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

Abstract

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.

A systematic review of nurses' knowledge and related factors towards the prevention of medical device‐related pressure ulcers

“…As mentioned in Table 2, a total of 1847 nurses participated in five studies. 82.94% of nurses were female 19,24‐27 . The mean age of the participants was 31.40 (SD = 5.97) 19,24‐27 .…”

“…Twenty‐five studies were omitted from the current systematic review because of the inadequateness of the study design, and 17 studies were excluded because of the absence of necessary information, out of the remaining 47 studies, following a thorough evaluation of the entire text of the articles. Finally, this systematic review was conducted with the inclusion of five articles 19,24‐27 …”

“…The working experience of all nurses was 8.63 (SD = 5.14) years. Of the nurses participating in the study, only 7.36% had a postgraduate or higher education level 19,24‐27 …”

“…The multifactorial aetiology of MDRPUs has caused its prevalence to vary from 1.7% to 86% in different studies 18,22,23 . In addition to the inseparableness of the use of devices, 18 the insufficient knowledge of health care providers, especially nurses, about MDRPUs has made its prevention more challenging 24,25 . However, other studies have been contradictory and have reported an acceptable knowledge level among nurses 26,27 …”

“…19,[24][25][26][27] However, twoF I G U R E 1 Flow diagram of the study selection process.T A B L E 2Abbreviations: BSN, Bachelor of Science in Nursing; ICU, intensive care unit; MDRPU, medical device-related pressure ulcer; SD, standard deviation.…”