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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; 33:465-471. [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] [MESH Headings] [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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MESH Headings
- Humans
- Pilot Projects
- Pressure Ulcer/prevention & control
- Students, Nursing/statistics & numerical data
- Students, Nursing/psychology
- Female
- Male
- Health Knowledge, Attitudes, Practice
- Adult
- Turkey
- Education, Distance/methods
- Education, Distance/standards
- Education, Nursing, Baccalaureate/methods
- Education, Nursing, Baccalaureate/standards
- Surveys and Questionnaires
- Young Adult
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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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Arıburnu Ö, Korkmaz F. Nursing students' perceptions and experiences in pressure injury risk assessment: A qualitative study. Nurse Educ Pract 2024; 79:104039. [PMID: 38996581 DOI: 10.1016/j.nepr.2024.104039] [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: 04/01/2024] [Revised: 06/10/2024] [Accepted: 06/18/2024] [Indexed: 07/14/2024]
Abstract
AIM This study aims to capture the perspectives of senior undergraduate nursing students concerning pressure injury risk assessment, shedding light on their practical experiences and insights. BACKGROUND Pressure injuries pose a significant challenge in healthcare, demanding vigilant attention from healthcare professionals. Central to mitigating this challenge is the imperative role of risk assessment, placing nurses at the forefront of prevention strategies. Given the critical nature of this responsibility, the need for a robust and well-structured integration of risk assessment teaching within undergraduate nursing education becomes increasingly apparent. DESIGN This study was conducted as a descriptive qualitative study. METHOD This research was conducted at the Nursing Faculty of a State University in Ankara/Turkey, involving 19 senior students enrolled in the nursing program. Data was collected online using in-depth interviews with semi-structured interview questions between November and December 2022. After data collection, transcripts were generated and subjected to thematic analysis. The study was reported following the COREQ Checklist. RESULTS The study revealed two overarching themes: Opinions and Experiences. Within the Opinions theme, subthemes emerged, including "Features of Teaching," "Pressure Injury Definition," and "Improving Teaching Methods." The Experiences theme encompassed sub-themes such as the "Limited Relationship between Theoretical Teaching and Clinical Practice" and "Assessing the Risk of Pressure Injury in Practice." CONCLUSION Participants affirmed that theoretical instruction sufficiently addressed pressure injury risk assessment yet expressed concerns about the inadequacy of clinical teaching. Additionally, they underscored the need for innovative teaching methods in the theoretical instructional process.
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Affiliation(s)
- Özlem Arıburnu
- Hacettepe University, Faculty of Nursing, Ankara, Turkey.
| | - Fatoş Korkmaz
- Hacettepe University, Faculty of Nursing, Ankara, Turkey
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Bayram A, Şara Y, Uzgör F, Öztürk H. Exploring the relationship between pressure ulcer knowledge and self-efficiency among nursing students: A multicenter study. J Tissue Viability 2024:S0965-206X(24)00092-5. [PMID: 38951049 DOI: 10.1016/j.jtv.2024.06.017] [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: 11/27/2023] [Revised: 06/11/2024] [Accepted: 06/27/2024] [Indexed: 07/03/2024]
Abstract
AIM To determine the relationship between the knowledge and self-efficiency regarding pressure ulcers of nursing students. METHODS This descriptive and correlational study was conducted with 775 nursing students from three different universities in various regions of Turkey. The "Pressure Ulcer Knowledge Assessment Tool-Updated Version" and "Pressure Ulcer Management Self-Efficiency Scale for Nurses" tool were used to collect data between May and September 2023. The Strengthening the Reporting of Observational Studies checklist was followed to report this study. RESULTS The mean knowledge score was 7.27 ± 3.09, and the mean self-efficiency on pressure ulcer management score was 35.5 ± 18.3. A statistically significant positive correlation was found between nursing students' knowledge and self-efficiency mean scores regarding pressure ulcers (p < 0.05). A significant difference was also found between the students' academic levels and gender and their knowledge and self-efficiency scores regarding pressure ulcers. CONCLUSION In this study, where the data covers these three institutions, students' pressure ulcer knowledge and self-efficiency scores were lower compared to all academic years. Accordingly, it was also determined that students with more nursing practice experience showed higher knowledge and self-efficacy scores than students with less nursing practice experience. Additionally, the students' self-efficacy increased along with their knowledge level. Training courses may be suggested to improve students' knowledge and self-efficiency regarding pressure ulcers.
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Affiliation(s)
- Aysun Bayram
- Nursing Department, Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Turkiye.
| | - Yasemin Şara
- Nursing Department, Faculty of Nursing, Konya Selçuk University, Konya, Turkiye
| | - Füsun Uzgör
- Nursing Department, Faculty of Fethiye Health Sciences, Muğla Sıtkı Koçman University, Muğla, Turkiye
| | - Havva Öztürk
- Nursing Department, Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Turkiye
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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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5
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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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Chami L, Boussaid O, Boussaid H, Serhani Y, Zerhane R, Janati-Idrissi R. Nursing students' knowledge towards pressure injury prevention: A cross-sectional study in the north of Morocco. J Tissue Viability 2023; 32:248-254. [PMID: 36803881 DOI: 10.1016/j.jtv.2023.02.002] [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: 09/13/2022] [Revised: 12/10/2022] [Accepted: 02/06/2023] [Indexed: 02/16/2023]
Abstract
AIM This study aimed to assess nursing students' knowledge towards pressure injury prevention. The intent is to improve the undegraduate nursing curricula. MATERIAL AND METHODS The study adopted a cross-sectional descriptive research design. The study population consisted of 285 nursing students enrolled during the second semester of the 2022 year. The response rate was 84.9%. The authors translated and validated the English version of PUKAT 2.0 into French to collect data. PUKAT-Fr is a French version of PUKAT 2.0. The authors used an information form to gather data about participants' descriptive characteristics and specific educational behaviors. Data analysis was performed through descriptive statistics and non-parametric tests. Ethical procedures were accomplished. RESULTS The total mean score of the participants was low (5.88/25). « Prevention of pressure ulcers » and « Specific patient groups » were the most critical themes. Most participants did not use the risk assessment tool in the lab or clinical settings (66.5%) nor the pressure-redistribution mattresses or cushions (43.3%). Education specialization and the number of departments frequented were significantly associated with the participants' total mean score (p < 0.001). CONCLUSION The nursing students' knowledge level was low (5.88/25). Curricular and organizational issues were involved. Efforts from faculty and nursing managers could be introduced to ensure evidence-based education and practice.
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Affiliation(s)
- Laila Chami
- Higher Institute of Nursing Professions and Health Techniques (ISPITS), Tetouan, 93000, Morocco; Research Team in Pedagogical Engineering and Science Didactics (ERIPDS), Ecole Normale Supérieure (ENS), Abdelmalek Essaadi University, Tetouan, 93000, Morocco.
| | - Oumayma Boussaid
- Higher Institute of Nursing Professions and Health Techniques (ISPITS), Tetouan, 93000, Morocco
| | - Hamida Boussaid
- Higher Institute of Nursing Professions and Health Techniques (ISPITS), Tetouan, 93000, Morocco
| | - Youssra Serhani
- Higher Institute of Nursing Professions and Health Techniques (ISPITS), Tetouan, 93000, Morocco
| | - Rajae Zerhane
- Research Team in Pedagogical Engineering and Science Didactics (ERIPDS), Ecole Normale Supérieure (ENS), Abdelmalek Essaadi University, Tetouan, 93000, Morocco.
| | - Rachid Janati-Idrissi
- Research Team in Pedagogical Engineering and Science Didactics (ERIPDS), Ecole Normale Supérieure (ENS), Abdelmalek Essaadi University, Tetouan, 93000, Morocco.
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Abrahams FR, Daniels ER, Niikondo HN, Amakali K. Students' knowledge, attitude and practices towards pressure ulcer prevention and management. Health SA 2023; 28:2180. [PMID: 36873786 PMCID: PMC9983280 DOI: 10.4102/hsag.v28i0.2180] [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: 09/17/2022] [Accepted: 11/22/2022] [Indexed: 02/04/2023] Open
Abstract
Background Student nurses provide nursing care to patients during clinical allocation, and their competence may affect the quality of care given to the patients. Good knowledge and positive attitudes enhance early detection for prevention and management of pressure ulcers. Aim To determine undergraduate nursing students' knowledge, attitude and practices (KAP) towards prevention and management of pressure ulcers. Setting A nursing education institution in Windhoek, Namibia. Methods A quantitative, cross-sectional research design was used to conveniently sample (n = 50) student nurses and collect data using a self-administered questionnaire. Data were analysed using the statistical software programme (SPSS) version 27. Descriptive frequencies were applied, and Fishers exact test was performed. A statistical value of p < 0.05 was considered significant. Results Fifty (n = 50) student nurses consented to participate in the study. Student nurses reported good levels of knowledge (n = 35; 70%), attitude (n = 39; 78%), practices (n = 47; 94%). There was no statistically significant association between demographic variables and the level of knowledge, attitudes and practices, p > 0.05. Conclusion Student nurses have good knowledge, positive attitudes and practices on prevention and management of pressure ulcers. By the implications, the study concludes that the nursing students will competently manage the pressure ulcers occurring in the clinical setting. An observational study is recommended to assess practices in the clinical setting. Contribution The findings of this study will help to close the gap in the implementation of standard operating procedures for the prevention and management of pressure ulcers.
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Affiliation(s)
- Franco R Abrahams
- Department of General Nursing Sciences, Faculty of Health Sciences, School of Nursing, University of Namibia, Windhoek, Namibia
| | - Edwin R Daniels
- Department of Allied Health, Faculty of Health Sciences, School of Nursing, University of Namibia, Windhoek, Namibia
| | - Hileni N Niikondo
- Department of General Nursing Sciences, Faculty of Health Sciences, School of Nursing, University of Namibia, Windhoek, Namibia
| | - Kristofina Amakali
- Department of General Nursing Sciences, Faculty of Health Sciences, School of Nursing, University of Namibia, Windhoek, Namibia
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Ozcan O, Karaali HK. Physiotherapists' knowledge on pressure ulcer prevention. Int Wound J 2022. [DOI: 10.1111/iwj.14049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 11/28/2022] [Accepted: 12/04/2022] [Indexed: 12/24/2022] Open
Affiliation(s)
- Ozlem Ozcan
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences Manisa Celal Bayar University Manisa Turkey
| | - Hayriye Kul Karaali
- Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences Manisa Celal Bayar University Manisa Turkey
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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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Australian First-Year Nursing Student Knowledge and Attitudes on Pressure Injury Prevention: A Three-Year Educational Intervention Survey Study. NURSING REPORTS 2022; 12:431-445. [PMID: 35894032 PMCID: PMC9326559 DOI: 10.3390/nursrep12030042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 06/14/2022] [Accepted: 06/20/2022] [Indexed: 11/16/2022] Open
Abstract
Pressure injury prevention is a significant issue as pressure injuries are difficult to heal, painful, and create clinical complications for patients. The aim of this study was to investigate knowledge and attitudes of first-year nursing students to pressure injury prevention, and to explore whether additional educational interventions augmented learning. A previously validated online survey was administered to three cohorts of first-year nursing students in 2016, 2017 (after additional online education), and 2018 (after further simulation education), and a subsequent comparative analysis was undertaken. Overall, the knowledge of students about pressure injury was low with measures to prevent pressure injury or shear achieving the lowest score (<50%). Students aged over 25 years (p < 0.001) and men (p = 0.14) gained higher attitude scores. There were significant differences for mean knowledge scores between the 2016 and 2018 cohorts (p = 0.04), including age group (p = 0.013) and number of clinical training units undertaken (p = 0.23). The 2016 cohort scored consistently lower in the attitude survey than both other cohorts (p < 0.001). Online resources and simulation experiences marginally improved knowledge and improved attitudes towards prevention of pressure injury. Nursing curricula should include targeted education to ensure student nurses are adequately prepared to prevent pressure injury through understanding of aetiology and risk assessment.
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