Educational intervention to assess the knowledge of intensive care nurses about pressure injury

Keywords: Pressure Ulcer; Education, Distance; Inservice Training; Information Technology; Nursing.

Abstract

Objective: to compare the knowledge of intensive care nurses about pressure injuries before and after an educational intervention. Methods: longitudinal study before and after intervention, conducted with nine intensive care nurses target of an online educational intervention on pressure injuries. Knowledge was investigated through an instrument with items on prevention, staging and evaluation of pressure injuries. Results: the average proportion of correct answers was 81.1% and 84.6% in the pre- and post-intervention evaluation, respectively. Regarding prevention, there was an average of correct answers of 25.11 (78.5%) before and 26.22 (81.9%) after the intervention. As for staging, the average of correct answers was 4.33 (86.6%) in the pre-test, and 4.66 (93.2%) in the post-test. As for evaluation of injuries, the results were the same before and after the intervention. Conclusion: after the course, the knowledge of nurses about pressure injuries, particularly in items related to staging, increased.

References

Vasconcelos JMB, Caliri MHL. Nursing actions before and after a protocol for preventing pressure injury in intensive care. Esc Anna Nery. 2017; 21(1):e20170001. doi: http://dx.doi.org/10.5935/1414-8145.20170001

Nuru N, Zewdu F, Amsalu S, Mehretie Y. Knowledge and practice of nurses towards prevention of pressure ulcer and associated factors in Gondar University Hospital, Northwest Ethiopia. BMC Nurs. 2015; 14(34):1-8. doi: http://dx.doi.org/10.1186/s12912-015-0076-8

Gunningberg L, Mårtensson G, Mamhidir AG, Florin J, Muntlin AÅ, Bååth C. Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: a descriptive, comparative multicentre study in Sweden. Int Wound J. 2015; 12(4):462-8. doi: http://dx.doi.org/10.1111/iwj.12138

Bredesen IM, Bjøro K, Gunningberg L, Hofoss D. Effect of e-learning program on risk assessment and pressure ulcer classification-A randomized study. Nurse Educ Today. 2016; 40:191-7. doi: http://dx.doi.org/10.1016/j.nedt.2016.03.008

Kaddourah B, Abu-Shaheen AK, Al-Tannir M. Knowledge and attitudes of health professionals towards pressure ulcers at a rehabilitation hospital: a cross-sectional study. BMC Nurs. 2016; 15:17. doi: http://dx.doi.org/10.1186/s12912-016-0138-6

Tayyib N, Coyer F, Lewis PA. A two-arm cluster randomized control trial to determine the effectiveness of a pressure ulcer prevention bundle for critically ill patients. J Nurs Scholarsh. 2015; 47(3):237-47. doi: http://dx.doi.org/dx.doi.org/10.1111/jnu.12136

Tubaishat A. The Effectiveness of an e-Learning Program to Improve Pressure Ulcer Classification by Nurses. Int J Humanit Soc Sci [Internet]. 2014 [cited May 13, 2019]; 4(10):293-300. Available from: http://www.ijhssnet.com/journals/Vol_4_No_10_1_August_2014/32.pdf

Gonçalves MBB, Rabeh SAN, Terçariol CAS. The contribution of distance learning to the knowledge of nursing lecturers regarding assessment of chronic wounds. Rev Latino-Am Enfermagem. 2015; 23(1):122-9. doi: http://dx.doi.org/10.1590/0104-1169.3606.2533

Rabeh SAN, Palfreyman S, Souza CBL, Bernardes RM, Caliri MHL. Cultural adaptation of the Pieper-Zulkowski pressure ulcer knowledge test for use in Brazil. Rev Bras Enferm. 2018; 71(4):1977-84. doi: http://dx.doi.org/10.1590/0034-7167-2017-0029

Costa JB, Peres HHC, Rogenski NMB, Baptista CMC. An educational proposal to teach a pressure ulcer management course online to students and nursing professionals. Acta Paul Enferm. 2009; 22(5):607-11. doi: http://dx.doi.org/10.1590/S0103-21002009000500002

Bredesen IM, Bjøro K, Gunningberg L, Hofoss D. The prevalence, prevention and multilevel variance of pressure ulcers in Norwegian hospitals: a cross-sectional study. Int J Nurs Stud. 2015; 52(1):149-56. doi: http://dx.doi.org/10.1016/j.ijnurstu.2014.07.005

Samuriwo R, Dowding D. Nurses’ pressure ulcer related judgements and decisions in clinical practice: a systematic review. Int J Nurs Stud. 2014; 51(12):1667-85. doi: http://dx.doi.org/10.1016/j.ijnurstu.2014.04.009

Morente L, Morales-Asencio JM, Veredas FJ. Effectiveness of an e-learning tool for education on pressure ulcer evaluation. J Clin Nurs. 2014; 23(13-14):2043-52. doi: http://dx.doi.org/10.1111/jocn.12450

Rafiei H, Abdar ME, Iranmanesh S, Lalegani H, Safdari A, Dehkordi AH. Knowledge about pressure ulcer prevention, classification and management: a survey of registered nurses working with trauma patients in the emergency department. Int J Orthop Trauma Nurs. 2014; 18(3):135-42. doi: http://dx.doi.org/10.1016/j.ijotn.2014.03.004

Caldini LN, Araújo TM, Frota NM, Barros LM, Silva LA, Caetano JÁ. Evaluation of educational technology on pressure injury based on assistance quality indicators. Rev Rene. 2018; 19(1):e32695. doi: http://dx.doi.org/10.15253/2175-6783.20181932695

Published
2019-08-20
Section
Research Article