• Journal of Korean Biological Nursing Science
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• v.16 no.4
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• pp.342-348
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• 2014

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.

• Journal of Korean Academy of Nursing
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• v.43 no.4
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• pp.526-535
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• 2013

Purpose: This study was done to compare clinical nurses' knowledge and visual differentiation diagnostic ability for the pressure ulcer classification system (PUCS) and incontinence-associated dermatitis (IAD). Methods: A convenience sample of 602 nurses took the pressure ulcer classification system and incontinence-associated dermatitis knowledge test (PUCS & IAD KT) and completed the visual differentiation tool (VDT), consisting of 21 photographs with clinical information. Results: The overall mean score for correct answers was 14.5 (${\pm}3.2$) in PUCS & IAD KT and 11.15 (${\pm}4.9$) in PUCS & IAD VDT. Incorrect responses were most common for statements related to stage III, IAD for PUCS & IAD KT, and suspected deep tissue injury (SDTI), unstageable, and stage III for PUCS & IAD VDT. Significant correlations were found between PUCS & IAD KT and VDT (r=.48, p<.001). Factors affecting scores for PUCS & IAD VDT were PUCS & IAD KT, frequency of pressure ulcer, IAD management and participation in wound care education programs. Conclusion: Results indicate that nurses have an overall understanding of PUCS & IAD, but low visual differentiation ability regarding stage III, SDTI, and unstageable ulcers. Continuing education is needed to further improve knowledge and visual differentiation ability for PUCS & IAD.