Assess the Level of Practice regarding Prevention of Pressure Ulcer in bedridden patients among Nurses

2021 ◽  
pp. 475-480
Author(s):  
Juby Rose Kuriakose ◽  
Akku Maria Sebastian ◽  
Annem Jose Mary ◽  
Ashly Zacharia ◽  
Dhundup Chodon ◽  
...  
Keyword(s):  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Good Practice ◽  
Student Nurses ◽  
Sampling Technique ◽  
Tertiary Hospital ◽  
Staff Nurses ◽  
Care Organization ◽  
Position Change ◽  
Poor Practice

Background: Pressure ulcers are the common conditions among patients hospitalized in acute and chronic care facilities and impose significant burden on patients, their relatives and caregivers. Now days, pressure ulcers are recognized worldwide as one of the five most common causes of harm to patients and preventable patient safety problem. It is also increasingly described as an indicator of the quality of care provided by health care organization. However, pressure ulcers are largely preventable. All patients who are identified as being at risk should have a management plan to prevent development of pressure ulcer, optimize healing, and prevent complications of existing pressure ulcer. Objectives: 1. To assess the level of practice regarding prevention of pressure ulcer in bedridden patients among nurses. 2. To determine the association between pre-test practice scores of nurses regarding prevention of pressure ulcer in bedridden patients with selected sample characteristics. Methodology: The research design used for this study was non – experimental descriptive design. The study was conducted at a tertiary hospital in Bengaluru, Karnataka, India. Population comprises of nurses (staff nurses and student nurses) working in a selected hospital. The sample size selected for this study consists of 60 nurses (staff nurses -24 and student nurses -36) who were working in medical, surgical wards and Intensive Care Units (ICUs). Nurses providing care to the patients who are bed ridden for more than 48 hours were included in the study. Non – probability purposive sampling technique was used to select the samples. The tool used in this study was socio-demographic profile of nurses (separate tool for staff nurses and student nurses) and observational checklist to assess the practice. Result: The overall practice scores of the 60 nurses revealed that 40(66.67%) had good practice, whereas 20(33.33%) samples had average practice and none of them had poor practice. Among of 24 staff nurses; 20(83.33%) had good practice, whereas 4(16.67%) had average practice and none of them had poor practice. Out of 36 student nurses; 20(55.56%) had good practice, whereas 16(44.44%) samples had average practice and none of them had poor practice. It was found that among socio-demographic variables none had association with the practice of staff nurses and student nurses too. Conclusion: The study concluded that continuing education programmes are needed to improve the practices of nurses. Nurses must be motivated to provide back care and position change every second hourly in bedridden patients.

scholarly journals A Descriptive Study to Assess the Knowledge and Practice on Personal Protective Equipment among Student Nurses in a Selected College of Nursing, New Delhi

2020 ◽  
Vol 07 (04) ◽  
pp. 8-12
Author(s):  
Uzma Anjum ◽  
Keyword(s):  
Personal Protective Equipment ◽  
Quantitative Research ◽  
Good Practice ◽  
Student Nurses ◽  
Sampling Technique ◽  
Protective Equipment ◽  
Research Approach ◽  
New Delhi ◽  
Knowledge And Practice ◽  
College Of Nursing

Personal Protective equipment is also called PPE. It is commonly worn by health care workers to prevent the transmission of infection. PPE includes helmets or caps, face shields, face masks, goggles, gowns, respirators, shoe covers or boots and gloves. These protective coverings will be effective when it is being used in an appropriate manner. The main objectives of this study were to assess the knowledge and practice on Personal Protective Equipment among student nurses. A Quantitative Research approach along with Descriptive Research design was used. A total of 110 student nurses were selected through Convenient Sampling Technique from DGNM 3rd Year, B.Sc. (Hons.) Nursing 2nd Year and B.Sc. (Hons.) Nursing 4th Year of Rufaida College of Nursing, Jamia Hamdard, New Delhi in the month of July-August 2020. Structured Questionnaire was used via an online platform (Google forms) due to Covid 19 lockdown to assess the knowledge and practice on PPE. Out of 110 samples, 66 (60%) had good knowledge, followed by 44 (40%) having average knowledge and none were having poor knowledge on PPE, whereas 67 (60.9%) had an average practice, followed by 41 (37.3%) having good practice and only 2 (1.8%) had poor practice on PPE. Findings suggest that there is a need for practice-based knowledge assessment in clinical areas and thus improvement in the practice of PPE while working in hospitals.

scholarly journals Nurses’ knowledge of pressure ulcer and its associated factors at Hawassa University Comprehensive Specialized Hospital Hawassa, Ethiopia, 2018.

2020 ◽  
Author(s):  
Ezedin Molla Muhammed ◽  
Berhanu Boru Bifftu ◽  
Yemataw Zewdu Temachu ◽  
Tarkie Abebe Walle
Keyword(s):  
Pressure Ulcer ◽  
Associated Factors ◽  
Pressure Ulcers ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Knowledge Score ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
The Mean ◽  
Nurses Knowledge

Abstract Background: Pressure ulcer is largely avoidable, but its prevalence rate increased more than 80% in a thirteen years study. Nurses have a great position to advance best practices towards the prevention of pressure ulcers. Therefore they should be knowledgeable of the signs and symptoms of pressure ulcers, and preventive strategies to reduce its incidence, but there is limited evidence on nurses’ knowledge and its associated factors to prevent pressure ulcer in Ethiopia. Methods: A hospital-based cross-sectional study was conducted from March 25 – April 23/ 2018. A total of 356 nurses were selected by stratification with a simple random sampling technique. Pretested structured questionnaire with closed and open-ended questions was used to collect data. Frequency distribution and percentage were computed to describe each variable. Bivariate and multivariable logistic regression with a 95% confidence interval was also carried out to see the effect of each independent variable on the dependent variable and declared statistical significant association with P< 0.05. Result: The mean knowledge score of nurses was 25.22 out of 41 item questions. Fifty-two point five percent of nurses score above the mean. Males [AOR=0.44, 95% CI (0.26 – 0.73)], working a maximum of eight hours [AOR= 3.57, 95% CI (1.48 – 8.61), not having training [(AOR= 2.31, 95% CI (1.14 – 4.61)], Low salary [AOR= 3.47, 95% CI (1.03 – 11.67)] were significantly associated with inadequate knowledge. Conclusion: Generally a nurse's knowledge of pressure ulcer was inadequate. Being female, working less than or equal to eight hours, not having the training and low working salary are contributors to a low level of knowledge for pressure ulcer.

scholarly journals Knowledge and Practice Regarding Renewal of License among Staff Nurses

2021 ◽  
Vol 6 (3) ◽  
pp. 189-192
Author(s):  
Liji Sara Varghese ◽  
Packialakshmi. K ◽  
Tharani. P
Keyword(s):  
Good Practice ◽  
Sampling Technique ◽  
Demographic Variables ◽  
Staff Nurses ◽  
The Public ◽  
Descriptive Research ◽  
Level Of Knowledge ◽  
Knowledge And Practice ◽  
Treatment Safety ◽  
License Renewal

Background: A nurse is a healthcare professional who is responsible for the treatment, safety, recovery, and the overall care of a patient. Nurses advocate for health promotion, educate patients and the public on the prevention of illness and injury, provide care and assist in cure, participate in rehabilitation, and provide support. No other health care professional has such a broad and far-reaching role. Aim: The study was aimed to assess the level of knowledge and practice regarding renewal of license among staff nurses. Methodology: Non-experimental descriptive research design and non-probability convenient sampling technique was used to select 50 staff nurses. The assessment of the level of knowledge and practice among staff nurses was carried out by self-structured questionnaire and practice checklist. Result: Assessment of level of knowledge as well as practice regarding renewal of nursing license revealed that 9 (18%) of staff nurses had good knowledge, 39 (78%) moderate knowledge and 2(4%) poor knowledge, whereas 17 (34%) good practice, 32 (64%) poor practice and 1 (2%) didn’t perform renewal of license. It was concluded knowledge regarding nursing license has a significant association with checking of license status at p<0.05 level.On other hand, practice regarding nursing license had no significant association with demographic variables at p<0.05 level. Conclusion: It is inevitable to gain nursing license and do its renewal, as it will monitor minimum competencies and provides assurance to the public that predetermined standards have been met. Keywords: Nursing, license, renewal, staff nurses

scholarly journals Pressure Ulcer Assessment and Documentation

2015 ◽  
Author(s):  
Cynthia Ruggiero
Keyword(s):  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Adult Learning Theory ◽  
Stage Iv ◽  
Staff Nurses ◽  
Advanced Practice ◽  
Accurate Assessment ◽  
Post Intervention ◽  
Nursing Activity ◽  
Hospital Acquired

<p>Accurate assessment and documentation of skin is an important nursing activity yet the task of identifying and documenting wounds can be difficult. New regulations from the Centers for Medicare and Medicaid dictate that hospitals will not receive payment for the treatment of stage III or stage IV hospital-acquired pressure ulcers. Literature supports that accurate assessment and documentation of a pressure ulcer is important to the care of the patient, to provide legal documentation, and for reimbursement. The purpose of this project was to develop and implement a pressure ulcer assessment and documentation pocket guide. The development of the pocket guide was guided by Malcolm Knowles’ adult learning theory and developed by evaluating different pocket guides, the NPUAP website, and evidence based literature. The project employed an intervention, post intervention evaluation design. The sample was drawn from nurse members of the Pressure Ulcer Prevalence Committee at the Miriam Hospital in Providence, RI. Nurse members of the committee who agreed to participate utilized the Pressure Ulcer Assessment and Documentation Pocket Guide to assess patients during the monthly meeting and then completed an evaluation. The guide was evaluated as being valuable in assessing and documenting pressure ulcers and it was recommended for distribution to staff nurses. Use of the tool has the potential to improve assessment, identification, and documentation of pressure ulcers. Implications for advanced practice are discussed.</p>

scholarly journals Nurses’ knowledge of pressure ulcer and its associated factors at Hawassa University Comprehensive Specialized Hospital Hawassa, Ethiopia, 2018.

2019 ◽  
Author(s):  
Tarkie Abebe Walle ◽  
Ezedin Molla Muhammed ◽  
Berhanu Boru Bifftu ◽  
Yemataw Zewdu Temachu
Keyword(s):  
Pressure Ulcer ◽  
Associated Factors ◽  
Pressure Ulcers ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Cross Sectional ◽  
Specialized Hospital ◽  
The Mean ◽  
Hawassa University ◽  
Nurses Knowledge

Abstract Introduction Pressure ulcer is largely avoidable, but its prevalence rate increased more than 80% in a thirteen years study. Nurses have a great position to advance best practices towards the prevention of pressure ulcers. Therefore they should be knowledgeable of the signs and symptoms of pressure ulcers, and preventive strategies to reduce its incidence, but there is limited evidence on nurses’ knowledge and its associated factors to prevent pressure ulcer in Ethiopia.Objectives The study aimed to assess nurses' knowledge and associated factors towards pressure ulcer prevention at Hawassa University Comprehensive Specialized Hospital, Hawassa, Ethiopia, 2018.Methods A hospital-based cross-sectional study was conducted from March 25 – April 23/ 2018. A total of 356 nurses were selected by stratification with a simple random sampling technique. Pretested structured questionnaire with closed and open-ended questions was used to collect data. Frequency distribution and percentage were computed to describe each variable. Bivariate and multivariable logistic regression with a 95% confidence interval was also carried out to see the effect of each independent variable on the dependent variable and declared statistical significant association with P< 0.05.Result The mean knowledge score of nurses was 25.22 out of 41 item questions. Fifty-two point five percent of nurses score above the mean. Males [AOR=0.44, 95% CI (0.26 – 0.73)], working a maximum of eight hours [AOR= 3.57, 95% CI (1.48 – 8.61), not having training [(AOR= 2.31, 95% CI (1.14 – 4.61)], Low salary [AOR= 3.47, 95% CI (1.03 – 11.67)] were significantly associated with inadequate knowledge.Conclusion Generally a nurse's knowledge of pressure ulcer was inadequate. Being female, working less than or equal to eight hours, not having the training and low working salary are contributors to a low level of knowledge for pressure ulcer.

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.

scholarly journals Knowledge and practices of bed sore prevention among staff nurses working in a selected hospital, Ludhiana, Punjab, India

2017 ◽  
Vol 6 (4) ◽  
pp. 18-23
Author(s):  
R Shrestha
Keyword(s):  
Pressure Ulcers ◽  
Sampling Technique ◽  
Staff Nurses ◽  
Cross Sectional ◽  
Medical College ◽  
Special Unit ◽  
Costs Of Treatment ◽  
Level Of Knowledge ◽  
Theory Practice Gap ◽  
General Wards

The majority of pressure ulcers are preventable. Nurses should be able to constantly observe their client’s skin for breaks or impairment in skin integrity. Pressure ulcers not only cause suffering to the patients but also increases nurses’ work­load in clinical setting. Prevention of pressure ulcers is a significant nursing concern to reduce the costs of treatment and patients’ suffering. To assess the level of knowledge and observe the practices of bed sore prevention among staff nurses working in general wards as well as special units. A descriptive, cross sectional and participating observational method was adopted. This study was conducted in Christian Medical College & Hospital, Ludhiana, Punjab, India among 60 staff nurses working in general wards and special units. Non probability, purposive sampling technique was used. Semi structured self administered questionnaire was developed for assessing knowledge and observation checklist was developed for practice of bed sore prevention for data collection procedure. Data were entered in SPSS 17.0 version and analyzed using in terms of descriptive (Frequency, percentage, mean, standard deviation and mean percentage) and inferential statistics (Inde­pendent t test, ANOVA and correlation). Findings highlight a difference in knowledge between special (73%) and general (62%) based nurses regarding pressure ulcers. Similar results were also found for practice. Overall discrepancies between knowledge (68%) and practice (53%) were reported for staff nurses regarding bed sore prevention. The results showed special unit nurses’ practice significantly better (60.29%) than general ward nurses (46.68%). Although 40% of overall staff nurses achieved excellent level on knowledge, none of them crossed the excellent level on practice. It is concluded that knowledge and practice of bed sore prevention among nurses working within specialists and generalist ward differed and a theory practice gap exists which has implications for patients care suggesting the need for a specific educational interven­tion to respond to this need. 

scholarly journals The Effect Analysis of Braden Scale on Pressure Ulcer in Community-Dwelling Older Adults

2020 ◽  
Vol 11 (2) ◽  
pp. 83-88
Author(s):  
Desri Kristina Silalahi ◽  
Husneni Mukhtar ◽  
Sheizi Prista Sari ◽  
Eka Afrima Sari ◽  
Dandi Trianta Barus
Keyword(s):  
Pressure Ulcer ◽  
Pressure Ulcers ◽  
Health Workers ◽  
Multiple Linear Regression Model ◽  
Sensory Perception ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Cross Sectional ◽  
Braden Scale

The research aimed to analyze the Braden Scale on the incidence of compressive wounds in elderly people who lived in homes, whether they were or not under the supervision of health workers. The research was analytic with a cross-sectional study. With the purposive sampling technique, the data collection was carried out from several areas in Bandung from October to November 2017. Moreover, the analysis used was multiple regression to see the effect of the Braden Scale on pressure ulcers. The multiple linear regression model was also tested. The results show that 48,22% of pressure ulcer factors can be influenced by sensory perception, humidity, activity, mobility, nutrition, and friction. Sensory perception, activity and friction have significant influence on incidence of pressure ulcers. Meanwhile, the humidity, mobility, and nutrition do not significantly influence it.

scholarly journals Knowledge, attitude, and utilization of drugs toward COVID-19 pandemic among Bale Zone residents, Southeast Ethiopia

2021 ◽  
Vol 9 ◽  
pp. 205031212110343
Author(s):  
Ayele Mamo ◽  
Mesud M Hassen ◽  
Ahmednur Adem ◽  
Zinash Teferu ◽  
Musa Kumbi ◽  
...  
Keyword(s):  
Drug Use ◽  
Severe Acute Respiratory Syndrome ◽  
Good Practice ◽  
Binary Logistic Regression ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Health Problems ◽  
P Value ◽  
Cross Sectional ◽  
Bale Zone

Background: Coronavirus disease is a highly transmittable and pathogenic viral infection caused by severe acute respiratory syndrome coronavirus 2, which poses therapeutic dilemmas. Some suggestions for drug treatment seem problematic. Beliefs about the causes of health problems are determinants of treatment seeking decisions. Hence, one of the alternatives for the solution of health problems is employing traditional medicine to prevent coronavirus disease 19. Objective: To assess the knowledge, attitude, and utilization of drugs toward the coronavirus disease 19 pandemic among Bale zone residents. Methods: Community-based cross-sectional study was conducted among the Bale Zone population from May 30 to June 30, 2020. Eight hundred fifty-four participants were selected using a single population formula, and a multistage sampling technique was employed. Data were analyzed using SPSS version 25.0. Descriptive and binary logistic regression was used to analyze the outcomes. A p value ⩽ 0.05 was considered statistically significant. Results: Out of the total 854 respondents, about 534 (62.5%) got information about coronavirus disease 19 from TV/radio. More than two-thirds (71.9%) of the respondents have known that severe acute respiratory syndrome coronavirus 2 has no curative drugs, and 65.4% had a more appropriate attitude toward overall drug use in coronavirus disease 19. Level of education and, attitude towards drug use were singnificantly associated with knowledge of drugs, source of information about coronavirus disease 19 and having good practice were significantly associated with atittude toward drug utilization. Conclusion: One out of two study participants have good knowledge regarding drugs to the coronavirus disease 19 pandemic. Illiterate people in the community were identified to have poor knowledge about drugs, hence community educuation program is important to improve the knowledge about drugs towards the coronavirus disease 19 pandemic.

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