"Scoping Review Nurse’s Knowledge and Practices Regarding Wound Dressing at Primary Health Care Center"

Abstract

Background: Wound care is one of the significant nursing responsibilities that requires excellent skills and knowledge to minimize complications, such as infection, an amputation, or, in severe cases, even death. Effective wound dressing promotes wound healing, minimize hospitalization and saving costs. Objective: This scoping review aimed to provide an overview of the knowledge, practices, and attitude regarding wound dressing among nurses who responsible for wound dressing in PHC, hospitals and clinical setting.Methodology: CINHAL, PubMed, MEDLINE, ProQuest, Cochrane Library, and Science Direct databases were searched to cover published research in the period between 2015 to 2020. 15 articles out of 3153 were analysed. The following searching terms were used: nurse's knowledge (or / and)/nurse's practice AND wound dressing OR wound care OR wound management AND primary health care center OR hospitals OR clinical setting OR healthcare facility. Results:The majority of the articles demonstrate that the nurse's knowledge regarding wound dressing was insufficient in various domains. The results may explain the unsatisfactory level of nurse's practice in wound dressing by most nurses. The finding also recommends that updating nurses' knowledge by frequent wound management courses and clinical training has a positive effect on safe wound dressing practice. Conclusion:There were insufficient wound dressing practices among the registered nurses, although the majority of the nurses enrolled in studies who had clinical experience and attended training programs. In addition, the unsatisfaction of clinical practice of wound management and the reasons that most of the participants are not performing standard dressing protocols are due to significant barriers for practicing the proper technique of wound dressing such as time-consuming procedure, heavy workload, lack of adequate staff to assist in dressing procedure and lack of sufficient supplies. Therefore, further research required more attention to identify and implement effective strategies to enhance health professional knowledge regarding wound dressing management.

Determination of Nurses’ Knowledge Levels on Skin Tears: A Cross-sectional Study

“…This finding suggests that the nurses who participated did not have sufficient knowledge about STs. This result furthers the findings in the literature that nurses in different geographical regions around the world have insufficient knowledge about STs 26–34 …”

“…This result furthers the findings in the literature that nurses in different geographical regions around the world have insufficient knowledge about STs. [26][27][28][29][30][31][32][33][34] It may be that nurses do not have sufficient ST knowledge because they are not as well-known as other wound types such as pressure injuries (PIs) and incontinenceassociated dermatitis. Skin tears are not included in the Nursing National Core Education Program in Turkey, 35 in-service training programs, or the Stoma and Wound Care Nursing Certification Program, and there are generally no ST application protocols available in clinics.…”

Nurses' Knowledge and Practice Regarding Burn Wound Dressing in Sulaimaniyah, Iraq

“…This outcome is higher than that reported in another study that reported 56.8% and 59.5% of nurses had satisfactory knowledge of burn wounds and wound dressing techniques, respectively. However, 73% of them had satisfactory knowledge regarding complications dressing [15]. Also, it is higher than that found by another study in Egypt [16] and Saudi Arabia [10].…”