Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: a descriptive, comparative multicentre study in Sweden

Gunningberg, Lena; Mårtensson, Gunilla; Mamhidir, Anna Greta; Florin, Jan; Athlin, Åsa Muntlin; Bååth, Carina

doi:10.1111/iwj.12138

Cited by 106 publications

(113 citation statements)

References 36 publications

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“…[10][11][12] In particular, knowledge concerning the role of pressure and shear reduction was poor. This is interesting, since reduction of pressure and shear is recognised as the single most important intervention to avoid pressure ulcers.…”

Section: Introductionmentioning

confidence: 99%

Facilitating student nurses' learning by real time feedback of positioning to avoid pressure ulcers--Evaluation of clinical simulation

Gunningberg

Pöder

Carli

2015

JNEP

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Background: Reduction of pressure and shear is recognised as the single most important intervention in order to prevent pressure ulcers (PU). Recently, an objective way to measure and receive feedback about the amount of pressure at the body-mattress interface has become available. Using such feedback in a simulated scenario in which there is a hypothetical risk for pressure ulcer development may prepare students in a safe and controlled environment for clinical placements. The aim of the study was to assess whether student nurses' learning about optimal repositioning could be facilitated by real-time feedback in a simulated PU prevention scenario. Methods: A quantitative study was performed in the Clinical Training Center using a descriptive, comparative design. Student nurses from the second (n = 24) and last (n = 32) semesters worked in pairs. Their task was to place two volunteers (69 and 70 years) in the best pressure-reducing position (lateral and supine), initially without access to the pressure mapping monitor and then again after feedback. In total 232 positionings were conducted. Results: Despite the controlled environment, there was considerable variation in peak-pressure readings between student pairs Mean peak pressures were consistently higher in the lateral position compared with the supine, both before and after feedback. After feedback from the pressure mapping monitor, most peak pressure readings were significantly reduced and the number of preventive interventions and patients' comfort had increased. Conclusions: Including simulation of PU prevention in the nursing curriculum provides the possibility for students to train repositioning in a safe environment. The immediate feedback from the pressure monitoring system may strengthen students' confidence and competence on clinical placements.

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Section: Introductionmentioning

confidence: 99%

Facilitating student nurses' learning by real time feedback of positioning to avoid pressure ulcers--Evaluation of clinical simulation

Gunningberg

Pöder

Carli

2015

JNEP

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“…A majority of the articles (19) focused on nurse knowledge and education, with quality improvement being next in the quantity of articles available (8). Finally, there were two articles focused on nurse competency and one meta-analysis on HAPI prevention.…”

Section: Aggregate Data Synthesismentioning

confidence: 99%

“…Interventions of HAPI prevention played a pivotal role on early identification of patients at risk to develop sores and nurses' knowledge of HAPI prevention was crucial to the evaluation, treatment of risk factors, [7] and mediation of preventive care. [8] HAPI guidelines were critical evidencebased tools for informing the care process at health care facilities.…”

Section: Aggregate Data Synthesismentioning

confidence: 99%

“…Study recommendations indicated that a significant educational campaign for PI prevention was needed in both nursing education and in hospital settings. [8] Another weakness that was noted was the fact that even though most healthcare facilities had HAPI prevention guidelines, failure to follow those guidelines were frequently reported. [9] Surprisingly, a study conducted by Khong, Hoi, Holroyd, and Wang (2015) found nurses said that preventing pressure injury was not one of their top priorities as it increased nurses' daily workload.…”

Section: Strengthsmentioning

confidence: 99%

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Evaluation of evidence-based nursing education of hospital acquired pressure injury prevention in clinical practice: An integrative review

Henry

Foronda

2017

JNEP

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Background and objective: There are 2.5 million Americans affected by hospital-acquired pressure injuries (HAPI) annually. The objective of this study was to review and synthesize the evidence on competency-based education of interventions to prevent HAPIs and to improve the knowledge-base of nursing to guide quality and safety initiatives for patients. Methods: A total of 30 articles met the inclusion and exclusion criteria. They were reviewed, and the selected articles focused into three main areas: nurse knowledge and education, HAPI prevention improvement, and competency. These articles were examined to comprise a review on the studies that provided the most relevant synchronized data concerning pressure ulcers and competency-based education. Results: Two themes developed during the literature search and analysis of the selected articles. The first theme focused on nurse education programs for the prevention and identification of HAPI, and the second was the need for nurse knowledge and competency in the prevention of HAPI. Conclusions: Appraisal of the literature showed that various HAPI education programs have improved nurses' knowledge and competency, and decreased HAPI occurrences. Future research should focus on identifying and reinforcing standardized professional competency-based education to create a culture of success, and ensure consistently high quality care and safe outcomes for patients.

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“…Skin assessment is one area of pressure ulcer prevention and management that has a basic core of knowledge (Beeckman et al, 2010). Thus, Gunningberg et al (2015) recommended that basic learning relating to skin assessment could be shared. It is imperative that health educators explore ways of transferring core knowledge regarding skin assessment in a shared manner, without compromising the quality and continuity of care for the patient (Swedberg et al, 2013).…”

Section: Knowledge Gainedmentioning

confidence: 99%

The impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage

Clarke¹,

Moore

Patton

et al. 2017

Br J Community Nurs

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Objective: To investigate the impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage. Method: A repeated measure design was employed to quantify the effectiveness of an educational intervention, consisting of one pre-test and two post-tests. Results: Education was provided to home support workers and this was followed by an assessment of their ability to correctly classify 20 photographs detailing varying stages of skin damage severity. At the baseline (pre-education), 58% of the photographs were classified correctly. At post-test 1, 55% of the photographs were classified correctly. In post-test 2 this increased to 58%, achieving the original baseline scores. There was a moderate negative relationship between pre-training and post-test 2 scores (r=-0.44; n=27; p=0.02). Conclusions: The educational intervention has been shown not to have a statistically significantly positive effect on home support workers' ability to detect early pressure ulcer damage. The moderate negative relationship between pre-training and post-test 2 scores concur with the aforementioned qualitative findings, and similarly indicate behaviour associated with individuals experiencing difficulty comprehending new health terms.

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Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: a descriptive, comparative multicentre study in Sweden

Cited by 106 publications

References 36 publications

Facilitating student nurses' learning by real time feedback of positioning to avoid pressure ulcers--Evaluation of clinical simulation

Facilitating student nurses' learning by real time feedback of positioning to avoid pressure ulcers--Evaluation of clinical simulation

Evaluation of evidence-based nursing education of hospital acquired pressure injury prevention in clinical practice: An integrative review

The impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage

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