Pressure Injury Knowledge in Critical Care Nurses

Miller, Donna; Neelon, Lisa; Kish-Smith, Kathleen; Whitney, Laura

doi:10.1097/won.0000000000000350

Cited by 37 publications

(47 citation statements)

References 6 publications

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“…As the PZPUKT version 2 is relatively new, we found only a few studies for comparison. A recent study based in the United States investigated knowledge levels of critical care nurses (n = 32) using the PZPUKT version 1, reporting an overall mean score of 72% 22. They reported scores of 70% and 81% for the prevention/risk (22 items) and staging (26 items) subscales, respectively, but did not report a score for the wound description subscale (24 items).…”

Section: Discussionmentioning

confidence: 99%

“…Al Shidi23 investigated knowledge levels of 458 nurses from 7 hospitals in Oman, using the PZPUKT version 1, with the same item categories as those used by Miller's group 22. A mean overall percentage score of 51%, with 55%, 57%, and 41% for the prevention, staging, and wounds scores, respectively, was reported.…”

Section: Discussionmentioning

confidence: 99%

“…In our previous study,16 we designated a mean score of 70% or greater as representing a satisfactory knowledge level, as have other authors,20,21 indicating that scores below 70% are unsatisfactory. Scores have also been characterized by range,22–26 with the most commonly used range being 70% to 79.9% as satisfactory; 80% to 89.9% as good; and 90% and greater as very good knowledge level 16,21,23. Some researchers have suggested that scores below 59% indicate a low knowledge level,22,23,26 whereas others have used 50% as a cutoff to indicate adequate knowledge 24,27.…”

Section: Methodsmentioning

confidence: 99%

“…Scores have also been characterized by range,22–26 with the most commonly used range being 70% to 79.9% as satisfactory; 80% to 89.9% as good; and 90% and greater as very good knowledge level 16,21,23. Some researchers have suggested that scores below 59% indicate a low knowledge level,22,23,26 whereas others have used 50% as a cutoff to indicate adequate knowledge 24,27. However, other score ranges (60%-69.9% and <50%) remain undefined in terms of knowledge adequacy.…”

Section: Methodsmentioning

confidence: 99%

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Australian Nurses' Knowledge of Pressure Injury Prevention and Management

Fulbrook

Lawrence

Miles

2019

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: The aim of this study was to assess nurses' knowledge of pressure injuries in order to gather benchmark data, identify knowledge gaps, and based on results, implement educational strategies to improve practice. DESIGN: Cross-sectional survey. SUBJECTS AND SETTING: The study setting was a large Australian tertiary general hospital employing approximately 2500 nurses in both full-time and part-time roles. A proportional sample (25%) stratified by experience, preparation, and facility-generated categories (nursing grade) was generated. The sample included nursing students and nursing assistants. Three hundred six participants completing the survey. INSTRUMENT: The Pieper-Zulkowski Pressure Ulcer Knowledge Test (PZPUKT) version 2, comprising 72 statements, with 3 subscales (prevention/risk, staging, and wound description) was used to measure pressure injury knowledge. Item responses are “True,” “False,” and “Don't know.” For the purpose of analyses, correct responses were scored 1, and incorrect or “don't know” responses were scored 0. Generally accepted ranges of scoring for the original PZPUKT specify less than 70% as unsatisfactory, 70% to 79.9% as satisfactory, 80% to 89.9% as good, and 90% and greater as very good knowledge of pressure injury prevention. METHODS: The survey was advertised throughout the hospital by strategically placed posters, computer screen savers within the hospital, and e-mails. Respondents completed paper-based questionnaires and data were manually entered online. Data were collected between September 2015 and October 2016. Descriptive and nonparametric inferential statistical tests (Mann-Whitney U , Kruskal-Wallis H ) were used to analyze within sample differences in scores. RESULTS: The overall mean knowledge score was 65%; approximately two-thirds of the sample (68%) scored 60% and greater, reflecting an unsatisfactory knowledge level of pressure injury prevention according to the original PZPUKT scores. The lowest mean scores were found in the “wound description” subscale. Participants who sought pressure injury information via the Internet or had read pressure injury guidelines scored significantly higher than those who did not ( P = .001 and P < .001, respectively). Seventeen items were answered incorrectly by over half of participants, identifying important knowledge deficits, particularly within the wound description subscale. CONCLUSIONS: When compared with results from studies using the PZPUKT, we contend that a cutoff score of 60% and greater (instead of ≥70%) should be used to indicate an overall satisfactory score. Our results identified deficits in pressure injury knowledge related to seating support and seated individuals and wound dressings as areas where nurses would benef...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Australian Nurses' Knowledge of Pressure Injury Prevention and Management

Fulbrook

Lawrence

Miles

2019

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…Assim, foi possível determinar as lacunas do saber, por meio da identificação dos erros mais frequentes nos questionários aplicados e outros testes citados (MILLER, et al, 2017;DALLAROSA;BRAQUEHAIS, 2016;MAURICIO, et al, 2014).…”

Section: Principais Desafios Na Prevenção De Lp Na Utiunclassified

Prática Da/O Enfermeira/O No Cuidado De Feridas E O Uso Do Mel De Mandaçaia

Gonçalves¹,

Suto²,

Neta³

et al. 2019

O Conhecimento Na Competência Da Teoria E Da Prática Em Enfermagem 5

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Nursing care for older patients with pressure ulcers: A qualitative study

2020

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Aim To explore the experience and perception of pressure ulcers in a group of nurses caring for older patients. Design A qualitative study based on interviews with (N = 6) nurses working with older patients. Method A qualitative approach was applied using thematic analysis influenced by Braun and Clarke. Results The findings comprised one main theme “Prevention of pressure ulcers is important” and four sub‐themes “Nursing resources on the ward,” “Basic nursing skills—lift the duvet,” “Introduction of new nurses on the ward—bedside teaching” and “Missing articulation of pressure ulcers.” Bedside teaching and experienced nurses may create a culture on the ward where basic nursing skills and observations are articulated.

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Pressure Injury Knowledge in Critical Care Nurses

Cited by 37 publications

References 6 publications

Australian Nurses' Knowledge of Pressure Injury Prevention and Management

Australian Nurses' Knowledge of Pressure Injury Prevention and Management

Prática Da/O Enfermeira/O No Cuidado De Feridas E O Uso Do Mel De Mandaçaia

Nursing care for older patients with pressure ulcers: A qualitative study

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