 0.001). Additionally, weak but significant positive relationships were found between practice and attitude scores (r = 0.303, p < 0.001), practice and knowledge score (r = 0.211, p < 0.001), and a moderate positive significant relationship between knowledge and attitude scores (r = 0.567, p < 0.001). CONCLUSION The study revealed insufficient knowledge, positive attitudes, and somewhat unsafe practices among nursing students regarding pressure injury prevention. It highlights the need for specific revisions in the nursing curriculum. Improvements can be achieved through detailed coverage in classrooms and laboratories, integrating simulation methods. Additionally, ensuring that students gain adequate experiences in clinical units, with a specific emphasis on pressure injury prevention, is crucial for improving students' capability and contribute to better pressure injury management.
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Affiliation(s)
- Bahaaeddin M Hammad
- Faculty of Nursing, Arab American University Palestine, Jenin City, 240, Palestine.
| | - Faeda A Eqtait
- Faculty of Nursing, Arab American University Palestine, Jenin City, 240, Palestine.
| | - Ahmad J Ayed
- Faculty of Nursing, Arab American University Palestine, Jenin City, 240, Palestine.
| | - Basma S Salameh
- Faculty of Nursing, Arab American University Palestine, Jenin City, 240, Palestine.
| | - Imad H Fashafsheh
- Faculty of Nursing, Arab American University Palestine, Jenin City, 240, Palestine.
| | - Mohammad Y N Saleh
- Clinical Nursing Department, School of Nursing, The University of Jordan, Amman, Jordan.
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Yoltay HE, Özşaker E. Pressure Injury Knowledge and Attitudes of Senior Nursing Students. Adv Skin Wound Care 2024; 37:1-5. [PMID: 38117174 DOI: 10.1097/asw.0000000000000088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2023]
Abstract
OBJECTIVE To describe the pressure injury (PI) knowledge and attitudes of senior nursing students (SNSs). METHODS This study used a descriptive and cross-sectional design. The study population consisted of SNSs involved in a nursing program in the Aegean region of Turkey. The authors collected data using a student information form, the Turkish version of the Attitude towards Pressure Ulcer Prevention instrument, and the Turkish version of the Pressure Ulcer Prevention Knowledge Assessment Instrument. RESULTS One hundred seventy SNSs were included; 50% had experience preventing PI, 14.1% had provided care to patients with PIs, and 21.2% had staged PIs. The SNSs' average PI prevention knowledge score was 13.06 ± 2.94 (50.3% correct), and only 20.5% (n = 35) of the SNSs answered questions at an acceptable proficiency level (60%). The mean Attitude towards Pressure Ulcer Prevention score of the SNSs was 39.38 ± 2.73 (75.7% correct). CONCLUSIONS The results of the research indicated that the SNSs' knowledge about preventing PI was insufficient, although their attitudes toward PI prevention were positive. Because adequate training on PI is important for patient care, students' knowledge deficiencies regarding PIs should be identified and addressed.
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Affiliation(s)
- Hatice Eda Yoltay
- In the Surgical Nursing Department, Faculty of Nursing, Ege University, Izmir, Turkey, Hatice Eda Yoltay, PhD, RN, is Research Assistant and Esma Özşaker, PhD, RN, is Associate Professor. Acknowledgment: The authors thank all the students who agreed to participate in the study. The authors have disclosed no financial relationships related to this article. Submitted November 3, 2022; accepted in revised form February 10, 2023
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Hermis AH, Mollaei A, Ghorbani Vajargah P, Karkhah S, Takasi P, Firooz M, Hosseini SJ, Alizadeh Otaghvar H, Raziani Y. A systematic review of nursing students' attitude and related factors towards pressure ulcer prevention. Int Wound J 2023; 20:3404-3416. [PMID: 37434034 PMCID: PMC10502266 DOI: 10.1111/iwj.14191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 03/30/2023] [Accepted: 03/31/2023] [Indexed: 07/13/2023] Open
Abstract
The purpose of this review study is to investigate the attitude of nursing students toward the prevention of pressure ulcers (PUs) and related factors. From February 1, 2023, a comprehensive search was conducted in international and Persian electronic databases such as Web of Science, PubMed, Scopus, Iranmedex, and Scientific information database (SID). The keywords obtained from Medical Subject Headings, including "Attitude", "Nursing students", and "Pressure ulcer" were used in this search. The quality assessment of the present studies in this systematic review was based on the appraisal tool for cross-sectional studies (AXIS tool). A total of 6454 nursing students participated in ten cross-sectional studies. All students were studying at the undergraduate level and 81.20% of them were female. Nursing students were in the first (39.27%), second (28.19%), and third and fourth (32.54%) academic years. Among the participants, 49.86% have completed at least 2 clinical units. The mean scores of attitudes toward PU prevention in nursing students based on attitude toward PU prevention (APuP) and researcher-made questionnaires were 75.01% and 68.82%, respectively. The attitude of nursing students was influenced by various factors, including age, sex, academic year, clinical experience, number of clinical units, experience in caring for PU patients, previous courses on PU in the curriculum, and contribution of training to knowledge. Also, in the present study, the positive relationship between the attitude and knowledge of nursing students was shown as the only significant correlation. In sum, the attitude of the majority of nursing students toward the prevention of PUs was at a satisfactory level. Therefore, it is expected to transfer the necessary knowledge to them with proper planning so that preventive actions can be carried out by following the guidelines.
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Affiliation(s)
| | - Amirabbas Mollaei
- Department of Medical‐Surgical Nursing, School of Nursing and MidwiferyGuilan University of Medical SciencesRashtIran
- Burn and Regenerative Medicine Research CenterGuilan University of Medical SciencesRashtIran
| | - Pooyan Ghorbani Vajargah
- Department of Medical‐Surgical Nursing, School of Nursing and MidwiferyGuilan University of Medical SciencesRashtIran
- Burn and Regenerative Medicine Research CenterGuilan University of Medical SciencesRashtIran
| | - Samad Karkhah
- Department of Medical‐Surgical Nursing, School of Nursing and MidwiferyGuilan University of Medical SciencesRashtIran
- Burn and Regenerative Medicine Research CenterGuilan University of Medical SciencesRashtIran
| | - Poorya Takasi
- Department of Medical‐Surgical Nursing, School of Nursing and MidwiferyGuilan University of Medical SciencesRashtIran
- Burn and Regenerative Medicine Research CenterGuilan University of Medical SciencesRashtIran
| | - Mahbobeh Firooz
- Department of NursingEsfarayen Faculty of Medical SciencesEsfarayenIran
| | | | - Hamidreza Alizadeh Otaghvar
- Associate Professor of Plastic Surgery, Trauma and Injury Research CenterIran University of Medical SciencesTehranIran
| | - Yosra Raziani
- Nursing DepartmentAl‐Mustaqbal University CollegeBabylonIraq
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Tian J, Liang XL, Wang HY, Peng SH, Cao J, Liu S, Tao YM, Zhang XG. Nurses' and nursing students' knowledge and attitudes to pressure injury prevention: A meta-analysis based on APUP and PUKAT. NURSE EDUCATION TODAY 2023; 128:105885. [PMID: 37354659 DOI: 10.1016/j.nedt.2023.105885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 05/15/2023] [Accepted: 06/15/2023] [Indexed: 06/26/2023]
Abstract
BACKGROUND Morbidity and mortality among patients due to pressure injuries continue to rise. Nurses play a critical role in preventing pressure injuries. However, published results on nurses' knowledge and attitudes for pressure injury prevention are often contradictory. OBJECTIVES To conduct a meta-analysis of nurses' and nursing students' knowledge and attitudes toward pressure injury prevention. DESIGN A meta-analysis of cross-sectional studies. DATA SOURCES Ten databases were queried for the meta-analysis. The search period was from the time of the databases' establishment to February 2023. REVIEW METHODS This review followed the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. The Agency for Healthcare Research and Quality (AHRQ) was used to assess the methodological quality of the included studies. Statistical analysis was conducted with the Stata 15.0 software, and the quantitative data of knowledge and attitude toward preventing PI in all studies were summarized. RESULTS Thirteen studies from 9 countries were included. The meta-analysis showed that nurses and nursing students had low knowledge but positive attitudes toward pressure injury prevention. Subgroup analysis showed that the pooled proportion of both knowledge and attitudes was higher in Asia than in Europe. Nurses had higher knowledge than nursing students, however, the former had a more negative attitude than the latter. Sensitivity analyses were robust. Egger's test showed no significant publication bias. CONCLUSION The knowledge of nurses and nursing students about pressure injury prevention is not promising and there is an urgent need for continuous learning. Attitudes are more positive but there is room for improvement. The relevant departments should strengthen nurses' and nursing students' knowledge of pressure injury prevention and further improve their attitudes toward pressure injury prevention.
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Affiliation(s)
- Jing Tian
- College of Nursing, Chengdu University of Traditional Chinese Medicine, shierqiao campus, Jinniu District, Chengdu City, Sichuan province, 610075, China
| | - Xiao Li Liang
- Sichuan Nursing Vocational College, No.173 Longdu South Road, Longquanyi District, Chengdu City, Sichuan province 610100, China
| | - Hong Yan Wang
- Sichuan Nursing Vocational College, No.173 Longdu South Road, Longquanyi District, Chengdu City, Sichuan province 610100, China
| | - Si Han Peng
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu City, Sichuan province 610032, China
| | - Jun Cao
- Sichuan Nursing Vocational College, No.173 Longdu South Road, Longquanyi District, Chengdu City, Sichuan province 610100, China
| | - Shan Liu
- College of Nursing, Chengdu University of Traditional Chinese Medicine, shierqiao campus, Jinniu District, Chengdu City, Sichuan province, 610075, China
| | - Yan Min Tao
- College of Nursing, Chengdu University of Traditional Chinese Medicine, shierqiao campus, Jinniu District, Chengdu City, Sichuan province, 610075, China
| | - Xian Geng Zhang
- Sichuan Nursing Vocational College, No.173 Longdu South Road, Longquanyi District, Chengdu City, Sichuan province 610100, China.
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Wu J, Wang B, Zhu L, Jia X. Nurses' knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool. Front Public Health 2022; 10:964680. [PMID: 36159260 PMCID: PMC9493096 DOI: 10.3389/fpubh.2022.964680] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Accepted: 08/16/2022] [Indexed: 01/24/2023] Open
Abstract
Background Pressure ulcers (PUs) are an indicator of the quality of nursing care and nurses can prevent PUs well if they have sufficient knowledge. Numerous studies in this field have reported different results. The aim of this study was to estimate the pooled score of nurses' knowledge about PU prevention based on the Pressure Ulcer Knowledge Assessment Tool (PUKAT). Methods In this systematic review and meta-analysis, databases including Web of Science, ScienceDirect, PubMed, and Scopus were searched. All studies published in English between 2011 and 2022 that reported the status of nurses' knowledge of PU prevention based on PUKAT were included in the analysis. Based on heterogeneity between the studies, the data were analyzed using a random effects model. Results The pooled scores of PU prevention knowledge in nurses and nursing students were (51.5%; 95% CI: 45.8-57.2%) and (48.9%; 95% CI: 42.5-55.2%), respectively. As the age of the participants increased, the pooled score of pressure ulcer prevention knowledge increased significantly (p = 0.028). The publication bias was not significant. The highest and lowest knowledge scores in nurses and nursing students were related to the fourth dimension (nutrition) and the fifth dimension (preventive measures to reduce the amount of pressure/shear), respectively. Conclusion Knowledge of nurses and nursing students about PU prevention is insufficient. Providing regular training to nurses and including the principles of PU prevention in the curriculum of nursing students to improve their knowledge seems necessary.
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Affiliation(s)
- Jing Wu
- Department of Pediatric Hematologic Oncology Nursing, West China Second University Hospital, Sichuan University, Chengdu, China,Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, China
| | - Bangjun Wang
- Department of Pediatric Hematologic Oncology Nursing, West China Second University Hospital, Sichuan University, Chengdu, China,Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, China
| | - Liping Zhu
- Department of Pediatric Hematologic Oncology Nursing, West China Second University Hospital, Sichuan University, Chengdu, China,Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, China
| | - Xiaoli Jia
- Department of Obstetrics and Gynecology, Mianyang Central Hospital, Mianyang, China,*Correspondence: Xiaoli Jia
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Sari Y, Upoyo AS, Sumeru A, Yusuf S, Haryanto, Nuriya, Taufik A. Nursing student's knowledge and attitude toward diabetic ulcer care and their contributing factors in Indonesia. Int J Nurs Sci 2022; 9:496-503. [PMID: 36285084 PMCID: PMC9587391 DOI: 10.1016/j.ijnss.2022.09.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Revised: 08/31/2022] [Accepted: 09/16/2022] [Indexed: 11/26/2022] Open
Abstract
Objective The prevalence of diabetic foot ulcer in Indonesia is far greater than the global prevalence. Nursing students are expected to have good knowledge and positive attitudes regarding diabetic ulcer care in order to deliver high-quality wound care during clinical practice. This study aimed to assess nursing students’ knowledge and attitudes toward diabetic ulcer care and to investigate the factors related to them. Methods A cross-sectional study was conducted on 396 academic and clinical phases in three nursing schools in Indonesia from September 2021 to February 2022. Participants completed a survey including a questionnaire about knowledge and attitudes regarding diabetic ulcer care. The data were analyzed using a Chi-square test and multivariate logistic regression analysis. Results The results show that 43.2% (171/396) of nursing students had inadequate knowledge of diabetic ulcer care. However, 88.9% (352/396) had a favorable attitude toward the topic. Nursing students lacked knowledge about the characteristics of diabetic ulcers, diabetic neuropathy, wound infection, and adjunctive therapy for diabetic ulcers, and many of them believe that diabetic ulcer care is too time-consuming to carry out. Students in the clinical phase of their studies had significantly better knowledge than those in the academic phase (aOR = 9.99, 95% CI 4.96–20.08, P < 0.001). Male nursing students were significantly less likely to have positive attitude toward the topic than female students (aOR = 0.42, 95% CI 0.19–0.96, P = 0.048), and students accustomed to sharing with peers as a source of knowledge had better attitudes than those who were not (aOR = 2.76, 95% CI 1.40–5.41, P = 0.003). Conclusion Findings show that almost half of the nursing students have insufficient knowledge of diabetic ulcer care. Curriculum developers and educators need to improve the curriculum regarding diabetic wound care and provide strategic programs to improve students’ knowledge and attitudes based on the factors discovered in this study.
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Cukljek S, Rezic S, Ficko SL, Hosnjak AM, Smrekar M, Ljubas A. Croatian nurses' and nursing students' knowledge about pressure injury prevention. J Tissue Viability 2022; 31:453-458. [DOI: 10.1016/j.jtv.2022.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 03/30/2022] [Accepted: 04/25/2022] [Indexed: 10/18/2022]
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Ursavaş FE, Bayrak D. Validity and reliability of the Turkish version of the pressure injury knowledge assessment tool 2.0. J Tissue Viability 2021; 30:582-587. [PMID: 33994078 DOI: 10.1016/j.jtv.2021.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 02/26/2021] [Accepted: 05/04/2021] [Indexed: 02/02/2023]
Abstract
AIM The aim of this study was to develop a Turkish version of the Pressure Ulcer Knowledge Assessment Tool 2.0 (PUKAT 2.0) and determine its validity and reliability. MATERIALS AND METHODS This was a cross-cultural adaptation and validation study. The study sample included a total of 451 participants (232 nurses and 219 nursing students). The validity of the Turkish version of the PUKAT 2.0 was evaluated with linguistic validity, content validity, item validity (item difficulty, discriminating index), and construct validity (known-groups technique) analyses. The reliability of the tool was evaluated by conducting a test-retest analysis. RESULTS Content validity index (CVI) for the items (Item-CVI) ranged from 0.83 to 1.00 and the CVI for the scale (Scale-CVI) was 0.95. The difficulty index for 21 items ranged from 0.10 to 0.63. Four items were found to be too difficult. Item discriminating index values ranged from 0.00 to 0.61. The overall intraclass correlation coefficient (ICC) was found to be 0.80. CONCLUSION The Turkish version of the Pressure Injury Knowledge Assessment Tool 2.0 (PIKAT 2.0-Tr) is supported by acceptable psychometric properties and can be used to evaluate the knowledge of nurses and nursing students in Turkey about the prevention of PI.
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Affiliation(s)
- Figen Erol Ursavaş
- Department of Nursing, Faculty of Health Sciences, Çankırı Karatekin University, Çankırı, Turkey.
| | - Damla Bayrak
- Department of Nursing, Faculty of Health Sciences, Çankırı Karatekin University, Çankırı, Turkey.
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Sönmez M, Taşdemir N, Ören N. Pressure injury knowledge of Turkish internship nursing students. J Tissue Viability 2021; 30:571-575. [PMID: 34353695 DOI: 10.1016/j.jtv.2021.07.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 06/30/2021] [Accepted: 07/16/2021] [Indexed: 02/03/2023]
Abstract
AIM This study aimed to describe the pressure injury (PI) knowledge of Turkish internship nursing students (INSs). MATERIALS AND METHODS This descriptive study was performed using the Turkish version of the Modified Pieper Pressure Ulcer Knowledge Test. The study population consisted of INSs in a nursing program in the West Black Sea Region, Turkey. The sample of the study was 278 (74.1% of a total of 375 volunteer INSs). RESULTS The mean knowledge test score was 29.03 ± 7.15 (range 11-44). The prevention/risk score was higher; only 28.4% of the students had a satisfactory test score. CONCLUSION The results of this study indicated that the INSs had significant knowledge gaps regarding PI. Nursing students' knowledge deficiencies regarding PIs should be identified at undergraduate level, and the necessary educational measures should be taken.
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Affiliation(s)
- Münevver Sönmez
- Atılım University, Health Sciences Faculty, Nursing Department.
| | - Nurten Taşdemir
- Zonguldak Bulent Ecevit University, Health Sciences Faculty, Nursing Department, 67000, Zonguldak, Turkey.
| | - Nursen Ören
- Zonguldak Bulent Ecevit University, Health Application and Research Center, 67000, Zonguldak, Turkey.
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Kara H, Arikan F, Kahyaoglu A. Student Nurse Knowledge of and Attitudes Toward Pressure Injury Prevention: How Sufficient Is Undergraduate Education? Adv Skin Wound Care 2021; 34:473-480. [PMID: 34415251 DOI: 10.1097/01.asw.0000767332.40833.28] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To assess the knowledge and attitudes of student nurses regarding evidence-based guidelines for preventing pressure injuries. METHODS This study used a descriptive research design. The participants included second-, third-, and fourth-year nursing students completing their bachelor's degrees at a faculty of nursing in Turkey. Data collection forms consisted of a student nurse information form, the Pressure Ulcer Prevention Knowledge Assessment Instrument, and the Attitude Towards Pressure Ulcer Prevention Instrument. RESULTS The overall mean score for knowledge was 49.9% (11.7/26). The highest scores for the instrument's subthemes were for nutrition (72%), and the lowest were for etiology and development (40.1%). The overall mean attitude score was 42.20 ± 2.40, although a statistically significant difference among grades was found (P < .001). The highest mean scores showed agreement among students that pressure injury prevention should be a priority (10.50 ± 1.43). A significant difference was found in the competence subscale according to the number of dressing changes observed and sense of competence in pressure injury care (P = .003). A weak but statistically significant positive relationship was found between knowledge and attitude scores (r = 0.158; 95% confidence interval, .040-.269; P < .001). CONCLUSIONS This study revealed that certain revisions are needed in the nursing curriculum to improve the knowledge and attitudes of nursing students toward the prevention and care of pressure injuries. More details should be covered in the classroom and laboratories through simulation or clinical practice for improved management of pressure injuries.
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Affiliation(s)
- Hava Kara
- At Akdeniz University in Antalya, Turkey, Hava Kara, RN, is Research Nurse, Nursing Practice and Research Center; Fatma Arikan, PhD, RN, is Director, Nursing Practice and Research Center; and Ali Kahyaoglu, BHSc is Student Nurse, Faculty of Nursing. Acknowledgments: The authors thank the nursing students who participated in this study. The authors have disclosed no financial relationships related to this article. Submitted August 30, 2020; accepted in revised form October 30, 2020
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Dag Sucu G, Firat Kilic H. Knowledge and attitudes of Turkish nursing students towards pressure injury prevention. J Tissue Viability 2021; 31:16-23. [PMID: 34462179 DOI: 10.1016/j.jtv.2021.08.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2021] [Revised: 08/15/2021] [Accepted: 08/22/2021] [Indexed: 12/27/2022]
Abstract
AIM Nurse educators are expected to teach nursing students the necessary knowledge and attitudes to prevent pressure injuries (Pİ) development. This study aims to assess the knowledge levels and attitudes of nursing students towards Pİ prevention and to analyze the relationship between their knowledge and attitudes. MATERIAL AND METHODS This study adopted a cross sectional, descriptive, and correlational research design. 259 students of the nursing department of a private university in the Turkish Republic of Northern Cyprus during the spring semester of the 2018-2019 academic year constituted the population of the study. Student information form, the Turkish version of Pİ prevention knowledge assessment instrument (PUPKAI-T), and attitude towards Pİ prevention instrument (APuP) were used for data collection. Data were analyzed by Kruskal-Wallis, Mann- Whitney U tests and Spearman's correlation. Ethics committee approval was received. RESULTS Mean PUPKAI-T score was 10.16 ± 2.44 (range: ≥ 16). Participants obtained the lowest score from the etiology and causes (32.3%) and classification and observation (33.5%) subscales of the PUPKAI-T. The mean score obtained by the participants from the APuP was 44.62 ± 3.54 (range; min; 13, max; 52). We found a positive, weak, and statistically significant correlation between the PUPKAI-T and the APuP scores (r = 0.131, p = 0.034). CONCLUSION The study found that the mean PUPKAI-T scores of the nursing students were low and their APuP scores indicated a positive attitude. The findings imply that the nursing curriculum might be revised and new courses might be introduced to increase the knowledge levels of nursing students on Pİ prevention.
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Affiliation(s)
- Gulten Dag Sucu
- Eastern Mediterranean University (EMU), Faculty of Health Sciences, Nursing Department, Famagusta, North Cyprus, via Mersin 10, Turkey.
| | - Hulya Firat Kilic
- Eastern Mediterranean University (EMU), Faculty of Health Sciences, Nursing Department, Famagusta, North Cyprus, via Mersin 10, Turkey.
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KIR BİÇER E. Hemşirelik Öğrencilerinin Basınç Ülseri Önlemeye Yönelik Bilgi ve Uygulamaları. DÜZCE ÜNIVERSITESI SAĞLIK BILIMLERI ENSTITÜSÜ DERGISI 2020. [DOI: 10.33631/duzcesbed.691639] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
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Attitudes of Spanish Nurses towards Pressure Injury Prevention and Psychometric Characteristics of the Spanish Version of the APuP Instrument. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228543. [PMID: 33217957 PMCID: PMC7698736 DOI: 10.3390/ijerph17228543] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 10/30/2020] [Accepted: 11/16/2020] [Indexed: 02/08/2023]
Abstract
The prevention of pressure injuries in hospitalised patients is a critical point of care related to patient safety. Nurses play a key role in pressure injury (PI) prevention, making it important to assess not only their knowledge but also their attitude towards prevention. The main purpose of this study was to translate into Spanish and evaluate the psychometric properties of the Attitude towards Pressure ulcer Prevention instrument (APuP); a secondary aim was to explore the associations of attitude with other factors. A Spanish version was developed through a translation and back-translation procedure. The validation study was conducted on a sample of 438 nursing professionals from four public hospitals in Spain. The analysis includes internal consistency, confirmatory factorial analysis, and construct validity in known groups. The 12-item Spanish version of the APuP fit well in the 5-factor model, with a Cronbach's alpha of 0.7. The mean APuP score was 39.98, which means a positive attitude. Registered nurses have a slightly better attitude than Assistant nurses. A moderate correlation (R = 0.32) between knowledge and attitude for the prevention of PI was found. As concluded, the Spanish version of the APuP questionnaire is a valid, reliable and useful tool to measure the attitude toward PI prevention in Spanish-speaking contexts. This version has 12 items grouped into 5 factors, and its psychometric properties are similar to those of the original instrument.
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