Pressure ulcer prevention in nursing homes: views and beliefs of enrolled nurses and other health care workers

Buss, Inge C.; Halfens, Ruud J.G.; Abu‐Saad, Huda Huijer; Kok, Gerjo

doi:10.1111/j.1365-2702.2004.00953.x

Cited by 44 publications

(54 citation statements)

References 23 publications

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“…With adequate policy and management, awareness among health care organizations of the need to reduce the prevalence of pressure ulcers will hopefully affect the level of awareness among their staff. However, based on the present study and the research by Buss et al [23], which found that nurses do not seem to have the intention to change their preventive actions, we recommend further research to study which tailored approach would help change nurses' knowledge, beliefs and performance regarding pressure ulcer prevention. Potentially useful interventions in this respect include education and refresher courses for nurses in the context of a comprehensive approach.…”

Section: Discussionmentioning

confidence: 51%

“…Pieper and Mott [21] showed that registered nurses had insufficient knowledge about pressure ulcers, and Panagiotopoulou and Kerr [22] showed that nurses' average level of agreement with expert opinion regarding the value of preventive measures was a mere 50%. Despite the publication of research findings that support the importance of using evidence-based guidelines, studies have found that guidelines are frequently not implemented and nurses' performance is often based on intuition, experience or habit [23-25]. …”

Section: Introductionmentioning

confidence: 99%

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Knowledge of pressure ulcer prevention: a cross-sectional and comparative study among nurses

2007

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Background: Pressure ulcers are a common, painful and costly condition. Results of a 1991 study into the knowledge among Dutch hospital nurses on the usefulness of measures to prevent pressure ulcers showed moderate knowledge. Results were confirmed by subsequent studies. In recent years, Dutch guidelines have been updated and the attention given to pressure ulcer care has been increased. This was expected to improve pressure ulcer care and to increase nurses' knowledge. The aims of the current study were to investigate (1) how much nurses employed in Dutch hospitals know about the usefulness of 28 preventive measures considered in the most recent national pressure ulcer guideline; (2) whether differences in knowledge exist between nurses working in hospitals that audit pressure ulcers and those employed in hospitals that do not; and (3) to study whether knowledge among Dutch hospital nurses regarding the usefulness of preventive measures had changed between 1991 and 2003.

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Section: Discussionmentioning

confidence: 51%

Section: Introductionmentioning

confidence: 99%

Knowledge of pressure ulcer prevention: a cross-sectional and comparative study among nurses

2007

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“…The compliance of nurses to the guidelines was found to be influenced by several barriers [11,12]. A lack of knowledge is an apparent barrier for using the guidelines in clinical practice [7,8]. …”

Section: Introductionmentioning

confidence: 99%

Pressure ulcer prevention knowledge among Jordanian nurses: a cross- sectional study

Qaddumi

khawaldeh

2014

BMC Nurs

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BackgroundPressure ulcer remains a significant problem in the healthcare system. In addition to the suffering it causes patients, it bears a growing financial burden. Although pressure ulcer prevention and care have improved in recent years, pressure ulcer still exists and occurs in both hospital and community settings. In Jordan, there are a handful of studies on pressure ulcer. This study aims to explore levels of knowledge and knowledge sources about pressure ulcer prevention, as well as barriers to implementing pressure ulcer prevention guidelines among Jordanian nurses.MethodsUsing a cross-sectional study design and a self-administered questionnaire, data was collected from 194 baccalaureate and master’s level staff nurses working in eight Jordanian hospitals. From September to October of 2011, their knowledge levels about pressure ulcer prevention and the sources of this knowledge were assessed, along with the barriers which reduce successful pressure ulcer care and prevention.ANOVA and t-test analysis were used to test the differences in nurses’ knowledge according to participants’ characteristics. Means, standard deviation, and frequencies were used to describe nurses’ knowledge levels, knowledge sources, and barriers to pressure ulcer prevention.ResultsThe majority (73%, n = 141) of nurses had inadequate knowledge about pressure ulcer prevention. The mean scores of the test for all participants was 10.84 out of 26 (SD = 2.3, range = 5–17), with the lowest score in themes related to PU etiology, preventive measures to reduce amount of pressure/shear, and risk assessment. In-service training was the second source of education on pressure ulcer, coming after university training. Shortage of staff and lack of time were the most frequently cited barriers to carrying out pressure ulcer risk assessment, documentation, and prevention.ConclusionsThis study highlights concerns about Jordanian nurses’ knowledge of pressure ulcer prevention. The results of the current study showed inadequate knowledge among Jordanian nurses about pressure ulcer prevention based on National Pressure Ulcer Advisory Panel guidelines. Also, the low level of nurses’ pressure ulcer knowledge suggests poor dissemination of pressure ulcer knowledge in Jordan, a suggestion supported by the lack of relationship between years of experience and pressure ulcer knowledge.

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“…The differences between the countries regarding these top-five interventions might be due to a higher awareness of the relevance of the process and steps of implementation in Dutch hospitals and nursing homes than in German and Austrian settings because of the longer history of nursing science in The Netherlands. Furthermore, The Netherlands started to develop national guidelines, for example, for pressure-ulcer prevention and treatment, as early as 1985 [66], whereas, in Germany, this process was started in 1999 with the development of expert standards (a type of guideline) [67], and education as the recommended implementation intervention [68]. In Austria, there exists no equivalent institution on a national level which is responsible for the development of national guidelines for relevant care problems in nursing.…”

Section: Discussionmentioning

confidence: 99%

Implementation Interventions Used in Nursing Homes and Hospitals: A Descriptive, Comparative Study between Austria, Germany, and The Netherlands

et al. 2013

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Translating guidelines into nursing practice remains a considerable challenge. Until now, little attention has been paid to which interventions are used in practice to implement guidelines on changing clinical nursing practice. This cross-sectional study determined the current ranges and rates of implementation-related interventions in Austria, Germany, and The Netherlands and explored possible differences between these countries. An online questionnaire based on the conceptual framework of implementation interventions (professional, organizational, financial, and regulatory) from the Cochrane Effective Practice and Organization of Care (EPOC) data collection checklist was used to gather data from nursing homes and hospitals. Provision of written materials is the most frequently used professional implementation intervention (85%), whereas changes in the patient record system rank foremost among organisational interventions (78%). Financial incentives for nurses are rarely used. More interventions were used in Austria and Germany than in The Netherlands (20.3/20.2/17.3). Professional interventions are used more frequently in Germany and financial interventions more frequently in The Netherlands. Implementation efforts focus mainly on professional and organisational interventions. Nurse managers and other responsible personnel should direct their focus to a broader array of implementation interventions using the four different categories of EPOC's conceptual framework.

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Pressure ulcer prevention in nursing homes: views and beliefs of enrolled nurses and other health care workers

Cited by 44 publications

References 23 publications

Knowledge of pressure ulcer prevention: a cross-sectional and comparative study among nurses

Knowledge of pressure ulcer prevention: a cross-sectional and comparative study among nurses

Pressure ulcer prevention knowledge among Jordanian nurses: a cross- sectional study

Implementation Interventions Used in Nursing Homes and Hospitals: A Descriptive, Comparative Study between Austria, Germany, and The Netherlands

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