Certification and Education

Zulkowski, Karen; Ayello, Elizabeth A.; Wexler, Sharon Stahl

doi:10.1097/nna.0b013e3181f37e56

Cited by 15 publications

(8 citation statements)

References 12 publications

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“…Nurses with a wound care certification had a much higher MDRPI knowledge score than nurses without a wound care certification. This result is consistent with the findings of Zulkowski et al 24 Possible reasons for this are that nurses with a wound care certification have attended more training on pressure injuries, have read books and guidelines related to pressure injuries, and are more active in updating information related to pressure injuries. 21 This result suggests that nursing administrators need to train wound specialist nurses with a wound care certification to perform wound care.…”

Section: Discussionsupporting

confidence: 91%

Knowledge of intensive care unit nurses about medical device‐related pressure injury and analysis of influencing factors

Zhang

Fang

et al. 2022

International Wound Journal

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To investigate ICU nurses' knowledge level with regard to device‐related pressure injuries in northern, central, and southern China and analyse its influencing factors. A total of 261 ICU nurses participated in this cross‐sectional survey A convenience sampling method was used to select ICU nurses as respondents from one hospital in each of the six cities of Taiyuan, Wuhan, Xianning, Guangzhou, Foshan, and Huizhou. Data were collected using the MDRPI Knowledge Questionnaire. The questionnaire was developed by the investigators based on a summary of evidence of MDRPI, which has been reviewed and validated by experts. The obtained data were analysed using SPSS software. The average rate of the correct response about MDRPI was 60.54% (15.74 ± 2.90). The lowest percentage of correct responses was on the “concept and staging” dimension rated 28% (0.56 ± 0.67). The “skin assessment” dimension rated 39.2% (1.57 ± 0.84). Multiple linear regression analysis showed that the factors influencing the MDRPI knowledge of ICU nurses included hospital grade, the highest educational attainment, whether or not they had wound care certification, when they last attended MDRPI training or lectures, and whether or not they had attended MDRPI training or lectures. The level of knowledge of nurses about MDRPI was insufficient. Training of ICU nurses on MDRPI should be emphasised at the institutional level. MDRPI training contents should be based on clinical evidence and updated timely. There is a need to focus on the training of wound care certification and education.

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Section: Discussionsupporting

confidence: 91%

Knowledge of intensive care unit nurses about medical device‐related pressure injury and analysis of influencing factors

Zhang

Fang

et al. 2022

International Wound Journal

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“…The nursing literature revealed that nurses with dedicated didactic training in wound care have improved rates of wound care knowledge, while years in practice alone do not significantly affect wound care knowledge. 19 Within our resident cohort, more years of practice corresponded to greater wound care knowledge and less improvement from pre-to post-test likely related to the increased exposure to wound care over the course of surgical residency. The COVER curriculum fosters an environment in which higher level of competencies can be trained, paralleling the Accreditation Council for Graduate Medical Education (ACGME) Surgical Milestones.…”

Section: Box 2 Cover Lab Objectivesmentioning

confidence: 81%

COVER: A Curriculum in the Management of Soft Tissue Injury and Infection for Junior Surgery Residents

Onufer

Andrade

DeClue

et al. 2021

Journal of Graduate Medical Education

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Background While wound management is a common task for practicing surgeons, there is a paucity of dedicated education on soft tissue management during residency training. Objective The COVER (Causes of soft tissue injury, Obstacles to closure, Vacuums and stitches, Epithelialization, Rationale for wound care) curriculum was developed to engage junior surgery residents in the management of soft tissue injury and infection. Methods Junior surgery residents participated in the COVER lab during academic years 2018–2020. Residents applied appropriate surgical management and wound care to cadaveric models of soft tissue injury and infection. Assessments included a pre-/post-curriculum and pre-/post-lab multiple choice questionnaire and survey. Results All eligible residents (n = 45, 27) participated in the COVER lab for both academic years. Postgraduate year (PGY)-1s, PGY-2s, and PGY-3s showed improvement in wound management knowledge with an average increase in score of 17%, 8%, and 18%, respectively. They also showed a change in their self-reported perceived ability to achieve primary soft tissue closure with confidence levels 22%, 20%, and 16%, respectively. This was again seen in perceived ability to manage soft tissue injuries and infections (28%, 28%, and 23%, respectively). There was a significant increase in performing new wound management skills (PGY-1 mean 51.3%, PGY-2 33.5%, PGY-3 20%; ANOVA, P = .0001). Conclusions The COVER curriculum provides a systematic approach to soft tissue injury and infection. Residents showed a significant increase in both soft tissue knowledge as well as confidence in ability to perform wound management.

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“…When researchers used the Pieper Pressure Ulcer Knowledge Tool, a validated exam, to assess the knowledge of certified wound care nurses, staff nurses, and physicians, the wound care nurses performed the best, while the physicians performed the worst. [10][11][12] The implication of these findings, we believe, is that the wound care nurse is the expert on pressure injury prevention and care, and an evidence-based wound care guideline developed by this specialist and implemented by staff nurses may be more reliable than wound care orders placed by physicians. Furthermore, while these studies also suggest that additional education is needed for staff nurses, knowledge does not always translate into practice.…”

Section: Introductionmentioning

confidence: 96%

Development and Implementation of a Simple Wound Care Guideline for Minor Skin Lesions

Bates

Ercolano

2021

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE:The purpose of this quality improvement project was to use the best available evidence and expert opinion to develop and implement a simple inpatient nursing care guideline ("The Guideline") for patients with minor skin lesions, including candidiasis, skin tears, incontinence-associated dermatitis, and stage 1 and stage 2 pressure injuries that would not require a WOC nurse consultation. PARTICIPANTS AND SETTING: The Guideline was developed for nurses working on inpatient adult acute care units in a large community hospital in southwest Minnesota. APPROACH: The Guideline was validated for its clarity and appropriateness by internal and external hospital-based wound care nurses and implemented through in-person rounding on the nursing units and distribution of badge cards and required completing an online education module. Surveys and wound documentation audits were conducted to measure changes in knowledge and skin care pre-and postimplementation of The Guideline. OUTCOMES: We conducted wound documentation audits of approximately 491 records that assessed whether patients received appropriate treatment and found an improvement from 45% (104 of 231) to 80% (209 of 260). Nurses' self-rating of their knowledge about which dressings and topical treatment to use improved from 18% (16 of 89) agreement to 57% (55 of 96). Nurses' self-rating of their knowledge about when to change dressings and reapply topical treatments improved from 27% (24 of 89) agreement to 65% (62 of 96). IMPLICATIONS FOR PRACTICE: Although there is evidence for a variety of dressings or products to treat wounds, this quality improvement project demonstrated increased adherence with providing appropriate care when fewer treatment options were recommended to nursing staff through our structured guideline. The Guideline continues to be used at the project site and is now being implemented at affi liate hospitals.

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Certification and Education

Abstract: Wound care certification and education significantly affect nursing knowledge.

Cited by 15 publications

References 12 publications

Knowledge of intensive care unit nurses about medical device‐related pressure injury and analysis of influencing factors

Knowledge of intensive care unit nurses about medical device‐related pressure injury and analysis of influencing factors

COVER: A Curriculum in the Management of Soft Tissue Injury and Infection for Junior Surgery Residents

Development and Implementation of a Simple Wound Care Guideline for Minor Skin Lesions

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