scholarly journals Effect of Preventive Bundle Care on Nurses' Knowledge, Compliance and Patients' Outcome Regarding Pressure Ulcer in the Intensive Care Unit

2019 ◽  
Vol 1 (4) ◽  
pp. 12
Author(s):  
Sabah S. Mohamed ◽  
Rawia A. Ibraheem
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Control Group ◽  
Post Intervention ◽  
Pressure Ulcer Prevention ◽  
Significant Difference ◽  
Ulcer Prevention ◽  
Nurses Knowledge

Contents: The critical care services had the highest pressure-ulcer rates. Bundle care incorporates those best practices that, if done in combination, are likely to lead to better outcomes. Aim: Evaluate the effect of preventive bundle care on nurses' knowledge, compliance, and patients' outcome regarding pressure ulcers in the intensive care unit. Methods: Quasi-experimental design used to achieve aim in this study. The study conducted at the intensive care unit at Benha Teaching Hospital. All available nurses (30) and a purposive sample of adult patients (85) recruited in this study. Three tools used; interview questionnaire sheet for nurses to assess nurses' knowledge regarding pressure ulcer prevention, the pressure-ulcer prevention bundle compliance checklist which used for assessing nurses' compliance and patients' assessment record. Results: The study revealed that (36.7%) of nurses were in the age category (20-<25 years old), (90%) females, and (46.7%) had an experience of more than seven years. Regarding total nurses' knowledge level and compliance pre/post intervention, there was a highly statistically significant difference (p=0.000). Concerning patients' outcomes, there are statistically significant differences between the control and study groups observed at (P<0.05). Conclusion: there was a statistically significant improvement in nurses' knowledge and their compliance after implementing bundle care. Also, there were statistically significant improvements in patients' risk, including reducing the incidence of risk of pressure ulcers in the study group than patients in the control group. The study recommends preventive pressure ulcer bundle guidelines should be revised and be available in adult intensive care units in both Arabic and English language. Also, it is essential to provide continuous education and training sessions for nurses about pressure ulcer prevention by applying preventive bundle guidelines to improve their compliance.

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 Nurses’ Knowledge, Attitudes and Practices regarding Pressure Ulcer Prevention in the Umgungundlovu District, South Africa

2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Thembelihle Patricia Dlungwane
Keyword(s):  
South Africa ◽  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Well Being ◽  
Pressure Ulcer Prevention ◽  
Attitudes And Practices ◽  
Significant Difference ◽  
Knowledge Attitudes And Practices ◽  
Ulcer Prevention ◽  
Nurses Knowledge

The prevention of pressure ulcers remains a serious problem for nurses. The effects of pressure ulcers include high treatment costs, litigation matters, and increased workloads on nursing staff. Pressure ulcers affect patients’ emotional, physical and social well-being. The pain caused by pressure ulcers prolongs rehabilitation and hospital stays and could eventually lead to disability and death. The purpose of the study, conducted in the Umgungundlovu District in South Africa, was to assess the knowledge, attitudes, and practices of nurses regarding the prevention of pressure ulcers. A descriptive cross-sectional study with an analytical component was implemented. The data were collected using a self-administered questionnaire. Frequency distribution tables, the t-test and ANOVA were used in the analysis of the data. A p-value of less than 0.05 was deemed statistically significant. The mean knowledge of nurses (N = 223) was 69.1 per cent, which was low. There was a statistically significant difference in knowledge by rank (p = 0.001), years of experience (p = 0.002), previous knowledge of pressure ulcers (p = 0.001), and hospital ward (p > 0.001). There was a significant difference in knowledge between the nursing assistants and the registered nurses (p = 0.004). A large proportion of nurses (58%) had a positive attitude towards pressure ulcer prevention. The average practice score was 56.2 per cent. The nurses’ knowledge and practices of the prevention of pressure ulcers are unsatisfactory, although their attitudes are positive. Knowledge improvement is necessary to influence attitudes and practices. A multi-faceted approach is required to empower the nurses.

scholarly journals The effect of rosemary ointment on the pressure ulcer healing in patients admitted to the intensive care unit: A randomized clinical trial

2021 ◽  
Author(s):  
Fatemeh Khoshoei Parizi ◽  
Tabandeh Sadeghi ◽  
Shahin Heidari
Keyword(s):  
Clinical Trial ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pressure Ulcer ◽  
Ulcer Healing ◽  
Pressure Ulcers ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Significant Difference

Background & Aim: Pressure ulcers have been identified as one of the most important and challenging issues in patient’s well-being. Based on the evidence, rosemary extract compounds can affect wound healing. The aim of this study was to determine the effect of rosemary ointment on pressure ulcer healing in patients admitted to the intensive care unit. Methods & Materials: In this single-blind randomized parallel clinical trial, 70 patients who met the inclusion criteria were selected purposefully and assigned to the groups by stratified randomization method. In the intervention group, rosemary ointment was applied once a day for seven days. The control group received routine care. Data were collected using the Pressure Ulcer Scale for Healing before the intervention and on the third and seventh days after the intervention. Data were analyzed using independent t-test, chi-square test, and two-way repeated measurements ANOVA with SPSS 18 software. Results: The mean scores of Pressure Ulcer Scale for Healing decreased significantly in the intervention group while remained unchanged in the control group (P=0.001) one week after the intervention. The effect of time and interaction effect was also significant (P=0.001). Comparison of the ratio of complete ulcer healing in the two groups showed a significant difference between the two groups (p=0.004). Conclusion: Rosemary ointment facilitated healing and prevented the progression of grade І pressure ulcers in the Intensive Care Unit. Therefore, the use of this ointment as a low-risk, uncomplicated, available, and inexpensive intervention, is recommended in such patients.

scholarly journals Nurses’ knowledge and practices regarding prevention and management of pressure ulcer for hospitalized patient

2020 ◽  
Vol 6 (2) ◽  
pp. 237-243
Author(s):  
Hasan Mahfuz Reza ◽  
Chinmoy Kanti Das ◽  
China Rani Mittra ◽  
Ashees Kumar Saha
Keyword(s):  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Heart Diseases ◽  
Moderate Level ◽  
College Hospital ◽  
Pressure Ulcer Prevention ◽  
Level Of Knowledge ◽  
Knowledge And Practice ◽  
Ulcer Prevention ◽  
Nurses Knowledge

Pressure ulcers have been labelled as one of the most expensive and physically debilitating complications in the 20th century. After cancer and heart diseases pressure ulcers are the third most expensive disorder. Several studies have indicated that nurses' knowledge and practices about pressure ulcer prevention and management are inadequate. This is a descriptive co-relational study aimed to assess nurses‟ knowledge and practices related to pressure ulcer prevention and management. It also examines the relationships between nurses‟ knowledge and practice with respect to pressure ulcer prevention and management. The subjects were nurses working at Rajshahi Medical College Hospital. Three hundred nurses were selected for this study, two hundred and ninety four nurses were completed the questionnaire and response rate was 98%. Three tools were used for data collection: Demographic, Knowledge and Practice questionnaire. Data were analysed by descriptive and Pearson product-moment correlation statistics. The findings showed that nurses had a moderate level of knowledge and a moderate level of practice when we categorized the findings according to their age, working experience and educational level they scored low level of knowledge. There was a significant correlation was found between nurses knowledge and practice regarding pressure ulcer prevention and management (r =.136, p>.05). Findings of the present study suggest that nurses need to increase knowledge on pressure ulcer prevention and management in order to improve nursing practice in this. Asian J. Med. Biol. Res. June 2020, 6(2): 237-243

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.

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