Background: Patient safety has become an area of interest in many countries. One of the most important types of patient safety is pressure ulcers that constitute an important sanitary problem that daily affects the patients and the health care systems. Several studies have indicated that nurses' knowledge, perception and practices about pressure ulcer (PU) prevention are inadequate. Therefore, the aim of this study is to assess nurses' knowledge, perception and practices regarding pressure ulcer at the Intensive Care Units (ICUs) of Mansoura Emergency Hospital. Material and Methods: A descriptive exploratory design was used to conduct this study on fifty nurses who involved in providing direct care for critically ill patients in Mansoura Emergency Hospital. Three tools were used for data collection: knowledge questionnaire, perception questionnaire and observation checklist. Results: the findings showed that three quarters of nurses had unsatisfactory knowledge, perception and practice regarding pressure ulcer prevention. Positive correlation was found between nurses' knowledge and perception (r=.417 , p=.003). In contrast no correlation existed between nurses' knowledge and practices (r=-.059, p= .682). Conclusion: there is need for continuing education to upgrade nurses' knowledge, increase their perception and improve their practices regarding pressure ulcer prevention. Recommendations: enrichment of nurses' knowledge, perception and practices related to pressure ulcer prevention to be the cornerstone in care of critically ill patients. As well, replication of this study on large probability sample.
Foot massage is considered one of the essential complementary modalities that became an issue of concern in critical care settings, it is non-invasive, simple to use, less expensive, and produces few risks or complications. This research aimed to determine the effect of foot massage on pain severity,hemodynamic parameters, and the length of mechanical ventilation weaning time among patients in critical care settings. Methods: Quasi-experimental design was used in three intensive care units affiliated with Mansoura Emergency Hospital.A convenience sample of 62 critically ill patients was enrolled and chosen at random to the foot massage group and the control group. Data were collected using the patients' demographic, and health-relevant data; the hemodynamic parameters assessment sheet, mechanical ventilator weaning time, andthe behavioral pain scale tool. Results: Statistically significant differences were found in comparison to the control group and the foot massage group regarding pain score, and hemodynamic parameters at (P <0.05). Additionally, statistically significant variations in the length of MV weaning period between the two study groups were detected at (P=0.036). Conclusion:In critical care settings, foot massage is a useful strategy for reducing pain intensity, stabilising hemodynamic parameters, and reducing patients'dependence on ventilators.Recommendation: The study recommended that foot massage can be introduced as an auxiliary intervention to conventional nursing care for critically ill patients.
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