Pressure Ulcer: Nurses Knowledge and Attitude Towards Preventive Measures in Intensive Care Units in Palestine.
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Date
2019-10-17
Authors
Al-Shaikh, Kefaya
Journal Title
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Volume Title
Publisher
An-Najah National University
Abstract
Background: Pressure ulcer (PrUs) is a common complication caused by immobilization, nutrition deficiency and under sedation for long periods in the ICU. PrUs are one of the major topics which are discussed among the medical field when speaking about quality of care and patient safety in almost all healthcare settings worldwide.
Purpose: This study aims to assessing the ICU nurse’s knowledge and attitude towards PrUs, preventive measures, and the impact of an educational program on nurse knowledge and attitude level toward PrUs prevention.
Method: Quasi-experimental design was used. Ninety-one ICU nurses were selected from four hospitals in Palestine. Nurses' knowledge about PrUs were measured by an international scale developed by Pieper –Zulkowski. In addition, nurses attitude was measured by Moore and Price scale.
Results: The analysis of the study displayed inadequate nurses knowledge to PrUs prevention. The mean of nurses knowledge in intervention group were 36.6(SD=9.2) and 38.6 (SD=7.4) in control group, while the attitude is slightly positive. In contrast results, It appeared to be statically significant increasing in level of knowledge in all sub scale (wound, staging, prevention) which is the mean score as 67.1(SD=5) in intervention group while to be the same at control group as 38.6 (SD=7.4) and attitude level increased which is positive. Moreover, the results of repeating the test after a month from introducing the education program showed the mean score as 49.18(SD=7.5) which is lower than post-test that occur at the end of each session of education but still more than pre education test .
Conclusion: A PrUs educational program is an effective tool for nurses. It provides a chance to improve the understanding of PrUs; it is remained aware of the evolution of knowledge in order to alleviate the suffering of the patient. Moreover, PrUs education programs can help nurses to acquire professional attitudes that will enable them to improve the quality of nursing care, thus reducing the burden on patient, family, nurses, and workplace.
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Keywords
Pressure Ulcer , knowledge , attitude , assess , effectiveness , prevention , staff nurses , educational program