Medical device‐related pressure ulcer (MDRPU) in acute care hospitals and its perceived importance and prevention performance by clinical nurses

Abstract

The incidence rate of patients developing pressure ulcers associated with medical device use is underreported in Korea. This study aims to determine clinical nurses' perceived importance and performance towards medical device‐related pressure injury prevention. A total of 620 nurses from seven hospitals attending continuing education programmes in Korea responded to self‐administered questionnaires. Data were collected from March to December 2017 on a 4‐point‐Likert scale on nurses' perceived importance and performance for prevention of medical device‐related pressure ulcer (MDRPU). Secondary data analysis was performed through reported pressure injury incidence, and questionnaire data were analysed using descriptive statistics, t‐test, and anova. The overall rates of hospital‐acquired pressure ulcers and MDRPU were 16.9% and 0.8%, respectively. The proportion of MDRPU was 5.02%. Its perceived importance (3.56 ± 0.48) was also higher than prevention performance (3.13 ± 0.90) among nurses. Education level and participation in pressure injury management training was found to enhance prevention performance by nurses. Therefore, informational and educational programmes based on clinical practice are necessary for clinical nurses to focus on perceived importance and performance towards prevention of medical device‐related pressure injury and pressure ulcer care.

Percepção de profissionais de enfermagem sobre lesões por pressão relacionadas a dispositivos médicos

“…14 In addition to this assessment, it is essential that nurses prioritize the early identification of these injuries by means of regular skin inspections, at least once each shift, particularly in the case of patients with risk factors for the development of injuries, such as localized or systemic edema. 6,15 The professionals' understanding of the risk for the development of MDR PIs, present in DSC2, is in line with the literature. An Australian study identified that people hospitalized in the ICU are 3.8 times more likely to develop a pressure injury when compared to those hospitalized in the wards.…”

Device-related pressure ulcers: SECURE prevention

“…ese ndings are consistent with published data from other centres. 106 Categorisation Table 5 presents an example of categorisation of medical devices, based on how they interact with the skin and the aetiology of the subsequent DRPU. is method of categorising devices focuses the health professional on the reasons for the associated DRPU risk.…”

“…At present, health professionals and administrators are often not even aware of the importance of DRPU and its associated risks. 9,106 Similarly, chart templates and patient documentation may not pay much attention to DRPU prevention. 9 ere is a need, therefore, to raise awareness of DRPU through education, ongoing training and consistent reporting.…”

Nurses' perception and experiences towards medical device‐related pressure injuries: A qualitative study

“…According to Nuru et al (2015), having higher educational status, attending formal training and having nursing experience were positively associated with knowledge and practice regarding pressure injury prevention. In fact, research by Kim, Lee, and the Korean Association of Wound Ostomy Continence Nurses (2019) revealed that education based on clinical practice was effective in communicating the importance on MDRPI prevention. Moreover, regular feedback and reflection on the quality of care illuminated areas for improvement (Sving, Fredriksson, Gunningberg, & Mamhidir, 2017).…”