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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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Liang H, Hu H, Feng L, Wei H, Ying Y, Liu Y. The knowledge and attitude on the prevention of pressure ulcers in Chinese nurses: A cross-sectional study in 93 tertiary and secondary hospitals. Int Wound J 2024; 21:e14593. [PMID: 38151898 PMCID: PMC10961891 DOI: 10.1111/iwj.14593] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 12/08/2023] [Indexed: 12/29/2023] Open
Abstract
Although pressure ulcers are related to substantial health burdens, they may be preventable. Since nurses play a fundamental role in pressure ulcer prevention, their knowledge and attitude are of great importance. This study aims to investigate the current situation and associated factors of nurses' knowledge and attitude on the prevention of pressure ulcers from both tertiary and secondary hospitals. A total of 11 347 nurses were recruited including 7108 nurses (62.6%) from tertiary hospitals and 4239 nurses (37.4%) from secondary hospitals. The median (interquartile range) of the pressure ulcer knowledge score was 51% (38%, 90%) for all the participants with the lowest scores on prevention of pressure ulcers (51.33%). The mean (standard deviation) of attitude towards pressure ulcer prevention was 39.64 (4.65) with the lowest scores on personal competency to prevent pressure ulcers (mean 3.09). The results of multivariate linear regression showed that hospital level, nurses' age, years of work experience, initial education level at work and time of last training significantly associated with nurses' knowledge of pressure ulcer prevention. Meanwhile, hospital level, job title, previous training, time of last training and subjective needs for further training had significant association with nurses' attitude towards pressure ulcer prevention (all p < 0.05). Results showed inadequate knowledge but relative positive attitudes in nurses indicating the importance to deliver continuing education and training regarding pressure ulcer prevention in practice to improve the quality of care.
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Affiliation(s)
- Hongyan Liang
- Department of NursingSir Run Run Shaw Hospital Zhejiang University School of Medicine, Zhejiang UniversityHangzhouChina
| | - Hongyang Hu
- Department of NursingSir Run Run Shaw Hospital Zhejiang University School of Medicine, Zhejiang UniversityHangzhouChina
| | - Liuqun Feng
- Department of NursingSir Run Run Shaw Hospital Zhejiang University School of Medicine, Zhejiang UniversityHangzhouChina
| | - Huiyan Wei
- Department of NursingSir Run Run Shaw Hospital Zhejiang University School of Medicine, Zhejiang UniversityHangzhouChina
| | - Yuai Ying
- Department of NursingSir Run Run Shaw Hospital Zhejiang University School of Medicine, Zhejiang UniversityHangzhouChina
| | - Yuanfei Liu
- Department of NursingThe Second Affiliated Hospital Zhejiang University School of Medicine, Zhejiang UniversityHangzhouChina
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Zhao D, Jin J, Luo Q, Wang Z, An J. Pressure injury risk factors in adult orthopaedic surgical patients: a cross-sectional study and random forest. J Wound Care 2024; 33:143-152. [PMID: 38329830 DOI: 10.12968/jowc.2024.33.2.143] [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] [Indexed: 02/10/2024]
Abstract
OBJECTIVE To identify the most important risk factors for predicting pressure injury (PI) occurrence in adult orthopaedic surgical patients based on investigation data, thereby identifying at-risk patients and facilitating formulation of an effective patient care strategy. METHOD Patients were assessed with an instrument designed by the authors specifically for this study in a cross-sectional investigation following the STROBE checklist. The random forest method was adopted to select the most important risk factors and predict occurrence of PIs. RESULTS A dataset of 27 risk factors from 1701 patients was obtained. A subset of the 15 most important risk factors was identified. The random forest method had a high prediction accuracy of 0.9733 compared with 0.9281 calculated with a logistic model. CONCLUSION Results indicated that the selected 15 risk factors, such as activity ability, friction/shear force, skin type and anaesthesia score, performed very well in predicting the occurrence of PIs in adult orthopaedic surgical patients.
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Affiliation(s)
- Dan Zhao
- Beijing Jishuitan Hospital, Capital Medical University, P. R. China
- School of Nursing, Peking University, Beijing, P. R. China
| | - Jiao Jin
- School of Statistics, Beijing Normal University, Beijing, P. R. China
| | - Qiong Luo
- School of Nursing, Peking University, Beijing, P. R. China
| | - Zhiwen Wang
- School of Nursing, Peking University, Beijing, P. R. China
| | - Jinbing An
- School of Health Humanities, Peking University, Beijing, P. R. China
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Bobbink P, Gschwind G, Charbonneau L, Guex C, Chabal L, Probst S. Nursing Students' Knowledge on Pressure Injuries Following a Blended-Learning Unit: A Quasi-experimental Study. Adv Skin Wound Care 2023; 36:636-641. [PMID: 37983576 DOI: 10.1097/asw.0000000000000066] [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: 11/22/2023]
Abstract
OBJECTIVE To assess first-year bachelor's degree in nursing students' knowledge about pressure injury (PI) etiology, classification, prevention, and management following blended learning and clinical practice. METHODS A quasi-experimental design was used. Nursing students' PI knowledge was measured using the French version of the Pressure Ulcer Knowledge Assessment Tool (PUKAT) at three time points: baseline (before a blended-learning unit, consisting of 2 hours of e-learning and 3 hours of practical workshop), after the blended-learning unit, and after clinical practice. RESULTS A total of 21 students participated over the three time points. At baseline, the mean percentage of correct answers on the PUKAT was 45.8%. This score increased to 59.2% following the blended-learning unit and 65% after completing the clinical practice (F2,58 = 19.08; P = .00). Over the three time points, students scored highest on knowledge of risk assessment and lowest on knowledge of prevention. CONCLUSIONS Blended-learning units combining e-learning and practical workshops are valuable tools to increase students' knowledge about PIs. The PUKAT enables the evaluation of changes in students' knowledge following a teaching unit on PIs. However, more research is needed to assess the long-term evolution of knowledge and the impact of this teaching on clinical practice.
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Affiliation(s)
- Paul Bobbink
- Paul Bobbink, MScN, is Lecturer, Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts, Geneva, Switzerland, and PhD Candidate at the University Institute of Higher Education and Research in Healthcare, Faculty of Biology and Medicine, University of Lausanne. Also at Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts, Géraldine Gschwind, MScN, is Assistant; and Lucie Charbonneau, MSc; Carole Guex, BScN, and Laurent Chabal, BScN, ETN, are Assistant Lecturers. Sebastian Probst, DClinPrac, MNS, RN, is Full Professor of Tissue Viability and Wound Care, Geneva School of Health Sciences, HES-SO University of Applied Sciences and Arts; Care Directorate, University Hospital Geneva; Faculty of Medicine Nursing and Health Sciences, Monash University, Melbourne, Australia; and College of Medicine Nursing and Health Sciences, University of Galway, Galway, Ireland. Acknowledgment: The authors thank their colleagues from the University of Applied Sciences and Arts, Geneva School of Health Sciences, and the clinical nurse specialists who were involved in this new scenario for their support. They give special thanks to Celina Marques Teixeira who designed the e-learning unit and Prof Dimitri Beeckman for the permission to translate and use the questionnaire. The work cannot be changed in any way or used commercially without permission from the journal. The authors have disclosed no financial relationships related to this article. Submitted February 6, 2023; accepted in revised form March 16, 2023
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Alshahrani B, Middleton R, Rolls K, Sim J. Critical care nurses' knowledge and attitudes toward pressure injury prevention: A pre and post intervention study. Intensive Crit Care Nurs 2023; 79:103528. [PMID: 37603978 DOI: 10.1016/j.iccn.2023.103528] [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: 03/06/2023] [Revised: 07/27/2023] [Accepted: 08/07/2023] [Indexed: 08/23/2023]
Abstract
OBJECTIVE To explore nurses' knowledge and attitudes towards pressure injury prevention before and after implementing an educational intervention. DESIGN/METHOD A pre-and post-intervention study. Pre-intervention data collection involved administering an instrument, including demographic information, the Pressure Ulcer Knowledge Assessment Tool version 2, and the Attitudes towards Pressure Ulcer Prevention instruments. Following the analysis of pre-intervention data, an educational intervention was implemented. Post-intervention data were collected using the same instrument. SETTING Intensive care units at three Saudi Arabian hospitals. MAIN OUTCOME MEASURES Nurses' knowledge and attitudes towards pressure injury prevention. RESULTS The pre-intervention phase included 190 participants, and the post-intervention phase included 195 participants. Participants completed a paper-based survey at two different time points between June 2021 and March 2022. The mean pre-intervention scores for nurses' knowledge and attitudes towards pressure injury prevention were 43.22% and 74.77%, respectively. Following the educational intervention, the knowledge and attitude scores increased significantly to 51.22% and 79.02%, respectively. Higher knowledge of pressure injury prevention was positively associated with positive attitudes towards prevention practices. Age, clinical nursing experience, and experience in intensive care units were identified as factors correlated with knowledge of pressure injury prevention. A Bachelor's qualification or higher predicted better knowledge and attitudes towards pressure injury prevention. CONCLUSIONS Nurses' knowledge and attitudes towards pressure injury prevention greatly improved following tailored, evidence-based education. The educational intervention featured multiple on-site bedside discussions, case studies, small-group presentations, and the provision of printed resources. IMPLICATIONS FOR CLINICAL PRACTICE Nurses' knowledge and attitudes towards pressure injury prevention should be examined, and education provided to ensure evidence-based prevention practices are implemented. Tailored small-group education sessions delivered conveniently could be an effective approach. Efforts should focus on attracting and retaining experienced, highly qualified nurses to ensure the adoption of evidence-based prevention practices.
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Affiliation(s)
- Bassam Alshahrani
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia; College of Nursing, Taibah University, Saudi Arabia.
| | - Rebekkah Middleton
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia.
| | - Kaye Rolls
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia.
| | - Jenny Sim
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Australia; WHO Collaborating Centre for Nursing, Midwifery & Health Development, Faculty of Health, University of Technology Sydney, Australia; School of Nursing & Midwifery, University of Newcastle, Central Coast Clinical School, Australia.
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Sari Y, Upoyo AS, Mulyono WA, Sumeru A, Taufik A, Nuriya N. Pressure injury prevention: Knowledge and attitude and their predictors in Indonesian nurses working in hospital settings. J Tissue Viability 2023; 32:242-247. [PMID: 37037689 DOI: 10.1016/j.jtv.2023.04.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Revised: 03/28/2023] [Accepted: 04/03/2023] [Indexed: 04/09/2023]
Abstract
AIM Nurses' knowledge and attitude are critical for pressure injury (PI) prevention. However, to date, there has been little research carried out on the knowledge and attitude of Indonesian nurses regarding PI prevention in hospital settings, and no study has investigated the predictors of knowledge and attitude of Indonesian nurses regarding PI prevention. This study therefore aims to investigate knowledge and attitude, and to identify the predictors of knowledge and attitude regarding PI prevention among Indonesian nurses in hospital settings. METHODS A cross-sectional study was conducted between 1st November 2021 and 5th March 2022. A total of 563 nurses from three general hospitals in Central Java Province participated. The Pressure Ulcer Knowledge Assessment Tool 2.0 and the Attitude Pressure Ulcer Prevention questionnaires were used. A multiple linear regression analysis was used to determine the predictors of nurses' knowledge and attitude regarding PI prevention. RESULTS The percentage of correct answers was 35.02%, indicating poor knowledge, while the percentage of nurses' attitudes was 75.46%, indicating a satisfactory attitude. The predictors of knowledge of PI prevention were found to be age (β = -0.127, p = 0.025), level of education (β = 0.153, p = 0.001) and income (β = 0.107, p = 0.021), while the predictors of attitude toward PI prevention were level of education (β = 0.101, p = 0.020) and professional position (β = 0.093, p = 0.033). CONCLUSION This is the first study to identify the predictors of attitude and knowledge regarding PI prevention in Indonesian nurses in a hospital setting. The results indicate a need for appropriate educational training based on the predictors to be given to Indonesian nurses working in hospital settings to increase their knowledge of PI prevention.
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Ryu JM, Kim MS, Kim JY. Psychometric validation of the Korean Pressure Ulcer Knowledge Assessment Tool. J Wound Care 2023; 32:172-181. [PMID: 36930188 DOI: 10.12968/jowc.2023.32.3.172] [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] [Indexed: 03/18/2023]
Abstract
OBJECTIVE The purpose of this study was to evaluate the psychometric properties, including content validity, validity of multiple choice items, and the reliability of the Korean version of the Pressure Ulcer Knowledge Assessment Tool (K-PUKAT 2.0), using classical test theory (CTT) and item response theory (IRT). METHOD Linguistic validation process and factor analysis were conducted among wound care nurses, staff nurses and nursing students. Items were analysed according to the CTT and IRT using a two-parameter logistic model. Intraclass correlation coefficients were used to examine reliability. RESULTS A total of 378 wound care nurses, staff nurses and nursing students participated in this study. While most items showed moderate difficulty based on the CTT, difficulty index values based on the IRT were more broadly distributed (low: 5 items; moderate: 9 items; high: 1 item). The intraclass correlation coefficient for K-PUKAT 2.0 was 0.72. CONCLUSION The K-PUKAT 2.0 demonstrated concise and good psychometric properties. Based on the results of this study, repetitive use of K-PUKAT 2.0 will not only help in distinguishing whether an individual has sufficient clinical knowledge, but will also play a key role in supporting learning.
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Affiliation(s)
- Jung Mi Ryu
- Assistant Professor, Department of Nursing, Busan Institute of Science and Technology, Busan, South Korea
| | - Myoung Soo Kim
- Professor, Department of Nursing, Pukyong National University, Busan, South Korea
| | - Jung Yoon Kim
- Wound, Ostomy and Continence Nurse, Nursing Headquarters, Seoul National University Bundang Hospital, Seongnam-si, South Korea
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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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The knowledge and attitudes regarding pressure ulcer prevention among healthcare support workers in the UK: A cross-sectional study. J Tissue Viability 2023; 32:130-135. [PMID: 36464578 DOI: 10.1016/j.jtv.2022.11.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 11/18/2022] [Indexed: 11/23/2022]
Abstract
BACKGROUND Pressure ulcers cause significant, detrimental effects on personal wellbeing. They represent a serious health and social care burden. Nurses and those working in support roles are primarily accountable for preventing pressure ulcers. Healthcare support workers are an expanding group of key workers in the UK. OBJECTIVE To examine healthcare support workers' knowledge and attitudes regarding pressure ulcer prevention. METHODS A cross-sectional study was conducted from December 2020 to June 2021, using Knowledge and Attitudes toward Pressure Ulcer Prevention Assessment Tool. RESULTS A total of 164 participants completed the questionnaire fully. A low mean knowledge score of 0.42 ± 0.14, but a positive attitude score of 0.76 ± 0.10 per item were reported. The weakest areas of knowledge include aetiology, risk assessment and addressing pressure-reducing interventions for patients at risk. Higher mean scores per item in knowledge of pressure ulcer prevention were reported in participants working in acute hospital wards and nursing homes (0.468 ± 0.15, 0.47 ± 0.08 respectively) than those in other settings (p < 0.05). Participants working in primary care scored lowest (0.33 ± 0.12). The scores of participants with more positive attitudes towards pressure ulcer prevention significantly correlated with higher score of knowledge (p < 0.005). CONCLUSION While positive attitudes towards pressure ulcer prevention exist among healthcare support workers, this is overshadowed by significant knowledge deficits. Findings highlight the importance of continuing structured education for support workers across both acute and community settings. A future national survey and interventional study are needed to examine support workers' pressure ulcer knowledge and to inform a national continuous education strategy.
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Luo B, Liu J, Chen W, Ge Y, Huang L, Huang Z. Translation and validation: standard Chinese version of the skin tear knowledge assessment instrument (OASES). Asia Pac J Oncol Nurs 2023; 10:100183. [PMID: 36825210 PMCID: PMC9941871 DOI: 10.1016/j.apjon.2023.100183] [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: 10/28/2022] [Accepted: 01/02/2023] [Indexed: 01/06/2023] Open
Abstract
Objective Skin tears (STs) are acute cutaneous trauma and have become an increasingly common global health problem. International studies have shown barriers to the prevention and management of ST and the relevance of the role of nurses in implementation. The purpose of this study was to adapt an existing tool to measure nurses' knowledge of the prevention, assessment, and management of STs. Methods Skin tear knowledge assessment instrument (OASES) is a knowledge survey tool for skin lacerations developed by Van Tiggelen et al. in 2020. The standard Chinese version of OASES was formed by translating and cross-cultural adaption of source tools following Brislin's translation model, and content validity and translation quality were determined by Delphi method. A psychometric assessment of 341 nurses was then performed to assess item difficulty, discrimination, and quality of response selection in the standard Chinese version of OASES. In addition, construct validity was established by test-retest procedures and known-group techniques. Results The standard Chinese version had good content validity and moderate difficulty. It was found that the discrimination was very good: all groups with higher professional level (theoretically expected) scored significantly higher than those with lower professional level (theoretically expected). The stability of the tool was sufficient. Conclusions The standard Chinese version of OASES exhibits good psychometric properties and can be used and disseminated to nurses in a Chinese cultural context to assess knowledge about STs. However, it should be noted that the tool was only validated with nurses in cancer hospitals.
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Affiliation(s)
- Baojia Luo
- Department of Colorectal Surgery, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China
| | - Jianying Liu
- Department of Colorectal Surgery, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China
| | - Weicong Chen
- School of Nursing, Sun Yat-sen University, Guangzhou, China
| | - Yonglan Ge
- Department of Colorectal Surgery, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China
| | - Lei Huang
- Department of Rheumatology and Immunology, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China,Corresponding author.
| | - Zhongying Huang
- Nursing Department of Huangpu Yard, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, China,Corresponding author.
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Guerrero JG, Mohammed H, Pingue-Raguini M, Cordero RP, Aljarrah I. A Multicenter Assessment of Nurses' Knowledge Regarding Pressure Ulcer Prevention in Intensive Care Units Utilizing the PUKAT 2.0. SAGE Open Nurs 2023; 9:23779608231177790. [PMID: 37273548 PMCID: PMC10233595 DOI: 10.1177/23779608231177790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Revised: 05/03/2023] [Accepted: 05/05/2023] [Indexed: 06/06/2023] Open
Abstract
Introduction Pressure ulcer (PU) care is pivotal in the practice of nurses working in intensive care units (ICUs). Therefore, nurses must possess adequate knowledge about the potential risks leading to the development of PUs, as well as managing complications that worsen patient conditions. Objective To evaluate the level of knowledge of ICU nurses concerning PU prevention in tertiary hospitals in Saudi Arabia. Methods In this cross-sectional study, the researchers recruited 320 ICU nurses from four tertiary hospitals using convenience sampling. Nurses' knowledge regarding PU prevention was assessed using the revised and updated version of the Pressure Ulcer Knowledge Assessment Tool (PUKAT) 2.0. Data were collected between May and June 2022. The CROSS checklist was observed for reporting. Results The mean scores of nurses' level of knowledge regarding PU prevention according to the themes of the revised and updated version of the PUKAT 2.0 were as follows-etiology: 62.81 ± 23.77; classification and observation: 50.86 ± 23.28; risk assessment: 31.19 ± 24.26; nutritious diet: 46.04 ± 25.96; prevention: 22.36 ± 12.41; and specific patient groups: 14.84 ± 22.88. Furthermore, the score for nurses' overall level of knowledge of PU prevention was 39.55 ± 8.84 out of 100, interpreted as low based on the 60% cutoff; the minimum knowledge score was 0. Notably, knowledge of PU etiology, classification, observation, and specific patient groups differed based on the hospital of affiliation. Interestingly, gender was the only demographic characteristic based on which nurses' knowledge regarding specific patient groups differed. Conclusion This study identified insufficient knowledge among ICU nurses regarding PU prevention, which can lead to complications among patients. Simulation scenarios related to PU prevention and management will be an effective way to help nurses gain appropriate knowledge that can be applied in clinical practice.
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Affiliation(s)
- Jefferson Garcia Guerrero
- Fakeeh College for Medical
Sciences, Abdul Wahab Naib Al Haram, Al-Hamra'a, Jeddah, Saudi
Arabia
- King Khalid University, College of
Nursing, Abha, Saudi Arabia
| | - Heba Mohammed
- Fakeeh College for Medical
Sciences, Abdul Wahab Naib Al Haram, Al-Hamra'a, Jeddah, Saudi
Arabia
- King Abdulaziz Hospital, Nursing
Department, Mecca, Saudi Arabia
| | - Minerva Pingue-Raguini
- Fakeeh College for Medical
Sciences, Abdul Wahab Naib Al Haram, Al-Hamra'a, Jeddah, Saudi
Arabia
| | | | - Imad Aljarrah
- Jadara University, College of Nursing,
Irbid, Jordan
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Falk‐Brynhildsen K, Raepsaet C, Wistrand C, Bååth C, Leo Swenne C, Gifford M, Gunningberg L, von Vogelsang A, Björn C, Beeckman D. Swedish translation, cultural adaptation and psychometric evaluation of the pressure ulcer knowledge assessment tool for use in the operating room. Int Wound J 2022; 20:1534-1543. [PMID: 36318882 PMCID: PMC10088857 DOI: 10.1111/iwj.14008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2022] [Revised: 10/11/2022] [Accepted: 10/20/2022] [Indexed: 11/07/2022] Open
Abstract
The aim of this study was to psychometrically evaluate the Swedish operating room version of PUKAT 2.0. In total, 284 Swedish operating room nurses completed the survey of whom 50 completed the retest. The item difficulty P-value of 14 items ranged between 0.38 and 0.96 (median 0.65). Three items were found to be too easy (0.90-0.96). The D-value of 14 items ranged between 0.00 and 0.42 (median 0.46). Three items had a D-value lower than 0.20 (0.11-0.16) and eight items scored higher than 0.40 (0.45-0.61). The quality of the response alternatives (a-value) ranged between 0.00 and 0.42. This showed that nurses with a master's degree had a higher knowledge than nurses with a professional degree (respectively 9.4/14 versus 8.6/14; t = -2.4, df = 199, P = 0.02). The ICC was 0.65 (95% CI 0.45-0.78). The ICCs for the domains varied from 0.12 (95% CI = -0.16-0.39) to 0.59 (95% CI = 0.38-0.75). Results indicated that 11 of the original items contributed to the overall validity. However, the low participation in the test-retest made the reliability of the instrument low. An extended evaluation with a larger sample should be considered in order to confirm aspects of the psychometric properties of this instrument.
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Affiliation(s)
- Karin Falk‐Brynhildsen
- Faculty of Medicine and Health, School of Health Sciences, Nursing Science Unit, Swedish Centre for Skin and Wound Research Örebro University Sweden
| | - Charlotte Raepsaet
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care Ghent University Belgium
| | - Camilla Wistrand
- University Health Care Research Centre, Faculty of Medicine and Health Örebro University Sweden
| | - Carina Bååth
- Department of Health Sciences, Faculty of Health, Science and Technology Karlstad University Karlstad Sweden
- Faculty of Health, Welfare and Organisation Östfold University College Fredrikstad Norway
| | | | - Mervyn Gifford
- Faculty of Medicine and Health, School of Health Sciences, Nursing Science Unit, Swedish Centre for Skin and Wound Research Örebro University Sweden
| | - Lena Gunningberg
- Department of Public Health and Caring Sciences Uppsala University Sweden
| | - Ann‐Christin von Vogelsang
- Department of Neurosurgery Karolinska University Hospital Stockholm Sweden
- Department of Clinical Neuroscience Karolinska Institute Stockholm Sweden
| | - Catrine Björn
- Centre for Research & Development Uppsala University/Region Gävleborg Sweden
| | - Dimitri Beeckman
- Faculty of Medicine and Health, School of Health Sciences, Nursing Science Unit, Swedish Centre for Skin and Wound Research Örebro University Sweden
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care Ghent University Belgium
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Botterman L, De Cock I, Blot SI, Labeau SO. A knowledge test on pressure injury in adult intensive care patients: Development, validation, and item analysis. J Tissue Viability 2022; 31:718-725. [PMID: 36085122 DOI: 10.1016/j.jtv.2022.08.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 08/22/2022] [Accepted: 08/28/2022] [Indexed: 10/14/2022]
Abstract
BACKGROUND Pressure injuries are a major problem in critically ill patients, but both students' and intensive care nurses' knowledge about these injuries leaves room for improvement. As no knowledge test is currently available that focuses on pressure injuries in adult intensive care patients, we aimed to develop such tool, establish the content validity, and perform item analysis using Classical test theory. METHODS Test development followed established multiple-choice question-writing guidelines. Content validation used a Delphi procedure including eight international experts. Item analysis (question difficulty and discrimination power, and quality of the distractors) was based on the test results of a convenience sample who completed the test online, based on ready knowledge. RESULTS Four Delphi validation rounds resulted in a 24-item multiple-choice test within seven categories: Epidemiology, Aetiology, Prevention, Classification, Risk factors and risk assessment, Wound care, and Skin care. The content validity index was 0.96. The median score of 12 students and 38 qualified nurses was 12.5/24 (interquartile range 11-14.25; range 4-17; 52%). Least correct answers were in the categories Classification and Wound care. Item analysis revealed several knowledge gaps and misconceptions. CONCLUSIONS The test has excellent content validity. The sample's overall score was low. Item analysis identified various training needs. Future users are recommended to further validate the test and establish its reliability, and to tailor it to their individual context and evaluation requirements.
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Affiliation(s)
- Laurien Botterman
- School of Healthcare, Nurse Education Programme, HOGENT University of Applied Sciences and Arts, Ghent, Belgium.
| | - Irene De Cock
- School of Healthcare, Nurse Education Programme, HOGENT University of Applied Sciences and Arts, Ghent, Belgium.
| | - Stijn I Blot
- School of Healthcare, Nurse Education Programme, HOGENT University of Applied Sciences and Arts, Ghent, Belgium; Department of Internal Medicine & Pediatrics, Faculty of Medicine and Health Science, Ghent University, Ghent, Belgium.
| | - Sonia O Labeau
- School of Healthcare, Nurse Education Programme, HOGENT University of Applied Sciences and Arts, Ghent, Belgium.
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14
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Sari SP, Everink IHJ, Lohrmann C, Amir Y, Sari EA, Halfens RJG, Beeckman D, Schols JMGA. Development and psychometric evaluation of an instrument to assess Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) in Indonesian community-dwelling older adults. BMC Nurs 2022; 21:222. [PMID: 35948976 PMCID: PMC9367027 DOI: 10.1186/s12912-022-00957-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Accepted: 06/21/2022] [Indexed: 12/04/2022] Open
Abstract
Background The prevalence of pressure injuries among community-dwelling older adults in countries worldwide is still a serious problem. In Indonesia, older adults mostly rely on family members for (medical) care. Therefore, involving family members in the prevention and treatment of pressure injuries (PIs) could potentially decrease its prevalence rates. However, family members are usually not trained for such tasks. Hence, it is essential to first get more insight into the current state of affairs on family members’ knowledge, attitude and actual practice of preventing PIs. Due to the lack of an existing instrument to measure knowledge, attitude and practice of family caregivers in preventing PIs, this study focuses on the development and evaluation of psychometric properties of such an instrument. Methods Three phases of instrument development and evaluation were used, including item generation, instrument construction and psychometric testing of the instrument. A total of 372 family caregivers of community-dwelling older adults who randomly selected participated in this study. Principal factor analysis, confirmatory factor analysis and Cronbach’s alpha were performed to evaluate factor structure and internal consistency of the Knowledge, Attitude and Practice of Family Caregivers at Preventing Pressure Injuries (KAP-PI) instrument. Results The final version of the KAP-PI-instrument consists of a 12-item knowledge domain, a 9-item attitude domain, and a 12-item practice domain with Cronbach’s Alpha values of 0.83, 0.93 and 0.89, respectively. The instrument appeared to be both reliable and valid. Conclusion The KAP-PI instrument can be used in family nursing or community nursing practice, education, and research to assess knowledge, attitude and practice of pressure injury prevention of family caregivers. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-022-00957-4.
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Affiliation(s)
- Sheizi Prista Sari
- Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Sumedang KM. 21 Jatinangor, Bandung, West Java, Indonesia. .,Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Duboisdomein 30, 6229 GT, Maastricht, The Netherlands.
| | - Irma H J Everink
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Duboisdomein 30, 6229 GT, Maastricht, The Netherlands
| | - Christa Lohrmann
- Department of Nursing Science, Medical University of Graz, Graz, Austria
| | | | - Eka Afrima Sari
- Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Sumedang KM. 21 Jatinangor, Bandung, West Java, Indonesia
| | - Ruud J G Halfens
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Duboisdomein 30, 6229 GT, Maastricht, The Netherlands
| | - Dimitri Beeckman
- Skin Integrity Research Group (SKINT), Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,School of Health Sciences, Örebro University, Örebro, Sweden.,School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Ireland.,Research Unit of Plastic Surgery, Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.,School of Nursing and Midwifery, Monash University, Clayton, Australia
| | - Jos M G A Schols
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Duboisdomein 30, 6229 GT, Maastricht, The Netherlands.,Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
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Durán-Sáenz I, Verdú-Soriano J, López-Casanova P, Berenguer-Pérez M. Knowledge and teaching-learning methods regarding venous leg ulcers in nursing professionals and students: A scoping review. Nurse Educ Pract 2022; 63:103414. [PMID: 35872515 DOI: 10.1016/j.nepr.2022.103414] [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: 03/14/2022] [Revised: 07/04/2022] [Accepted: 07/13/2022] [Indexed: 11/19/2022]
Abstract
AIM According to our scoping review questions, three aims were formulated to synthesize the evidence published on: (1) the content (2) the best or most appropriate teaching-learning methods for training nurses and undergraduate nursing students in venous leg ulcer care, and (3) to identify the level of knowledge in nurses and undergraduate nursing students about venous leg ulcer care. BACKGROUND A venous leg ulcer can be defined as a skin lesion on the leg or foot that occurs in an area affected by ambulatory venous hypertension. Hence, nurse visits are the main driver of Venous Leg Ulcer-related healthcare costs. Optimal levels of knowledge obtained with appropriate methodologies tend to improve care. Nonetheless, the time devoted to chronic wound education in undergraduate nursing curricula has been considered insufficient and inadequate. METHODS For this scoping review, a search was performed in January 2021. To identify sources of evidence, a systematic search was conducted in MEDLINE, Embase, CINAHL, Web of Science, Scopus, Cuiden, ERIC and ScienceDirect. All types of evidence associated with knowledge, teaching and/or learning methods regarding venous leg ulcers in nursing were included. RESULTS Finally, 19 documents were included. In these articles, the content mostly widely included in teaching-learning methods was compression therapy (14/19), anatomy, physiology, aetiology and/or pathophysiology (10/19) and topical treatment and care (8/19); various other topics were mentioned but less frequently. Teaching/learning methods and interventions were heterogeneous in modality, content, and duration but the majority showed better results after implementation. When looking at knowledge level, studies mainly focused on nursing staff. In general, it seems that there is a lack of knowledge and skills. CONCLUSIONS Regarding our three pivotal questions: (1) There is no uniform type of content over the studies analysed and the most referred was compression therapy. (2) The educational interventions studied have demonstrated effectiveness, but there is insufficient data to determine which is the most effective. (3) This scoping review has highlighted the lack of knowledge among nurses and nursing students about venous leg ulcer care. Additionally, we felt that there is no ideal assessment tool to quantify knowledge, skills, attitude, confidence, and commitment in this context. TWEETABLE ABSTRACT A scoping review that synthesise the evidence on the level of knowledge and teaching-learning methods in nursing regarding of people with venous leg ulcers shows lack of knowledge and variability in programs.
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Affiliation(s)
- Iván Durán-Sáenz
- Osakidetza Basque Health Service, Araba University Hospital, Vitoria-Gasteiz School of Nursing, Vitoria-Gasteiz, Spain; Bioaraba, Basque Nurse Education Research Group, Vitoria-Gasteiz, Spain, Araba University Hospital, Vitoria-Gasteiz School of Nursing, Vitoria-Gasteiz, Spain.
| | - José Verdú-Soriano
- Community Nursing, Preventive Medicine, Public Health and History of Science Department, Faculty of Health Sciences, University of Alicante, Carretera San Vicente Del Raspeig s/n, San Vicente Del Raspeig, Alicante 03690, Spain
| | - Pablo López-Casanova
- Community Nursing, Preventive Medicine, Public Health and History of Science Department, Faculty of Health Sciences, University of Alicante, Carretera San Vicente Del Raspeig s/n, San Vicente Del Raspeig, Alicante 03690, Spain
| | - Miriam Berenguer-Pérez
- Community Nursing, Preventive Medicine, Public Health and History of Science Department, Faculty of Health Sciences, University of Alicante, Carretera San Vicente Del Raspeig s/n, San Vicente Del Raspeig, Alicante 03690, Spain
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Carreiro GSP, Soares MJOG, Oliveira SHS, Mendonça AEO. Nursing team knowledge assessment instruments about pressure injury: integrative review. REVISTA CIÊNCIAS EM SAÚDE 2022. [DOI: 10.21876/rcshci.v12i2.1274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Objectives: to identify in the scientific literature how the assessment of knowledge of the nursing team about pressure injuries is conducted, which instruments are used, and their psychometric properties. Methods: integrative review conducted with 44 scientific articles. The search was conducted between October and December 2021 in the following data sources: BDENF, Cinahl, Lilacs, MEDLINE, Scopus, Google Scholar, and Web of Science, using the strategy in Portuguese: ("lesão por pressão" OR "úlcera por pressão" OR "úlcera de decúbito" OR "escara de decúbito") AND enfermagem AND conhecimento, and, in English, ("pressure ulcer" OR "bed sore" OR "bed sores" OR bedsore OR bedsores) AND nursing AND knowledge. Articles published between 2012 and November 2021 were included, with text available in full, in open access, in English, Portuguese, or Spanish, resulting from original research related to care in the hospital area. Results: The most used knowledge assessment instrument was the P-PUKT and its versions, used in 50% of the studies, followed by the PUKAT and its versions. Three studies also used instruments constructed and validated by the authors, five qualitative studies, and four studies used non-validated instruments. Conclusion: Valid instruments to assess knowledge are essential to identify possible failures in patient care. Heterogeneity in the samples and in the classification criteria of the participants' level of knowledge made it impossible to compare the results obtained in the studies, constituting a limitation.
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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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Validity and reliability of the Turkish version of The Pressure Injury Prevention Knowledge Questionnaire(PIPK). J Tissue Viability 2022; 31:30-37. [PMID: 34801351 DOI: 10.1016/j.jtv.2021.11.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Revised: 11/05/2021] [Accepted: 11/07/2021] [Indexed: 01/12/2023]
Abstract
AIM This study aimed to evaluate the validity and reliability of the Turkish version of the Pressure Injury Prevention Knowledge Questionnaire (PIPK). METHOD A methodological study design was used. The instrument was translated into Turkish and back-translated into English. After evaluating the language equivalence and content validity of the scale, test-retest reliability, internal consistency and construct validity were examined. The research was conducted with a total of 324 nurses working in a state hospital and two private hospitals who volunteered to participate in the research. Number, percentage distributions, intraclass correlation coefficient (ICC), Kappa coefficient test, Man Whitney U test and Rasch analysis were used to evaluate the data. RESULTS Content validity was evaluated by 11 experts in wound care and the CVI(content validity index was found 0.90. The correlation coefficient between the groups was found to be ICC 0.979 in the Kappa coefficient test performed for the reliability analysis. When the in- and out-of-fit difficulty index values of the scale were examined, it was found that the averages of these values varied between "0.72" and "1.38" values. CONCLUSIONS The Pressure Injury Prevention Knowledge Questionnaire (PIPK) was found to be a valid and reliable tool for intercultural studies revealing the nursing knowledge of prevention on PIs. It is recommended to conduct studies that test the validity and reliability of the scale in different samples.
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Bobbink P, Teixeira CM, Charbonneau L, Chabal L, Guex C, Probst S. E-Learning and Blended-Learning Program in Wound Care for Undergraduate Nursing Students. J Nurs Educ 2022; 61:53-57. [PMID: 35025679 DOI: 10.3928/01484834-20211203-03] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Due to an increasing number of undergraduate students in a Bachelor of Nursing Science program, the existing teaching modalities in wound care were shifted into blended- and e-learning units. The aim is to present the development and implementation of a blended- and e-learning wound care curriculum in an actual nursing program. METHOD The development of the blended- and e-learning units is based on literature reviews and expert discussions. The process was guided by the learning outcomes defined by the European Wound Management Association. The implementation was planned for 3 years. RESULTS All 14 learning units were developed and implemented using 12 blended and two e-learning units. Flipped classrooms using asynchronous e-learnings and workshops with clinical wound care specialists were used for blended learning. CONCLUSION Blended and e-learning are valuable modalities to provide flexibility and deliver learning units based on the latest evidence. The effectiveness of this curriculum needs to be investigated. [J Nurs Educ. 2022;61(1):53-57.].
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Iblasi AS, Aungsuroch Y, Gunawan J, Gede Juanamasta I, Carver C. Repositioning Practice of Bedridden Patients: An Evolutionary Concept Analysis. SAGE Open Nurs 2022; 8:23779608221106443. [PMID: 35720208 PMCID: PMC9201313 DOI: 10.1177/23779608221106443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 05/10/2022] [Accepted: 05/20/2022] [Indexed: 11/15/2022] Open
Abstract
Introduction Repositioning practice is an essential pressure ulcer prevention intervention that has emerged in the history of nursing. Numerous terms are employed to indicate its meaning, such as turning, positioning, or posturing. However, there is no available analysis that distinguishes these terms or analyzes repositioning practice attributes. Objective To analyze repositioning practice as a concept of bedridden patients in hospitals by combining methods from Foucault's archeology of knowledge and Rodger's concept analysis. Concept Description Repositioning practice passes through three eras: classical, modern, and research. The repositioning practice is “turn a bedridden patient in a harmonized way and ends with anchor and documentation.” The analysis concludes seven attributes for the repositioning practice: pre-turn, assessment, turn, harmonization, anchor, documentation, and time. The analysis assumes bedridden patients, and assigned nurses on duty are the antecedents. Moreover, the main consequence is pressure ulcer prevention, while patient safety and quality of care are the secondary consequences. Discussion Repositioning practice understanding has grown with time. Each era has added to or removed from nursing's understanding for repositioning practice until it appears as it now. The current analysis expects further development in repositioning practice understanding and applications. Conclusion Repositioning practice is an important nursing intervention and has shown a dynamic movement over history. It is expected that this dynamic will continue in the future.
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Affiliation(s)
| | | | - Joko Gunawan
- Faculty of Nursing, Chulalongkorn University Bangkok, Thailand
| | - I. Gede Juanamasta
- Faculty of Nursing, Chulalongkorn University Bangkok, Thailand
- Nursing Program, STIKes Wira Medika Bali, Denpasar, Bali, Indonesia
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21
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The Swedish version of the attitude towards pressure ulcer prevention instrument for use in an operating room context (APUP-OR): A nationwide psychometric evaluation. J Tissue Viability 2021; 31:46-51. [PMID: 34969580 DOI: 10.1016/j.jtv.2021.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 12/16/2021] [Accepted: 12/21/2021] [Indexed: 11/24/2022]
Abstract
INTRODUCTION To assess operating room (OR) nurses' attitudes towards pressure ulcer prevention, the Attitude towards Pressure Ulcer Prevention (APuP) instrument was developed. AIM The aim of this study was to psychometrically evaluate the Attitude towards Pressure Ulcer Prevention (APuP) instrument in a Swedish OR context. MATERIALS AND METHODS A psychometric evaluation study was conducted, using a convenience sample, between February and August 2020. Validity (content, construct, discriminatory power) and reliability (stability and internal consistency) were evaluated. RESULTS The first survey (test) was completed by 284 Swedish OR nurses, of whom n = 50 (17.6%) completed the second survey (retest). A Principal Component Analysis was conducted for the 13-item instrument. The KMO value for this model was 0.62. Bartlett's test for sphericity was statistically significant (p 0.001). Five factors were identified which accounted for 56% of the variance in responses related to attitudes toward pressure ulcer prevention. The Cronbach's α for the instrument "attitude towards Pressure Ulcer Prevention" was 0.66. The intraclass correlation coefficient was 0.49 (95% CI = 0.25-0.67). CONCLUSION This Swedish version of the APuP- OR is the first step in the development of an instrument to measure OR nurses' attitudes towards PU prevention in a Swedish OR context. The reliability of the instrument was low and the validity moderate. A larger sample and the revision or addition of items related to the context of the operating room should be considered in order to confirm aspects of the psychometric properties.
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Li Z, Marshall AP, Lin F, Ding Y, Chaboyer W. Knowledge of pressure injury in medical and surgical nurses in a tertiary level hospital: A cross-sectional study. J Tissue Viability 2021; 31:24-29. [PMID: 34887153 DOI: 10.1016/j.jtv.2021.12.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 11/26/2021] [Accepted: 12/02/2021] [Indexed: 11/15/2022]
Abstract
BACKGROUND Nurses play a vital role in pressure injury prevention (PIP) but require foundational knowledge to ensure appropriate PIP strategies are enacted. AIMS To describe and compare medical and surgical nurses' knowledge of pressure injury (PI) in a tertiary level hospital in China, and to identify predictors of PI knowledge among these groups. DESIGN A cross-sectional survey was conducted between June and December 2020. METHODS Registered nurses from nine medical and fifteen surgical wards in a tertiary hospital were invited. The survey was composed of two parts; demographic and professional characteristics; and the Chinese translated version of the Pressure Ulcer Knowledge Assessment Tool 2.0 (PUKAT 2.0) where the total score ranged from 0 to 25; higher scores imply more knowledge. Medical and surgical nurses' knowledge test scores were compared using independent t-test. Multiple linear regression analysis was used to determine factors predictive of nurses' knowledge. RESULTS In total, 423 nurses from 24 wards participated the study and 404 nurses (95.5%) completed the knowledge test (Surgical n = 236, 58.4%; Medical n = 168, 41.6%). The PUKAT 2.0 mean score was 11.6 ± 3.0 (Surgical 12.2 ± 3.0; Medical 10.7 ± 2.8) with 335 (82.9%) nurses scoring <60%. Multiple linear regression showed working in surgical wards, nurse-in-charge position and previous PI training were significant predictors of knowledge scores. CONCLUSION Knowledge is a precursor to safe practice. Nurses demonstrated poor knowledge of PIP. Pressure injury related education may help improve nurses' knowledge but the extent to which it is used in place and impacts patients' outcome requires more investigation.
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Affiliation(s)
- Zhaoyu Li
- School of Nursing and Midwifery, Menzies Health Institute Queensland, Griffith University, Queensland, 4222, Australia.
| | - Andrea P Marshall
- School of Nursing and Midwifery, Griffith University, Queensland, 4222, Australia; Nursing and Midwifery Education and Research Unit, Gold Coast Health, Gold Coast University Hospital, 4215, Australia.
| | - Frances Lin
- School of Nursing and Midwifery, Griffith University, Australia; School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Australia.
| | - Yanming Ding
- Nursing Department, Peking University First Hospital, Beijing, China.
| | - Wendy Chaboyer
- NHMRC Centre of Research Excellence in Wiser Wound Care, Menzies Health Institute Queensland, Griffith University, Queensland, 4222, Australia.
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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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Hu L, Sae-Sia W, Kitrungrote L. Predictors of Pressure Injury Prevention Practices Among ICU Nurses in China. Adv Skin Wound Care 2021; 34:582-587. [PMID: 34483257 DOI: 10.1097/01.asw.0000790480.24846.39] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
OBJECTIVE To explore the predictors of knowledge of pressure injury (PI) prevention, attitudes on PI prevention, organization support for PI prevention, and the influence of a healthy work environment (HWE) on PI prevention practices among ICU nurses in China. METHODS A descriptive, predictive, online survey was conducted among 510 ICU nurses in Guizhou province, China. A PI prevention knowledge questionnaire, PI prevention attitude questionnaire, organizational support for PI prevention questionnaire, HWE assessment tool, and PI prevention practice questionnaire were used for data collection. A hierarchical regression analysis was used to determine the influence of certain predictive factors. RESULTS An HWE, organizational support for PI prevention, and positive attitudes toward PI prevention were significant predictors of good practice regarding PI prevention. However, knowledge of PI prevention was not a significant predictor. CONCLUSIONS To achieve optimal nursing quality in terms of PI prevention, hospital and nursing administrators should develop strategies or interventions to create and sustain an HWE and supportive organizational culture for ICU nurses and enhance positive attitudes toward PI prevention.
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Affiliation(s)
- Li Hu
- In the Faculty of Nursing, Prince of Songkla University, Hatyai, Songkhla, Thailand, Li Hu, BSN, RN, is Master's Student, Nursing Science in Adult and Gerontological Nursing (International Program); Wipa Sae-Sia, PhD, RN, is Associate Professor, Department of Adult and Elderly Nursing; and Luppana Kitrungrote, PhD, RN, is Assistant Professor, Department of Adult and Elderly Nursing. Acknowledgment: This study was conducted as partial fulfillment of the requirements of the first author for the master's degree of nursing program and has received financial support from Thailand's Education Hub for Southern Region of ASEAN Countries Scholarship through Prince of Songkla University, Thailand. The authors have disclosed no other financial relationships related to this article. Submitted September 11, 2020; accepted in revised form November 24, 2020; published online ahead of print September 2, 2021
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Hu L, Sae-Sia W, Kitrungrote L. Intensive Care Nurses' Knowledge, Attitude, and Practice of Pressure Injury Prevention in China: A Cross-Sectional Study. Risk Manag Healthc Policy 2021; 14:4257-4267. [PMID: 34703338 PMCID: PMC8524251 DOI: 10.2147/rmhp.s323839] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 10/07/2021] [Indexed: 12/15/2022] Open
Abstract
Background Pressure injury (PI) remains a critical health issue worldwide. The global incidence of hospital-acquired PI is 8.4%, and among intensive-care unit (ICU) patients, it is even higher, ranging from 6.60% to 36.80%. It is important to investigate ICU nurses’ PI prevention knowledge, attitudes, and practices (KAP). Aim The aim of this study was to describe the level of Chinese ICU nurses’ knowledge, attitudes, and self-reported practices of PI prevention. Materials and Methods From March 31 to April 30, 2019, we recruited a total of 510 ICU nurses into the current study using convenience sampling. The Modified Pressure Ulcer Knowledge Assessment Tool version 2.0, Attitudes toward Pressure Ulcer Prevention instrument, and Questionnaire to evaluate nurses’ Adherence to Recommendations for Preventing Pressure Ulcers were used for data collection. We used one-way analysis of variance, Student’s t-test, and the Mann–Whitney U-test to assess differences in knowledge, attitudes, and self-reported practices of PI prevention among ICU nurses, whom we categorized by their demographic characteristics. Results Mean scores of participants’ knowledge, attitude, and their self-report practice were 65.82 ± 9.29, 76.65 ± 8.62, and 83.35 ± 13.55, respectively. Participants with bachelor’s degrees or higher, who worked in tertiary hospitals, and who had received training on PI prevention over the last year had higher scored on PI prevention knowledge (all P < 0.05). Participants who had received training on PI prevention over the last year scored higher on attitude than those who had not received such training over the last year (P = 0.001). Conclusion ICU nurses surveyed in this study did not demonstrate an acceptable level of knowledge about PI prevention, while their attitudes and self-reported practices were acceptable. Continuing education or in-service training should be provided to enhance ICU nurses’ knowledge of PI prevention.
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Affiliation(s)
- Li Hu
- Breast Surgery Department, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, People's Republic of China.,Faculty of Nursing, Prince of Songkla University, Hatyai, Songkhla, Thailand
| | - Wipa Sae-Sia
- Faculty of Nursing, Prince of Songkla University, Hatyai, Songkhla, Thailand
| | - Luppana Kitrungrote
- Faculty of Nursing, Prince of Songkla University, Hatyai, Songkhla, Thailand
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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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Dalli ÖE, Yildirim Y, Çalişkan G, Girgin NK. Reliability and validity of the Turkish version of pressure ulcer knowledge assessment tool-updated version (PUKAT 2.0). J Tissue Viability 2021; 31:52-57. [PMID: 34429220 DOI: 10.1016/j.jtv.2021.08.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Revised: 07/21/2021] [Accepted: 08/05/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVE This study aimed to determine the reliability and validity of the Turkish version of the measurement tool developed and updated by Manderlier et al. to evaluate the nurses' evidence-based knowledge about pressure ulcers. MATERIALS AND METHODS A methodological study design was used. The instrument was translated to Turkish and back-translated to English. A group of faculty members, including physicians and nurses who are experts in the subject area, evaluated the content validity of the tool with the Lawshe technique. A group of 240 nurses who met the inclusion criteria were reached, and then a pilot study was conducted with 35 nurses by using the test-retest method to determine the invariance of the tool over time. The nurses in the pilot study were excluded from the overall sample, and the evaluations were performed with 205 nurses. Item difficulty index and discrimination index were used for the validity of the items since they were multiple-choice items; Kuder-Richardson 20 analysis was used to determine the internal consistency. RESULTS The translated and modified instrument demonstrated acceptable psychometric properties as follows: 1) overall content validity index was 0.90, 2) overall test-retest reliability was 0.83 (0.70-0.92 for the sub-themes), 3) item difficulty indexes were 35-75%, 4) discrimination indexes were 0.44-0.92, and 5) overall Cronbach's alfa for the internal consistency was 0.72. CONCLUSIONS Similar to the earlier version, the Turkish version of PUKAT 2.0 was demonstrated to be a valid and reliable tool to evaluate the nurses' knowledge of evidence-based current information about pressure ulcers.
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Affiliation(s)
- Öznur Erbay Dalli
- Uludag University Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, Nilüfer, BURSA, 16059, TURKEY.
| | - Yasemin Yildirim
- Ege University Faculty of Nursing, Department of Internal Medicine Nursing, Bornova, İZMİR, 35100, TURKEY.
| | - Gülbahar Çalişkan
- Bursa City Hospital, Department of Anesthesiology and Reanimation, Division of Intensive Care, Nilüfer, BURSA, 16059, TURKEY.
| | - Nermin Kelebek Girgin
- Uludag University Faculty of Medicine, Department of Anesthesiology and Reanimation, Division of Intensive Care, Nilüfer, BURSA, 16059, TURKEY.
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Du YL, Ma CH, Liao YF, Wang L, Zhang Y, Niu G. Is Clinical Scenario Simulation Teaching Effective in Cultivating the Competency of Nursing Students to Recognize and Assess the Risk of Pressure Ulcers? Risk Manag Healthc Policy 2021; 14:2887-2896. [PMID: 34267566 PMCID: PMC8275205 DOI: 10.2147/rmhp.s315138] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Accepted: 06/10/2021] [Indexed: 11/23/2022] Open
Abstract
Objective To evaluate the effectiveness of a clinical scenario simulation method among nursing students for assessing the risk of patients developing pressure ulcers compared with the traditional didactic method. Methods This experimental study was a controlled trial with single-blind assessments. Nursing students (n = 47) were randomly assigned to either a control or an experimental group. The control group (n = 21) was instructed using traditional didactic methods that only delivered knowledge of pressure ulcers, while the experimental group (n = 26) received a clinical scenario simulation-based method for cultivating the competence to assess the risk of pressure ulcers. Participants underwent pre- and post-intervention based on the objective structured clinical examination (OSCE) comprising objective performance criteria. Data were analyzed using a t-test in the SPSS Statistics software program at a significance level of 0.05. Results No significant differences were observed regarding age or the mean scores of the OSCE in pre-intervention between the two groups. Following the intervention, the mean score of the experimental group's performance was higher (29.04 ± 6.00) compared with the control group (12.38 ± 4.15) (P = 0.000). There were statistical differences between the two groups. Nursing students in the clinical scenario simulation group performed significantly better in recognizing and assessing the risk of pressure ulcers. Conclusion This study demonstrates that a clinical scenario simulation approach is more effective than employing the traditional didactic method for cultivating students' assessment ability regarding pressure ulcers. This student-centered, clinical scenario simulation method can help to effectively develop students' competency in recognizing and assessing the risk of pressure ulcers, thereby providing a solid foundation for their clinical practice towards enhanced patient safety.
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Affiliation(s)
- Yan-Li Du
- School of Medical Technology and Nursing, Shenzhen Polytechnic, Shenzhen, 518055, Guangdong, People's Republic of China
| | - Chun-Hua Ma
- School of Medical Technology and Nursing, Shenzhen Polytechnic, Shenzhen, 518055, Guangdong, People's Republic of China
| | - Yu-Feng Liao
- School of Medical Technology and Nursing, Shenzhen Polytechnic, Shenzhen, 518055, Guangdong, People's Republic of China
| | - Lu Wang
- Delivery Center, Shenzhen Maternity & Child Healthcare Hospital, Shenzhen, 518028, Guangdong, People's Republic of China
| | - Ya Zhang
- School of Medical Technology and Nursing, Shenzhen Polytechnic, Shenzhen, 518055, Guangdong, People's Republic of China
| | - Geng Niu
- Shenzhen Elderly Healthcare College, Shenzhen Polytechnic, Shenzhen, Guangdong, 518055, People's Republic of China
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Sari SP, Everink IH, Amir Y, Lohrmann C, Halfens RJ, Moore Z, Beeckman D, Schols JM. Knowledge and Attitude of Community Nurses on Pressure Injury Prevention: A Cross-sectional Study in an Indonesian City. Int Wound J 2021; 18:422-431. [PMID: 33942519 PMCID: PMC8273589 DOI: 10.1111/iwj.13527] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Accepted: 11/12/2020] [Indexed: 12/26/2022] Open
Abstract
The objectives of this study were to examine the knowledge and attitude of Indonesian community nurses regarding Pressure Injury (PI) prevention. A cross‐sectional design was used and included the community nurses permanently working in the Public Health Center (Puskemas) in Bandung, West Java Indonesia. Knowledge was measured using the Pressure Ulcer Knowledge Assessment Tool (PUKAT 2.0). Attitudes were measured using a predesigned instrument which included 11 statements on a five point Likert scale. All data were collected using paper‐based questionnaires. The response rate was 100%. Respondents (n = 235) consisted of 80 community nursing program coordinators (34.0%) and 155 community nurses (66.0%). Regarding knowledge, the percentage of correct answers in the total group of community nurses on the PUKAT 2.0 was 30.7%. The theme “Prevention” had the lowest percentage of correct answers (20.8%). Community nurses who had additional PI or wound care training had a higher knowledge score compared with community nurses who did not have additional PI training (33.7% vs 30.3%; Z = −1.995; P = 0.046). The median attitude score was 44 (maximum score 55; range 28–55), demonstrating a positive attitude among participants towards PI prevention. Further, the higher the education status of participants, the more positive the attitudes (H = 11.773; P = 0.003). This study shows that community nurses need to improve their basic knowledge of PI prevention. Furthermore, research should be performed to explore what community nurses need to strengthen their role in PI prevention.
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Affiliation(s)
- Sheizi Prista Sari
- Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia.,Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
| | - Irma Hj Everink
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
| | | | - Christa Lohrmann
- Department of Nursing Science, Medical University of Graz, Graz, Austria
| | - Ruud Jg Halfens
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
| | - Zena Moore
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Ireland
| | - Dimitri Beeckman
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), University of Medicine and Health Sciences, Dublin, Ireland.,Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.,School of Health Sciences, Örebro University, Örebro, Sweden.,Research Unit of Plastic Surgery, Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.,School of Nursing and Midwifery, Monash University, Clayton, Australia
| | - Jos Mga Schols
- Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands.,Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
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Van Tiggelen H, Alves P, Ayello E, Bååth C, Baranoski S, Campbell K, Dunk AM, Gloeckner M, Hevia H, Holloway S, Idensohn P, Karadağ A, Langemo D, LeBlanc K, Ousey K, Pokorná A, Romanelli M, Santos VLCDG, Smet S, Williams A, Woo K, Van Hecke A, Verhaeghe S, Beeckman D. Development and psychometric property testing of a skin tear knowledge assessment instrument (OASES) in 37 countries. J Adv Nurs 2020; 77:1609-1623. [PMID: 33305504 DOI: 10.1111/jan.14713] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Revised: 10/06/2020] [Accepted: 11/18/2020] [Indexed: 12/26/2022]
Abstract
AIM To develop and psychometrically evaluate a skin tear knowledge assessment instrument (OASES). DESIGN Prospective psychometric instrument validation study. METHOD The skin tear knowledge assessment instrument was developed based on a literature review and expert input (N = 19). Face and content validity were assessed in a two-round Delphi procedure by 10 international experts affiliated with the International Skin Tear Advisory Panel (ISTAP). The instrument was psychometrically tested in a convenience sample of 387 nurses in 37 countries (April-May 2020). Validity of the multiple-choice test items (item difficulty, discriminating index, quality of the response alternatives), construct validity, and test-retest reliability (stability) were analysed and evaluated in light of international reference standards. RESULTS A 20-item instrument, covering six knowledge domains most relevant to skin tears, was designed. Content validity was established (CVI = 0.90-1.00). Item difficulty varied between 0.24 and 0.94 and the quality of the response alternatives between 0.01-0.52. The discriminating index was acceptable (0.19-0.77). Participants with a theoretically expected higher knowledge level had a significantly higher total score than participants with theoretically expected lower knowledge (p < .001). The 1-week test-retest intraclass correlation coefficient (ICC) was 0.83 (95% CI = 0.78-0.86) for the full instrument and varied between 0.72 (95% CI = 0.64-0.79) and 0.85 (95% CI = 0.81-0.89) for the domains. Cohen's Kappa coefficients of the individual items ranged between 0.21 and 0.74. CONCLUSION The skin tear knowledge assessment instrument is supported by acceptable psychometric properties and can be applied in nursing education, research, and practice to assess knowledge of healthcare professionals about skin tears. IMPACT Prevention and treatment of skin tears are a challenge for healthcare professionals. The provision of adequate care is based on profound and up-to-date knowledge. None of the existing instruments to assess skin tear knowledge is psychometrically tested, nor up-to-date. OASES can be used worldwide to identify education, practice, and research needs and priorities related to skin tears in clinical practice.
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Affiliation(s)
- Hanne Van Tiggelen
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Paulo Alves
- Centre for Interdisciplinary Research in Health, Institute of Health Sciences, Catholic University of Portugal, Porto, Portugal
| | - Elizabeth Ayello
- Advances in Skin & Wound Care, Philadelphia, Pennsylvania, USA.,Faculty Emeritus, School of Nursing, Excelsior College, Albany, New York, USA.,Ayello, Harris & Associates, Inc., Copake, New York, USA
| | - Carina Bååth
- Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden.,Faculty of Health and Welfare, Østfold University College, Fredrikstad, Norway
| | - Sharon Baranoski
- Nursing Advisory Board, Rasmussen College, Romeoville/Joliet, Illinois, USA
| | - Karen Campbell
- School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada
| | - Ann Marie Dunk
- Tissue Viability Unit, Canberra Health Services, Canberra Hospital, Canberra, ACT, Australia.,Synergy Nursing and Midwifery Research Centre, Faculty of Health, University of Canberra and ACT Health, Canberra, ACT, Australia
| | | | - Heidi Hevia
- Nursing School, Nursing Department, Andres Bello University, Santiago, Chile
| | - Samantha Holloway
- Centre for Medical Education, School of Medicine, College of Biomedical and Life Sciences, Cardiff University, Wales, UK
| | - Patricia Idensohn
- Centre for Medical Education, School of Medicine, College of Biomedical and Life Sciences, Cardiff University, Wales, UK.,CliniCare Medical Centre, Ballito, South Africa.,School of Nursing, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
| | | | - Diane Langemo
- College of Nursing, University of North Dakota, Grand Forks, North Dakota, USA.,Langemo and Associates, Grand Forks, North Dakota, USA
| | - Kimberly LeBlanc
- School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada.,Wound Ostomy Continence Institute/Association of Nurses Specialized in Wound Ostomy Continence, Ottawa, ON, Canada.,Ingram School of Nursing, Faculty of Medicine, McGill University, Montreal, QC, Canada
| | - Karen Ousey
- Institute of Skin Integrity and Infection Prevention, Department of Nursing and Midwifery, University of Huddersfield, Huddersfield, UK.,School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.,School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia
| | - Andrea Pokorná
- Department of Nursing, Faculty of Medicine, Masaryk University, Brno, Czech Republic.,Czech National Centre for Evidence Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech CEBHC JBI Centre of Excellence, Masaryk University GRADE Centre), Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Brno, Czech Republic
| | - Marco Romanelli
- Dermatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy
| | - Vera Lucia Conceição de Gouveia Santos
- School of Nursing, Medical-Surgical Nursing Department, University of São Paulo, São Paulo, Brazil.,School of Nursing, Portuguese Catholic University, Porto, Portugal
| | - Steven Smet
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.,Wound Care Center, Ghent University Hospital, Ghent, Belgium
| | - Ann Williams
- Wound Ostomy Continence Solutions, LLC, Falls Church, Virginia, USA
| | - Kevin Woo
- School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada.,School of Nursing, Faculty of Health Sciences, Queen's University, Kingston, ON, Canada
| | - Ann Van Hecke
- University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.,Nursing Department, Ghent University Hospital, Ghent, Belgium
| | - Sofie Verhaeghe
- University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.,Department Health Care, VIVES University College, Roeselare, Belgium
| | - Dimitri Beeckman
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.,School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.,School of Health Sciences, Örebro University, Örebro, Sweden.,Faculty of Health Sciences, Department of Clinical Research, Research Unit of Plastic Surgery, Odense, Denmark.,School of Nursing and Midwifery, Monash University, Clayton, VIC., Australia
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Kielo E, Suhonen R, Ylönen M, Viljamaa J, Wahlroos N, Stolt M. A systematic and psychometric review of tests measuring nurses' wound care knowledge. Int Wound J 2020; 17:1209-1224. [PMID: 32496632 PMCID: PMC7948782 DOI: 10.1111/iwj.13417] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2020] [Revised: 05/18/2020] [Accepted: 05/19/2020] [Indexed: 12/14/2022] Open
Abstract
Wound care is an important realm of nurses' clinical responsibilities, and a broad knowledge and range of skills are needed to perform efficient and safe patient care. Nurses' knowledge on this matter can be measured using knowledge tests. This study aims to identify, define, and analyse the knowledge tests developed for the measurement of nurses' wound care knowledge, and to evaluate the psychometric properties of the tests. This study was a systematic literature review. A total of 52 studies and 18 instruments were found. Of the 18 instruments, only 5 had been used more than once and were successful in a psychometric evaluation. These five instruments were analysed on the basis of their psychometric properties by using Zwakhalen et al.'s (2006) psychometric testing framework. According to the analysis, the Pressure Ulcer Knowledge Test (PUKT) and the Pressure Ulcer Knowledge Assessment Tool (PUKAT) were the most valid and reliable instruments for measuring nurses' wound care knowledge. Most of the instruments identified and analysed focused on pressure ulcers, indicating that future instruments could focus more on other types of wounds or on wound care in general in order to receive a broader understanding of nurses' wound care knowledge.
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Affiliation(s)
- Emilia Kielo
- Department of Nursing ScienceUniversity of TurkuTurkuFinland
| | - Riitta Suhonen
- Department of Nursing ScienceUniversity of TurkuTurkuFinland
- Turku University HospitalTurkuFinland
- City of Turku, Welfare DivisionTurkuFinland
| | - Minna Ylönen
- Department of Nursing ScienceUniversity of TurkuTurkuFinland
- City of Turku, Welfare DivisionTurkuFinland
| | - Jaakko Viljamaa
- Department of Vascular SurgeryTurku University HospitalTurkuFinland
- University of TurkuTurkuFinland
| | - Niina Wahlroos
- Department of Nursing ScienceUniversity of TurkuTurkuFinland
| | - Minna Stolt
- Department of Nursing ScienceUniversity of TurkuTurkuFinland
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López-Franco MD, Parra-Anguita L, Comino-Sanz IM, Pancorbo-Hidalgo PL. Development and Psychometric Properties of the Pressure Injury Prevention Knowledge Questionnaire in Spanish Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17093063. [PMID: 32354041 PMCID: PMC7246611 DOI: 10.3390/ijerph17093063] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 04/27/2020] [Accepted: 04/27/2020] [Indexed: 02/07/2023]
Abstract
Pressure injuries (PIs) are a major health problem with severe implications for patients. Professionals who care for people at risk should have high knowledge about PIs prevention. The actual knowledge can be measured using different tools, but we have found no questionnaire to measure the knowledge on PIs prevention developed and validated for Spanish-speaking countries. The aim of this study was to develop a questionnaire in Spanish to measure the knowledge about PIs prevention based on current international guidelines. Content validity was evaluated by 12 experts in wound care. A convenience sample of 438 nursing professionals from Spain participated to evaluate the questionnaire using item analysis, Rasch model, and known-groups validity. The PI Prevention Knowledge (PIPK) questionnaire shows good discrimination and difficulty indices. The 31-item PIPK shows good fit and reliability of 0.98 for items and 0.72 for people; also, it has enough evidence for construct validity. Because the questionnaire has been developed based on the recommendations from international guidelines, the English version of this questionnaire could be used in further studies to test its psychometric properties.
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Psychometric Properties of the Chinese Version of the Pieper-Zulkowski Pressure Ulcer Knowledge Test in Nursing Practice: A Cross-sectional Survey. Adv Skin Wound Care 2020; 33:1-7. [PMID: 32304453 DOI: 10.1097/01.asw.0000658596.35573.bc] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To translate the Pieper-Zulkowski Pressure Ulcer Knowledge Test into Chinese and analyze the internal consistency of the adapted questionnaire. METHODS The Pieper-Zulkowski Pressure Ulcer Knowledge Test was translated into Chinese, and the internal consistency and content validity of the translated test were assessed. Further, the authors conducted a cross-sectional survey using the test among 476 RNs in six hospitals in four cities of China. MAIN RESULTS The Cronbach α was .93 for all items and .83, .82, and .84 for the prevention, staging, and wound description subscales, respectively. The validity of content was acceptable (content validity index = 0.83-1.00). The average correct scores were as follows: total, 69.37%; prevention, 73.38%; staging, 69.61%; and wound description, 64.87%. Nurses with more advanced professional titles or wound care certifications scored significantly higher than other test takers. Participants who had conducted internet research about pressure injuries or read the pressure injury guidelines also had significantly higher scores than those who had not. CONCLUSIONS The translated instrument can effectively measure Chinese nurses' knowledge about pressure injuries.
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Seo Y, Roh YS. Effects of pressure ulcer prevention training among nurses in long-term care hospitals. NURSE EDUCATION TODAY 2020; 84:104225. [PMID: 31698290 DOI: 10.1016/j.nedt.2019.104225] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Revised: 06/27/2019] [Accepted: 09/17/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Nurses caring for elderly patients with a high risk of pressure ulcer at long-term care hospitals require the necessary knowledge, behaviors, and attitudes regarding preventing pressure ulcers. OBJECTIVES To identify the effects of pressure ulcer prevention training on nurses' knowledge, behaviors, and attitudes regarding pressure ulcer prevention. DESIGN A comparison group pretest-posttest design. SETTINGS Long-term care hospitals in a metropolitan area of the Republic of Korea. PARTICIPANTS Participants were conveniently assigned to team-based learning (n = 30) or lecture-based learning (n = 30) groups. METHODS We examined pre-post differences in the scores for pressure ulcer prevention knowledge, behaviors, and attitudes in each group using the paired t-test. Additionally, pre-post difference scores were compared between the two groups using the independent samples t-test. RESULTS Both groups exhibited significant increases in scores for pressure ulcer prevention knowledge, behaviors, and attitudes after the intervention as compared before it. However, we found no significant differences in the pre-post difference scores for any of the variables between the two groups. CONCLUSIONS Pressure ulcer prevention training, regardless of whether it utilizes team-based or lecture-based learning, is useful for enhancing nurses' pressure ulcer prevention knowledge, behaviors, and attitudes. Further study is needed to verify the longitudinal effects of pressure ulcer prevention training on nurses' actual performance and the incidence of pressure ulcers among patients.
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Affiliation(s)
- Yukyeong Seo
- Graduate School of Nursing and Health Professions, Chung-Ang University, Seoul, Republic of Korea
| | - Young Sook Roh
- Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-ro Dongjak-gu, Seoul 06974, Republic of Korea.
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Shanley E, Moore Z, Patton D, Connor TO, Avsar P, Nugent L, Beeckman D. Development and psychometric evaluation of the patient knowledge of, and attitudes and behaviours towards pressure ulcer prevention instrument (KPUP). Int Wound J 2019; 17:339-350. [PMID: 31820563 DOI: 10.1111/iwj.13278] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Accepted: 11/24/2019] [Indexed: 12/11/2022] Open
Abstract
The Patient Knowledge of, and Attitude and Behaviour towards Pressure Ulcer Prevention Instrument (KPUP) was developed and validated using a two-stage prospective psychometric instrument validation study design. In Stage 1, the instrument was designed, and it is psychometrically evaluated in Stage 2. To establish content validity, two expert panels independently reviewed each item for appropriateness and relevance. Psychometric evaluation included construct validity and stability testing of the instrument. The questionnaire was administered to a convenience sample of 200 people aged more than 65 years, living independently in the community; reliability and stability were assessed by test/retest procedures, with a 1-week interval. Mean knowledge scores at 'test' were 11.54/20 (95% CI = 11.10-11.99, SD: 3.07), and 'retest' was 12.24 (95% CI = 11.81-12.66, SD: 2.93). For knowledge, correlation between the test/retest score was positive (r=. 60), attitude section-inter-item correlations ranged from r = -.31 to r = .57 (mean intraclass correlation coefficient of r = .42), and internal consistency for the retest was the same as the test (α = .41 for the eight items). For health behaviours, individual inter-item correlations for test items ranged from r = -.21 to r = .41 for the 13 standardised items. Psychometric testing of the KPUP in a sample of older persons in the community provided moderate internal consistency and general high test-retest stability.
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Affiliation(s)
- Emer Shanley
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland
| | - Zena Moore
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.,Skin Wounds and Trauma (SWaT) Research Centre, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.,Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.,Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.,Lida Institute, Shanghai, China.,Cardiff University, Cardiff, UK
| | - Declan Patton
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland
| | - Tom O Connor
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland
| | - Pinar Avsar
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland
| | - Linda Nugent
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland
| | - Dimitri Beeckman
- School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.,Skin Integrity Research Group (SKINT), Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,School of Health Sciences, Örebro University, Örebro, Sweden.,Research Unit of Plastic Surgery, Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.,School of Nursing and Midwifery, Monash University, Melbourne, VIC, Australia
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Kısacık ÖG, Sönmez M. Pressure ulcers prevention: Turkish nursing students' knowledge and attitudes and influencing factors. J Tissue Viability 2019; 29:24-31. [PMID: 31759832 DOI: 10.1016/j.jtv.2019.11.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 07/23/2019] [Accepted: 11/09/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Öznur Gürlek Kısacık
- Faculty of Health Science, Nursing Department, Afyonkarahisar University of Health Science, 03200, Afyonkarahisar, Turkey.
| | - Münevver Sönmez
- Faculty of Health Science, Nursing Department, Bülent Ecevit University of Health Science, 67000, Zonguldak, Turkey
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Smet S, de Graaf A, Bernaerts K, Casaer MP, Beeckman D. The Belgian pressure ulcer risk assessment project: Is assessing mobility and skin status a more accurate, reliable, and feasible approach to assess pressure ulcer risk in hospitalised patients? Int Wound J 2019; 16:1577-1578. [PMID: 31606916 DOI: 10.1111/iwj.13240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Accepted: 09/18/2019] [Indexed: 11/28/2022] Open
Affiliation(s)
- Steven Smet
- Wound care center, Ghent University Hospital, Ghent, Belgium
| | - Annelies de Graaf
- Nursing Center of excellence, University Hospitals of Leuven, Leuven, Belgium
| | - Kris Bernaerts
- Nursing Center of excellence, University Hospitals of Leuven, Leuven, Belgium
| | - Michael P Casaer
- Clinical Division and Laboratory of Intensive Care Medicine, University Hospitals of Leuven, Leuven, Belgium.,Department of Cellular and Molecular Medicine, Catholic University of Leuven, Leuven, Belgium
| | - Dimitri Beeckman
- Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.,School of Health Sciences, Örebro University, Örebro, Sweden.,School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland
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38
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De Meyer D, Verhaeghe S, Van Hecke A, Beeckman D. Knowledge of nurses and nursing assistants about pressure ulcer prevention: A survey in 16 Belgian hospitals using the PUKAT 2.0 tool. J Tissue Viability 2019; 28:59-69. [DOI: 10.1016/j.jtv.2019.03.002] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Revised: 02/12/2019] [Accepted: 03/25/2019] [Indexed: 12/31/2022]
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Usher K, Woods C, Brown J, Power T, Lea J, Hutchinson M, Mather C, Miller A, Saunders A, Mills J, Zhao L, Yates K, Bodak M, Southern J, Jackson D. Australian nursing students' knowledge and attitudes towards pressure injury prevention: A cross-sectional study. Int J Nurs Stud 2018; 81:14-20. [PMID: 29427831 DOI: 10.1016/j.ijnurstu.2018.01.015] [Citation(s) in RCA: 41] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Revised: 01/29/2018] [Accepted: 01/30/2018] [Indexed: 10/18/2022]
Abstract
AIM The aim of this study was to assess student nurses' knowledge of and attitudes towards pressure injury prevention evidence-based guidelines. BACKGROUND Pressure injuries are a substantial problem in many healthcare settings causing major harm to patients, and generating major economic costs for health service providers. Nurses have a crucial role in the prevention of pressure injuries across all health care settings. DESIGN A multi-centered, cross-sectional study was conducted using a paper-based questionnaire with undergraduate nursing students enrolled in seven universities with campuses across five Australian states (Queensland, New South Wales, Western Australia, Victoria and Tasmania). METHODS Data were collected from nursing students using two validated instruments (Pressure Ulcer Knowledge Assessment Instrument and Attitude Toward Pressure Ulcer Prevention Instrument), to measure students' pressure injury prevention knowledge and attitudes. RESULTS Students reported relatively low pressure injury prevention knowledge scores (51%), and high attitude scores (78%). Critical issues in this study were nursing students' lack of knowledge about preventative strategies to reduce the amount and duration of pressure/shear, and lower confidence in their capability to prevent pressure injury. Level of education and exposure to working in a greater number of different clinical units were significantly related to pressure injury prevention knowledge and attitude scores. CONCLUSION The study findings highlight the need to implement a comprehensive approach to increasing Australian nursing students' pressure injury prevention and management knowledge, as well as ensuring that these students have adequate experiences in clinical units, with a high focus on pressure injury prevention to raise their personal capability.
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Affiliation(s)
- Kim Usher
- School of Health, University of New England, Armidale, NSW, 2351, Australia; Oxford Institute of Nursing, Midwifery and Allied Health Research (OxINMAHR), Oxford Brookes University, Oxford, UK
| | - Cindy Woods
- School of Health, University of New England, Armidale, NSW, 2351, Australia.
| | - Janie Brown
- School of Nursing, Midwifery and Paramedicine, Curtin University, Perth, WA, 6102, Australia
| | - Tamara Power
- Faculty of Health, University of Technology Sydney, Ultimo, NSW, 2007, Australia
| | - Jackie Lea
- School of Health, University of New England, Armidale, NSW, 2351, Australia
| | - Marie Hutchinson
- School of Health and Human Sciences, Southern Cross University, Coffs Harbour, NSW, 2450, Australia
| | - Carey Mather
- School of Health Sciences, College of Health and Medicine, University of Tasmania, Launceston, TAS, 7250, Australia
| | - Andrea Miller
- School of Health Sciences, College of Health and Medicine, University of Tasmania, Launceston, TAS, 7250, Australia
| | - Annette Saunders
- School of Health Sciences, College of Health and Medicine, University of Tasmania, Launceston, TAS, 7250, Australia
| | - Jane Mills
- College of Health, Massey University, Palmerston North, New Zealand
| | - Lin Zhao
- Discipline of Nursing, School of Health and Biomedical Sciences, RMIT, Victoria, 3083, Australia
| | - Karen Yates
- College of Healthcare Sciences, Nursing, Midwifery and Nutrition, James Cook University, QLD, Australia
| | - Marie Bodak
- College of Healthcare Sciences, Nursing, Midwifery and Nutrition, James Cook University, Townsville, QLD, 4811, Australia
| | - Joanne Southern
- College of Healthcare Sciences, Nursing, Midwifery and Nutrition, James Cook University, QLD, Australia
| | - Debra Jackson
- School of Health, University of New England, Armidale, NSW, 2351, Australia; Faculty of Health, University of Technology Sydney, Ultimo, NSW, 2007, Australia; Oxford Institute of Nursing, Midwifery and Allied Health Research (OxINMAHR), Oxford Brookes University, Oxford, UK
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De Meyer D, Van Damme N, Van den Bussche K, Van Hecke A, Verhaeghe S, Beeckman D. PROTECT - trial: a multicentre prospective pragmatic RCT and health economic analysis of the effect of tailored repositioning to prevent pressure ulcers - study protocol. J Adv Nurs 2016; 73:495-503. [PMID: 27682442 DOI: 10.1111/jan.13166] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/06/2016] [Indexed: 01/09/2023]
Abstract
AIM The aims of this trial were as follows: (1) to compare the (cost-) effectiveness of a turning and repositioning system and an algorithm for a tailored repositioning vs. usual care to improve reposition frequency in patients at risk; and (2) to compare the (cost-) effectiveness of standardized incontinence care vs. usual care. BACKGROUND Pressure ulcers are a serious and common problem for hospitalized patients. In many countries, pressure ulcers are recognized as a national health issue and governments designate pressure ulcers as one of the most important sentinel events for health care. International guidelines recommend the use of pressure redistributing support surfaces, systematic patient repositioning and preventive skin care to prevent pressure ulcers. Interventions should be patient-tailored and based on a thorough assessment of both the patient and contextual risk factors. There is a lack of rigorous research addressing the effectiveness of a turning and repositioning system and it is unclear how to tailor the frequency and posture to specific patient needs. DESIGN Multicentre, cluster, three-arm, randomized, controlled pragmatic trial and a cost-effectiveness analysis. The ward is the unit of randomization. METHODS Tailored repositioning, the use of a device to facilitate patient repositioning and an optimal procedure for incontinence care will be combined. Participating wards will be intensive care units, geriatric and rehabilitation wards. A sample size calculation was performed (80% power, α = 0·05). This study is approved by the Ethics Committee (February 2016). DISCUSSION Data collection is currently ongoing. The results are expected to be obtained in March 2017.
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Affiliation(s)
- Dorien De Meyer
- University Centre for Nursing and Midwifery, Ghent University, Belgium
| | - Nele Van Damme
- University Centre for Nursing and Midwifery, Ghent University, Belgium
| | | | - Ann Van Hecke
- University Centre for Nursing and Midwifery, Ghent University, Belgium.,Ghent University hospital, Belgium
| | - Sofie Verhaeghe
- University Centre for Nursing and Midwifery, Ghent University, Belgium.,Ghent University hospital, Belgium
| | - Dimitri Beeckman
- University Centre for Nursing and Midwifery, Ghent University, Belgium
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