Effects of pressure ulcer classification system education programme on knowledge and visual differential diagnostic ability of pressure ulcer classification and incontinence‐associated dermatitis for clinical nurses in Korea

Abstract

Lee YJ, Kim JY, Korean Association of Wound Ostomy Continence Nurses. Effects of pressure ulcer classification system education programme on knowledge and visual differential diagnostic ability of pressure ulcer classification and incontinence-associated dermatitis for clinical nurses in Korea. Int Wound J 2016; 13 (suppl. s1):26-32 AbstractThe objective of this study was to evaluate the effect of pressure ulcer classification system education on clinical nurses' knowledge and visual differential diagnostic ability of pressure ulcer (PU) classification and incontinence-associated dermatitis (IAD). One group pre and post-test was used. A convenience sample of 407 nurses, participating in PU classification education programme of continuing education, were enrolled. The education programme was composed of a 50-minute lecture on PU classification and case-studies. The PU Classification system and IAD knowledge test (PUCS-KT) and visual differential diagnostic ability tool (VDDAT), consisting of 21 photographs including clinical information were used. Paired t-test was performed using SPSS/WIN 20.0. The overall mean difference of PUCS-KT (t = −11⋅437, P<0⋅001) and VDDAT (t = −21⋅113, P<0⋅001) was significantly increased after PU classification education. Overall understanding of six PU classification and IAD after education programme was increased, but lacked visual differential diagnostic ability regarding Stage III PU, suspected deep tissue injury (SDTI), and Unstageable. Continuous differentiated education based on clinical practice is needed to improve knowledge and visual differential diagnostic ability for PU classification, and comparison experiment study is required to examine effects of education programmes.

Pressure injury prevention and management practices among nurses: A realist case study

“…This study aimed to explain a realistic portrayal of nurses' current practices to prevent and manage PIs in one public hospital in Singapore. Compared with other studies, the participants' ethnicity is significantly more diverse because of Singapore's multiracial society and the tendency to hire non‐Singaporean nurses to compensate for the shortage of local nurses . Another significant aspect of the sociodemographic data lies in the relative homogeneity for nurses' years of experience working (1‐2 years) as this study hospital has only been established for 3 years.…”

Use of prophylactic silicone adhesive dressings for maintaining skin integrity in intensive care unit patients: A randomised controlled trial

“…However, it has been reported that the accuracy of visual discrimination of stage 1 PIs using clinical photographs was 55% to 55.8%, and the accuracy increased to 74% to 74.1% after the nurses received training . It has been suggested that there is a limit to visual discrimination in correctly diagnosing the stage of PI in clinical practice.…”

“…However, it has been reported that the accuracy of visual discrimination of stage 1 PIs using clinical photographs was 55% to 55.8%, and the accuracy increased to 74% to 74.1% after the nurses received training. 13,14 It has been suggested that there is a limit to visual discrimination in correctly diagnosing the stage of PI in clinical practice. The early detection of stage 1 PIs is a predictive factor for assessing the effect of preventive interventions and preventing the PIs from becoming severe; thus, early detection could reduce the prevalence of PIs.…”

<br /><br />RESULTADOS DA INTERVENÇÃO DE ENFERMAGEM NA PREVENÇÃO E CICATRIZAÇÃO DA DERMATITE ASSOCIADA À INCONTINÊNCIA (DAI): Revisão sistemática da literatura<br /> NURSING INTERVENTION RESULTS IN THE PREVENTION AND HEALING OF DERMATITIS ASSOCIAT

“…Tendo em conta que, a pele é uma variá-vel sensível aos cuidados de enfermagem, patente no Resumo Mínimo de Dados (9) , o objetivo da presente revisão sistemática da literatura visa identificar quais as intervenções de enfermagem que promovem a prevenção e cicatrização da DAI. (11) . Deste modo, para uma segura e consistente aplicação nos contextos clínicos, foram englobados maioritariamente níveis de evidência considerados de elevada qualidade, ou seja, até 2a, discriminados na tabela 1.…”