Determination of Knowledge of Nurses Working in Surgical Clinics on Preventing Pressure Injuries

Year 2022, , 216 - 224, 31.08.2022

Zehra Başayar Gülay Yazıcı

https://doi.org/10.31125/hunhemsire.1167340

Cited By: 1

Abstract

Aim: This study was conducted to determine the knowledge of nurses working in surgical clinics about pressure injuries, prevention, and treatment.
Material and Methods: The research sample consisted of 360 nurses working in surgical clinics in a public hospital in Ankara. In the data collection, forms prepared by the researcher by reviewing the literature and taking current guidelines as a source, containing questions to determine the socio-demographic characteristics of nurses and their level of knowledge about pressure injuries, were used. The data were analyzed by number, percentile, Kruskal Wallis H test, and Mann-Whitney U test.
Results: The average score of nurses taken from the questions about pressure injuries was found as 51.98±14.52. It was seen that the themes in which average scores are lowest are etiology and risk factors, and the themes in which average scores are highest are treatment and care. It was determined that there was a statistically significant difference between the age, gender, education level, and previous education about pressure injury and the knowledge score averages of the nurses.
Conclusion: In preventing pressure injuries, one of the health care quality indicators, nurses' knowledge and ability to identify risk factors are directly effective in prevention, treatment, and care. In parallel with the developments in science and technology, it is recommended to review the current literature on this subject, organize in-service training programs based on current guidelines, encourage nurses’ participation in courses or certificate programs, and inform them about in-house policies and procedures.

Keywords

Knowledge, nursing, pressure injuries, surgery

Cerrahi Kliniklerde Çalışan Hemşirelerin Basınç Yaralanmalarını Önlemeye Yönelik Bilgi Düzeylerinin Belirlenmesi

Abstract

Amaç: Bu çalışma cerrahi kliniklerde çalışan hemşirelerin basınç yaralanmaları, önlenmesi ve tedavisine yönelik bilgi düzeylerinin belirlenmesi amacıyla yapıldı.
Gereç ve Yöntem: Araştırmanın örneklemini Ankara’da bir kamu hastanesinde cerrahi kliniklerde çalışan 360 hemşire oluşturdu. Verilerinin toplanmasında araştırmacı tarafından literatür taranarak ve güncel rehberler kaynak alınarak hazırlanan, hemşirelerin sosyo-demografik özellikleri ile basınç yaralanmalarına ilişkin bilgi düzeylerini saptamaya yönelik soruların yer aldığı formlar kullanıldı. Elde edilen veriler SPSS (Statistical Package for Social Sciences) programında; sayı, yüzdelik, Kruskal Wallis H testi ve Mann Whitney U testi ile analiz edildi.
Bulgular: Hemşirelerin basınç yaralanmasına yönelik sorulardan aldıkları puanların ortalaması 51.98±14.52 olarak saptandı. Puan ortalamalarının en düşük olduğu temanın etiyoloji ve risk faktörleri, en yüksek olduğu temanın ise tedavi ve bakım olduğu görüldü. Yaş, cinsiyet, eğitim durumu ve basınç yaralanması ile ilgili daha önce eğitim alma durumu ile hemşirelerin bilgi puan ortalamaları arasında istatiksel olarak anlamlı düzeyde fark olduğu belirlendi.
Sonuç: Sağlık bakım kalite göstergelerinden biri olan basınç yaralanmalarının önlenmesinde hemşirelerin bilgi yönünden donanımlı olması, risk faktörlerini tanımlayabilmesi; önleme, tedavi ve bakımda doğrudan etkili olmaktadır. Bilim ve teknolojideki gelişmelere paralel olarak bu konu ile ilgili güncel literatürün taranıp, güncel rehberlere dayanılarak hazırlanan hizmet içi eğitim programlarının düzenlenmesi, kurs ya da sertifika programlarına katılımının teşvik edilmesi ve kurum içi politika ve prosedürlerine ilişkin hemşirelerin bilgilendirilmesi önerilmektedir.

Keywords

Basınç yaralanması, bilgi düzeyi, cerrahi, hemşirelik

References

• Quick Reference Guide. DIGITAL-NPUAP-EPUAPPPPIA. [Internet]. [Erişim Tarihi: 22.11.2020]. Erişim adresi: http://www.npuap.org/wpcontent/uploads/2014/08/Updated-10-16-14-Quick Reference-Guide-DIGITAL-NPUAP-EPUAPPPPIA-16Oct2014.pdf.
• Black JM, Edsberg LE, Baharestani MM, Langemo D, Goldberg M, McNichol L, Cuddigan J. National Pressure Ulcer Advisory Panel. Pressure ulcers: avoidable or unavoidable? Results of the National Pressur Ulcer Advisory Panel Consensus Conference. Ostomy Wound Manage. 2011;57(2):24-37.
• Vanderwee, K, Clark, M, Dealey, C, Gunningberg, L, Defloor, T. Pressure ulcer prevalence in Europe: a pilot study. J Eval Clin Pract. 2007;13(2):227-35.
• Alderden J, Cummins M, Zaratkiewicz S, ‘Lucy’ Zhao Y, Drake K, Yap TL. Hospital-Acquired Pressure Injury Development Among Surgical Critical Care Patients Admitted With Community-Acquired Pressure Injury. J Wound, Ostomy Cont Nurs. 2020;47(5):470-6.
• European Pressure Ulcer Advisory Panel (EPUAP), National Pressure Ulcer Advisory Panel (NPUAP). Pressure ulcer prevention: quick referance guide, 2009; 1-24. [Internet]. [Erişim Tarihi: 22.11.2020]. Erişim adresi: http://www.epuap.org/guidelines/Final_Quick_Prevention.pdf.
• Kim JY, Lee YJ. A study on the nursing knowledge, attitude, and performance towards pressure ulcer prevention among nurses in Korea longterm care facilities. Int Wound J. 2019;16(1):35.
• Hopkins A, Dealey C, Bale S, Defloor T, Worboys F. Patient stories of living with a pressure ulcer. JAN. 2006;56(4):345-53.
• Schuurman JP, Schoonhoven L, Defloor T, van Engelshoven I, van Ramshorst B, Buskens E. Economic evaluation of pressure ulcer care: A Cost Minimization Analysis of Preventive Strategies. Nurs Econ. 2009;27(6):390-415.
• Coleman S, Gorecki C, Nelson EA, Closs SJ, Defl oor T. Patient risk factors for pressure ulcer development: Systematic review. Int J Nurs Stud.. 2013;50:974-1003.
• Girouard K, Harrison MB, VanDenKerkof E. The Symptom of Pain with Pressure Ulcers: A Review of the Literature. Ostomy Wound Manage. 2008;54(5):30-42.
• Center for transforming health care. Joint commission-center-for-transforming-healthcare-leading-hospitals-partner. [Internet]. [Erişim Tarihi: 12.11.2020]. Erişim adresi: https://www.centerfortransforminghealthcare.org/press-room/news/2020/10/joint commission-center-for-transforming-healthcare-leading-hospitals-partner/.
• Yara, Ostomi, İnkontinans Hemşireleri Derneği. Ulusal Basınç Yaralanması Prevalans Çalışması. [Internet]. 2020 [Erişim Tarihi]. Erişim adresi: https://www.yoihd.org.tr/haber.aspx?id=94.
• Baykara ZG, Karadağ A, Çelik SS, Güler S, Ay A, Gül S ve ark. Impact of tailored training about pressure injuries on nurses’ knowledge levels and pressure injury point prevalence: The case of Turkey. J Tissue Viability.. 2021;30(4):552-8.
• Uzun Ö, Tan M. A Prospective, Descriptive Pressure Ulcer Risk Factor and Prevalence Study at a University Hospital in Turkey. Ostomy Wound Manage. 2007;53(2):44-56.
• İnan GD. Çukurova Üniversitesi Balcalı Hastane’sinde Yatan Hastalarda Basınç Ülserleri Prevelansı. [Yüksek Lisans Tezi]. Adana: Çukurova Üniversitesi Sağlık Bilimleri Enstitüsü; 2009.
• Tokgöz O, Demir O. Nöroloji Yoğun Bakım Ünitesinde Bası Yara İnsidansı ve Risk Faktörleri. Selçuk Tıp Dergisi. 2010;26(1):95-8.
• Katran HB. Bir cerrahi yoğun bakım ünitesinde bası yarası görülme sıklığı ve bası yarası gelişimini etkileyen risk faktörlerinin irdelenmesi. JAREN. 2015;1(1):8-14.
• Karadağ M, Gümüşkaya N. The Incidance of Pressure Ulcer in Surgical Patients: A Sample Hospital in Turkey. JCN. 2006;15:413-21.
• Bulfone, G, Marzoli, I, Quattrin, R, Fabbro, C, Palese, A. A longitudinal study of the incidence of pressure sores and the associated risks and strategies adopted in Italian operating theatres. J Perioper Pract. 2012;22(2):50-6.
• Demirel M, Demiralp CÖ, Yormuk E. 2000-2005 yılları arası bası yaraları: klinik deneyimler. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2007;60:81-7.
• Kandemir D, Yüksel S. Ameliyat Kaynaklı Basınç Yaralanmalarını Önlemede Etkili Kanıt Temelli Girişimler. HUHEMFAD. 2021;8(1):85-92.
• Basınç Ülserlerinin/Yaralarının Önlenmesi ve Tedavisi: Hızlı Başvuru Kılavuzu [Internet]. 2019 [Erişim Tarihi 10 Nisan 2022]. Erişim adresi: https://www.epuap.org/wp-content/uploads/2021/01/qrg-2019-turkish.pdf.
• Guideline. The National Pressure Injury Advisory Panel (NPİAP) [Internet]. 2019 [Erişim Tarihi 10 Nisan 2022]. Erişim adresi: https://npiap.com/page/2019Guideline.
• Tschannen, D, Bates, O, Talsma, A, Guo, Y. Patient-specific and surgical characteristics in the development of pressure ulcers, AJCC. 2012;21(2):116-25.
• Spruce, L. Back to basics: preventing perioperative pressure injuries, AORN Journal. 2017;105(1):92-9.
• O’Brien DD, Shanks AM, Talsma A, Brenner PS, Ramachandran SK. Intraoperative risk factors associated with postoperative pressure ulcers in critically ill patients: a retrospective observational study. Criti Care Med. 2014;42(1):40-7.
• Çınar M, Şahin SK, Aslan FE. Yoğun Bakım Ünitesi’nde Basınç Yarasının Önlenmeye Yönelik Türkiye’de Yapılmış Çalışmaların İncelenmesi. Balıkesir Sağlık Bil Derg. 2018;7(1):42-50.
• Saleh MY, Qaddumi JAS, Anthony D. An interventional study on the effects of pressure ulcer education on Jordanian registered nurses’ knowledge and practice. Procedia-Social and Behavioral Sciences. 2012;47:2196-206.
• Gül Ş. Cerrahi Girişim Uygulanan Hastalarda Basınç Ülseri Gelişiminin Önlenmesi. HUHEMFAD. 2014;1(3):54–61.
• Aydoğan S, Çalışkan N. A descriptive study of Turkish intensive care nurses’ pressure ulcer prevention knowledge, attitudes, and perceived barriers to care. Wound Manag Prev. 2019;65(2):39–47.
• Barakat-Johnson M, Barnett C, Wand T, White K. Knowledge and attitudes of nurses toward pressure injury prevention: a cross-sectional multisite study. J Wound, Ostomy Cont Nurs. 2018;45(3):233-7.
• Tirgari B, Mirshekari L, Forouzi M. A. Pressure injury prevention: knowledge and attitudes of Iranian intensive care nurses. Adv Skin Wound Care. 2018;31(4):1-8.
• De Meyer D, Verhaeghe S, Hecke AV, Beeckman D. Knowledge of nurses and nursing assistants about pressure ulcer prevention: A survey in 16 Belgian hospitals using the PUKAT 2.0 tool. J Tissue Viability. 2019;28:59-69.
• Halasz BG, Beresva A, Tkacova L, Magurova D, Lizakova L. Nurses’ Knowledge and Attitudes towards Prevention of Pressure Ulcers. Int. J. Environ. Res. Public Health 2021;18:1705.
• Moharremzadeh H, Heiderzadeh M, Aghamohammedi-Kalkhoran M. Investigating the Psychometric Properties of the Pieper-Zulkowski Pressure Ulcer Knowledge Test among Nurses in Iran. Adv Skin Wound Care. 2021;34(3):1-6.
• Iranmanesh S, Abdoli Tafti A, Rafiei H, Dehghan M, Razban F. Orthopaedic nurses‘ knowledge about pressure ulcers in Iran: a cross-sectional study. JWC. 2013;22(3):138-43.
• Mwebaza I, Katende G, Groves S, Nankumbi J. Nurses’ knowledge, practices, and barriers in care of patients with pressure injuries in a Ugandan teaching hospital. Nurs Res Pract. 2014;1-6.
• Tülek Z, Polat C, Özkan G, Theofanidis D, Togrol RE. Validity and reliability of the Turkish version of the pressure ulcer prevention knowledge assessment instrument. J Tissue Viability. 2016;25:201-8.
• Hanönü S, Karadağ A. A prospective, descriptive study to determine the rate and characteristics of and risk factors for the development of medical device-related pressure ulcers in intensive care units. OWM. 2016;62(2):12-22.
• Mallah, Z, Nassar, N, Badr, LK. The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: controlled before and after study. Appl Nurs Res. 2015,28(2):106-13.
• Miller, N, Frankenfield, D, Lehman, E, Maguire, M, Schirm, V. Predicting pressure ulcer development in clinical practice. JWOCN. 2016;43(2):133-9.
• Moore Z, Price P. (2004). Nurses’ attitudes, behaviours and perceived barriers towards pressure ulcer prevention. JCN. 13(1):942-51.
• Sağlıkta Kalite Standartları. [Internet]. [Erişim Tarihi: 07.11.2020]. Erişim adresi: https://shgmkalitedb.saglik.gov.tr/Eklenti/38654/0/skshastanesetiv62020revize29082020pdflinkpdf.pdf.
• Rao AD, Preston AM, Strauss R, Stamm R, Zalman DC. Risk factors associated with pressure ulcer formation in critically ill cardiac surgery patients: a systematic review. JWOCN. 2016;43(3):242-7.
• Gunningberg L, Martensson G, Mamhidir AG, Florin J, Athlin A Muntlin, Baath 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.
• 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(1):17.
• Beeckman D, Defloor T, Schoonhoven L, Vanderwee K. Knowledge and attitudes of nurses on pressure ulcer prevention: A cross-sectional multicenter study in Belgian hospitals. Worldviews on Evid Based Nurs. 2011;8(3):166-76.
• Kallman U, Suserud BO. Knowledge, attitudes and practice among nursing staff concerning pressure ulcer prevention and treatment–a survey in a Swedish healthcare setting. Scand J Caring Sci. 2009;23(2):334-41.
• Lawrence P, Fulbrook P, Miles S. A survey of Australian nurses' knowledge of pressure injury/pressure ulcer management. JWOCN. 2015;42(5):450-60.
• 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.
• Ebi WE, Hirko GF, Mijena DA. Nurses‘knowledge to pressure ulcer prevention in public hospitals in Wollega: A cross-sectional study design. BMC Nurs. 2019;18:20.
• Bales I, Padwojski A. Reaching for the mtxjn: achieving zero pressure ulcer prevalence. JWC. 2009;18(4):l37-44.
• Ünver S, Fındık ÜY, Kızılcık Özkan Z, Sürücü Ç. Attitudes of surgical nurses towards pressure ulcer prevention. J Tissue Viability. 2017;26(4):277-81.
• Aydın AK, Karadağ A, Gül S, Avşar P, Baykara ZG. Nurses' knowledge and practices related to pressure injury: a cross-sectional study. JWOCN. 2019;46(2):117-23.