DOI QR코드

DOI QR Code

Effects of Pressure Ulcer Classification System Education Program on Knowledge and Visual Discrimination Ability of Pressure Ulcer Classification and Incontinence-Associated Dermatitis for Hospital Nurses

욕창 분류체계교육프로그램이 병원간호사의 욕창 분류체계와 실금관련 피부염에 대한 지식과 시각적 감별 능력에 미치는 효과

  • Received : 2014.10.01
  • Accepted : 2014.10.30
  • Published : 2014.11.28

Abstract

Purpose: The purpose of this study was to examine the effects of pressure ulcer classification system education on hospital nurses' knowledge and visual discrimination ability of pressure ulcer classification system and incontinence-associated dermatitis. Methods: One group pre- and post-test was used. A convenience sample of 96 nurses participating in pressure ulcer classification system education, were enrolled in single institute. The education program was composed of a 50-minute lecture on pressure ulcer classification system and case-studies. The pressure ulcer classification system and incontinence-associated dermatitis knowledge test and visual discrimination tool, consisting of 21 photographs including clinical information were used. Paired t-test was performed using SPSS/WIN 18.0. Results: The overall mean difference of pressure ulcer classification system knowledge (t=4.67, p<.001) and visual discrimination ability (t=10.58, p<.001) were statistically and significantly increased after pressure ulcer classification system education. Conclusion: Overall understanding of pressure ulcer classification system and incontinence-associated dermatitis after pressure ulcer classification system education was increased, but tended to have lack of visual discrimination ability regarding stage III, suspected deep tissue injury. Differentiated continuing education based on clinical practice is needed to improve knowledge and visual discrimination ability for pressure ulcer classification system, and comparison experiment research is required to evaluate its effects.

Keywords

Pressure ulcer;Nurses;Knowledge;Dermatitis

References

  1. Beeckman, D., Schoonhoven, L., Boucque, H., Maele, G. V., & Defloor, T. (2008). Pressure ulcer: E-learning to improve classification by nurses and nursing students. Journal of Clinical Nursing, 17(13), 1697-1707. http://dx.doi.org/10.1111/j.1365-2702.2007.02200.x https://doi.org/10.1111/j.1365-2702.2007.02200.x
  2. Altun, I., & Zencirci, D. A. (2011). Knowledge and management of pressure ulcers: Impact of lecture-based interactive workshops on training of nurses. Advances in Skin & Wound Care, 25(6), 262-266. http://dx.doi.org/10.1097/01.ASW.0000398664.7 4153.ce https://doi.org/10.1097/01.ASW.0000398664.74153.ce
  3. Aydin, A. K., & Karadag, A. (2010). Assessment of nurses' knowledge and practice in prevention and management of deep tissue injury and stage I pressure ulcer. Journal of Wound, Ostomy, and Continence Nursing, 37(5), 487-494. https://doi.org/10.1097/WON.0b013e3181edec0b
  4. Baumgarten, M., Margolis, D. J., Localio, A. R., Kagan, S. H., Lowe, R. A., Kinosian, B., et al. (2006). Pressure ulcers among elderly patients early in the hospital stay. The Journals of Gerontology. Series A, Biological Sciences & Medical Sciences, 61(7), 749-754. http://dx.doi.org/10.1093/gerona/61.7.749 https://doi.org/10.1093/gerona/61.7.749
  5. Chianca, T. C., Rezende, J. F., Borges, E. L., Nogueira, V. L., & Caliri, M. H. (2010). Pressure ulcer knowledge among nurses in a Brazilian university hospital. Ostomy Wound Management, 56(10), 58-64.
  6. Defloor, T., & Schoonhoven, L. (2004). Inter-rater reliability of the EPUAP pressure ulcer classification system using photographs. Journal of Clinical Nursing, 13(8), 952-959. http://dx.doi.org/10.1111/j.1365-2702.2004.00974.x https://doi.org/10.1111/j.1365-2702.2004.00974.x
  7. Hopkins, A., Dealey, C., Bale, S., Defloor, T., Worboys, F. (2006). Patient stories of living with a pressure ulcer. Journal of Advanced Nursing, 56(4), 345-353. http://dx.doi.org/10.1111/j.1365-2648.2006.04007.x https://doi.org/10.1111/j.1365-2648.2006.04007.x
  8. Defloor, T., Schoonhoven, L., Katrien, V., Weststrate, J., & Myny, D. (2006). Reliability of the European Pressure Ulcer Advisory Panel classification system. Journal of Advanced Nursing, 54(2), 189-198. http://dx.doi.org/ 10.1111/j.1365-2648.2006.03801.x https://doi.org/10.1111/j.1365-2648.2006.03801.x
  9. Gray, M., Bohacek, L., Weir, D., & Zdanuk, J. (2007). Moisture vs pressure: making sense out of perineal wounds. Journal of Wound Ostomy Continence Nursing, 34, 134-142. https://doi.org/10.1097/01.WON.0000264824.95860.9e
  10. Gray, M. (2010). Optimal management of incontinence-associated dermatitis in the elderly. American Journal of Clinical Dermatology, 11(3), 201-210. http://dx.doi.org/10.2165/11311010-000000000-00000 https://doi.org/10.2165/11311010-000000000-00000
  11. Kim, M. S., & Chung, S. S. (2013). Empowerment of clinical nurses' knowledge of pressure ulcer staging by phtographic-centered education. The Proceedings of the Congress Aisa Pacific Enterostomal Therapy Nurses Association, Seoul, Korea
  12. Kim, S. S. (2003). Evaluating the predictive validity for the new pressure sores risk assessment scale, Unpublished master's thesis. Chung-Ang University, Seoul.
  13. Lee, E. J., & Yang, S. O. (2011). Clinical knowledge and actual performance of pressure ulcer care by hospital nurses. Journal of Korean Clinical Nursing Research, 17(2), 251-261.
  14. Lee, Y. J., Kim, J. Y., & Lee, T. W. (2011). Inter-rater reliability of the pressure ulcer classification system. Journal of Korean Wound Management Society, 7(2), 75-80.
  15. Lee, Y. J., Park, S. M., Kim, J. Y., Kim, C. G., & Cha, S. K. (2013). Clinical nurses' knowledge and visual differentiation ability in pressure ulcer classification system and incontinence-associated dermatitis. Journal of Korean Academy of Nursing, 43(4), 526-535, http://dx.doi.org/10.4040/jkan.2013.43.4.526 https://doi.org/10.4040/jkan.2013.43.4.526
  16. Richbourg, L., Smith, J., & Dunzweiler, S. (2011). Suspected deep tissue injury evaluated by North Carolina WOC nurses: A descriptive study. Journal of Wound, Ostomy and Continence Nursing, 38(6), 655-660. http://dx.doi.org/10.1097/WON.0b013e31823429e7 https://doi.org/10.1097/WON.0b013e31823429e7
  17. Sinclair, L., Berwiczonek, H., Thurston, N., Butler, S., Bulloch, G., Ellery, C., et al. (2004). Evaluation of an evidence-based education program for pressure ulcer prevention. Journal of Wound Ostomy & Continence Nursing, 31(1), 43-50. https://doi.org/10.1097/00152192-200401000-00007

Cited by

  1. Effects of pressure ulcer classification system education programme on knowledge and visual differential diagnostic ability of pressure ulcer classification and incontinence-associated dermatitis for clinical nurses in Korea vol.13, 2016, https://doi.org/10.1111/iwj.12546
  2. A Structural Equation Model of Pressure Ulcer Prevention Action in Clinical Nurses vol.46, pp.4, 2016, https://doi.org/10.4040/jkan.2016.46.4.572
  3. Use of prophylactic silicone adhesive dressings for maintaining skin integrity in intensive care unit patients: A randomised controlled trial vol.16, pp.17424801, 2019, https://doi.org/10.1111/iwj.13028