Pressure ulcer prevention—Results of a multicentre cross‐sectional survey on hospital infrastructures and processes in acute hospitals and accident and emergency departments

2021 ◽  
Author(s):  
Sandra Strube‐Lahmann ◽  
Nils A. Lahmann
Keyword(s):  
Pressure Ulcer ◽  
Emergency Departments ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pressure Ulcer Prevention ◽  
Accident And Emergency ◽  
Acute Hospitals ◽  
Ulcer Prevention

scholarly journals Nurses’ Knowledge, Practices, and Barriers in Care of Patients with Pressure Ulcers in a Ugandan Teaching Hospital

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Ivan Mwebaza ◽  
Godfrey Katende ◽  
Sara Groves ◽  
Joyce Nankumbi
Keyword(s):  
Teaching Hospital ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Assessment Tools ◽  
Critical Parameters ◽  
Cross Sectional ◽  
Pressure Ulcer Prevention ◽  
Staff Shortage ◽  
Ulcer Prevention ◽  
Nurses Knowledge

Pressure ulcers have been identified as a major burden of hospitalization worldwide, and nurses are at the forefront of prevention. The purpose of this study was to determine the nurses’ knowledge and practices regarding risk factors, prevention, and management of pressure ulcers at a teaching hospital in Uganda. The study employed a descriptive cross-sectional design. Fifty-six Ugandan registered practicing nurses were sampled. A composite self-administered questionnaire and an observation checklist were utilized. The nurses had limited knowledge about critical parameters of pressure ulcers. Prevention practices were observed to be unreliable and uncoordinated related to a significant shortage of staff and logistics for pressure ulcer prevention. Nurses had poor access to current literature on pressure ulcer prevention. Translation of nurses’ knowledge into practice is possible if barriers like staff shortage, pressure relieving devices provision, and risk assessment tools are addressed at Mulago.

Do we still need to assess nurses' attitudes towards pressure ulcer prevention? A systematic review

2019 ◽  
Vol 28 (12) ◽  
pp. 795-806 ◽  
Author(s):  
Pinar Avsar ◽  
Declan Patton ◽  
Tom O'Connor ◽  
Zena Moore
Keyword(s):  
Systematic Review ◽  
Pressure Ulcer ◽  
Positive Attitude ◽  
Attitude Scale ◽  
Research Literature ◽  
Attitude Score ◽  
Systematic Review Methodology ◽  
Cross Sectional ◽  
Pressure Ulcer Prevention ◽  
Ulcer Prevention

Objective: To critically appraise and synthesise existing research literature pertaining to nurses' attitudes towards pressure ulcer (PU) prevention. Method: Using systematic review methodology, published quantitative studies focusing on nurses' attitudes towards PU prevention measured by psychometric tests were included. The search was conducted in May 2019 using PubMed, CINAHL, Scopus, Cochrane and EMBASE databases, and returned 442 records, of which 21 met the inclusion criteria. Data were extracted using a pre-designed extraction tool and all included studies were quality appraised using the checklist. Results: Of the included studies, 20 employed a cross-sectional design and one author employed a validation study. In measuring nurses' attitudes toward PU prevention two distinct instruments were used: the ‘Moore and Price Attitude Scale’ and the ‘Attitude towards Pressure Ulcer Prevention Instrument’. The mean attitude score within the studies was 73% (standard deviation=9.2%). The lowest attitude score was 51%, while the highest score was 89%. The results obtained from the studies indicated that 86% (n=18) yielded positive attitude results. Conclusion: The findings suggest that, overall, nurses are positively disposed towards PU prevention. However, it is important to highlight that the nurses have difficulties translating this positive attitude into actual PU prevention strategies.

scholarly journals Perceived Facilitators to Preventing Pressure Ulcer among Intensive Care Unit Nurses

2019 ◽  
Author(s):  
Ristina Mirwanti ◽  
Aan Nuraeni ◽  
Ayu Prawesti
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Wound Care ◽  
Cross Sectional ◽  
Pressure Ulcer Prevention ◽  
Facilitating Factors ◽  
Intensive Care Unit Nurses ◽  
Ulcer Prevention

Background: Pressure ulcer or pressure injury is one of the complications of immobility patients in the intensive care unit. Nurses play an important role in pressure ulcer prevention. Actual factors like facilitators to preventing pressure ulcers can affect nurses’ behavior to prevent pressure ulcers. Objectives: The objective of this study was to identify nurses’ perceived facilitating factors that affected pressure ulcer prevention in the intensive care unit. Methods: A cross-sectional and quantitative descriptive study design was used to collect data. This study was conducted among nurses working in the intensive care unit in one hospital in West Java. Seventy nurses participated in this study. The facilitator factors questionnaire and information form were used to identify what factors affected pressure ulcer prevention among intensive nurses. Data were analyzed by a computer program using frequency distributive and cross-tabulation. Results: From the total sample size, 68.6% (n=70) were female nurses, while 92.9% (n=70) were civil servant nurses. Only 30% (n=70) were graduated from bachelor degree nursing program, and 77.14%(n=70) said they never attended training about pressure ulcer nor wound care management. All of the respondents claimed that in pressure ulcer prevention, they felt facilitators that made pressure ulcer prevention was easier. Access to pressure ulcer relieving device, equipment, and facilitator (97.14%), good teamwork (75.71%), and knowledge (68.57%) were the most commonly mentioned factors that facilitating pressure ulcer prevention. Otherwise, time and amounts of the staff were perceived facilitators named by 40% and 22.86% respondents, respectively. Only 1.43% of respondents stated that the schedule was a facilitator factor. Conclusion: Considering the results of this study, facilitating factors were important for intensive nurses to prevent patients’ pressure ulcer, and the most commonly named was access to pressure ulcer relieving device, equipment, and facility. To improve the pressure ulcer prevention, the hospital should provide device, equipment, and facility, like pressure distributor; therapeutic linens; protector the skin; and positioner.

scholarly journals KNOWLEDGE, PRACTICE AND PERCEIVED BARRIER OF PRESSURE ULCER PREVENTION AMONG NURSES IN A PUBLIC HOSPITAL IN SELANGOR

2020 ◽  
Vol 20 (Special1) ◽  
pp. 325-335
Author(s):  
Fatimah Sham ◽  
Dayana Izni Binti Sharif ◽  
Norhidayah binti Moksin ◽  
Hasnah Selamat
Keyword(s):  
Pressure Ulcer ◽  
Public Hospital ◽  
Good Practice ◽  
Care Organization ◽  
Cross Sectional ◽  
Related Field ◽  
Pressure Ulcer Prevention ◽  
Knowledge Practice ◽  
Knowledge And Practice ◽  
Ulcer Prevention

Pressure Ulcers (PUs) are a significant health problem for hospitalized patients associated with the leading cause of morbidity and mortality. Each year, more than 2.5 million patients suffer from PUs, and about 60,000 people died due to complications of PUs globally. Although PUs brings devastating consequences, fortunately, it can be prevented. The prevention of PUs represents a marker of quality of care and safety of a health-care organization. PUs prevention indeed needs multidisciplinary collaboration management; however, nurses' role is more significant as they are the frontline in providing patient care. This study aimed to assess knowledge, practice, and perceived barriers of PUs prevention among nurses in a Public Hospital in Selangor. A descriptive and cross-sectional study was used to obtain the data. A purposive sample of 220 nurses had been recruited from ICU, CCU, medical, surgical, and orthopedic wards at Public Hospital in Selangor. Data were obtained from self-administered questionnaires. The result was analyzed using the IBM Statistical Packages for Social Science (SPSS) Window Version 23. This study revealed that the respondents had adequate knowledge (95.0%) and good practice (96.8%) of PUs prevention. Heavy workload and inadequate staff were mostly cited as the barrier of PUs prevention. In overall, the respondents' knowledge and practice were good; however, deficits in a particular area of knowledge and practice of PUs prevention still exist. The hospital and nursing department should organize continuous education programs and in-house training in related field to optimized nurses’ knowledge and practice regarding pressure ulcer prevention and management.

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