Educational intervention aimed at improving knowledge on pressure ulcers in nurses from Veracruz, Mexico
Article Sidebar
Published:
Apr 7, 2021
Keywords:
Education, nursing,
nursing education research,
educational intervention,
pressure ulcer,
Mexico,
Main Article Content
Abstract
Introduction: In Mexico, pressure ulcers are a quality indicator of the National Health System. In order to improve patient security, health professionals need to demonstrate adequate knowledge regarding the handling and addressing of pressure ulcers.
Objective: To assess the effectiveness of an educational intervention aimed at improving the knowledge of nursing professionals regarding the prevention and treatment of pressure ulcers.
Method: This is a pre-experimental study based on an educational intervention with pre and post measurements. The sample was constituted by 90 graduate nurses working in public hospitals of second and third level located at the port of Veracruz, Mexico. Twelve 120 minutes educational sessions were designed to address the topics of prevention, care, and treatment of pressure ulcers.
Results: The variable prevention had a score of 74±15 at pre measurement and 91±9 at post measurement t (p=.003). The variable treatment had an initial score of 57±16, which then increased to 76±9, t (p=.002) after the intervention.
Conclusion: The educational intervention improved the knowledge on prevention and treatment of pressure ulcers, without evidence of improving nursing care practice.
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References
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7. Gaspar S, Peralta M, Marques A, Budri A, Gaspar de Matos M. Effectiveness on hospital-acquired pressure ulcers prevention: a systematic review. Int Wound J. 2019; 16(5): 1087-102. https://doi.org/10.1111/iwj.13147
8. Torra-Bou JE, Verdú-Soriano J, Sarabia-Lavin R, Paras-Bravo P, Soldevilla-Ágreda JJ, García-Fernández FP. Las úlceras por presión como problema de seguridad del paciente. Gerokomos. 2016; 27(4): 161-7. https://bit.ly/3b8CSdk
9. Soban LM, Kim L, Yuan AH, Miltner RS. Organisational strategies to implement hospital pressure ulcer prevention programmes: Findings from a national survey. J Nurs Manag. 2017; 25(6): 457-67. https://doi.org/10.1111/jonm.12416
10. González-Méndez MI, Lima-Serrano M, Martín-Castaño C, Alonso-Araujo I, Lima-Rodríguez JS. Incidence and risk factors associated with the development of pressure ulcers in an intensive care unit. J Clin Nurs. 2018; 27(5-6): 1028-37. https://doi.org/10.1111/jocn.14091
11. Magnani-Fernandes L, Larcher-Caliri MH, Haas VJ. Efeito de intervenções educativas no conhecimento dos profissionais de enfemagem sobre prevenção de úlceras pressão. Acta Paul Enferm. 2008; 21(2): 305–11. https://bit.ly/2NvZzzO
12. Gul A, Andsoy II, Ozkaya B, Zeydan A. A descriptive, cross-sectional survey of Turkish nurses’ knowledge of pressure ulcer risk, prevention, and staging. Ostomy Wound Manage. 2017; 63(6): 40-6. https://bit.ly/3qonLTz
13. Usher K, Woods C, Brown J, Power T, Lea J, Hutchinson M, et al. Australian nursing students’ knowledge and attitudes towards pressure injury prevention: A cross-sectional study. Int J Nurs Stud. 2018; 81: 14-20. https://doi.org/10.1016/j.ijnurstu.2018.01.015
14. Secretaria de Salud. Comisión Permanente de Enfermería. Misión. Visión. México: CPE; 2017. https://bit.ly/2ZmDyGl
15. Kim JY, Lee YJ. Medical device-related pressure ulcer (MDRPU) in acute care hospitals and its perceived importance and prevention performance by clinical nurses. Int Wound J. 2019; 16(Suppl 1): 51-61. https://doi.org/10.1111/iwj.13023
16. Miyazaki MY, LArcher-Caliri MH, dos Santos CB. Knowledge on pressure ulcer prevention among nursing professionals. Rev. Latino-Am. Enfermagem. 2010; 18(6): 1203-11. https://doi.org/10.1590/s0104-11692010000600022
17. Souza-Galvão N, Barbosa-Serique MA, de Gouveia-Santos VLC, Nogueira PC. Knowledge of the nursing team on pressure ulcer prevention. Rev Bras Enferm. 2017; 70(2): 294-300. https://doi.org/10.1590/0034-7167-2016-0063
18. Fulbrook P, Lawrence P, Miles S. Australian nurses’ knowledge of pressure injury prevention and management: A cross-sectional survey. J Wound Ostomy Continence Nurs. 2019; 46(2): 106-12. https://doi.org/10.1097/WON.0000000000000508
19. Rodríguez-Renobato R, Esparza-Acosta GR, González-Flores SP. Conocimientos del personal de enfermería sobre la prevención y el tratamiento de las úlceras por presión. Vol. 25, Rev Enferm Inst Mex Seguro Soc. 2017. https://bit.ly/3rRUEYQ
20. Gunningberg L, Mårtensson G, Mamhidir AG, Florin J, Muntlin-Athlin Å, Bååth C. Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: A descriptive, comparative multicentre study in Sweden. Int Wound J. 2015; 12(4): 462-8. https://doi.org/10.1111/iwj.12138
21. De Meyer D, Verhaeghe S, Van Hecke A, Beeckman D. Knowledge of nurses and nursing assistants about pressure ulcer prevention: A survey in 16 Belgian hospitals using the PUKAT 2.0 tool. J Tissue Viability. 2019; 28(2): 59-69. https://doi.org/10.1016/j.jtv.2019.03.002
22. Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised national pressure ulcer advisory panel pressure Injury staging system: Revised pressure injury staging system. J Wound Ostomy Continence Nurs. 2016; 43(6): 585-97. https://doi.org/10.1097/WON.0000000000000281
23. Lee HJ, Ju YJ, Park EC, Kim J, Lee SG. Effects of home-visit nursing services on hospitalization in the elderly with pressure ulcers: A longitudinal study. Eur J Public Health. 2017; 27(5): 822-6. htpps://doi.org/10.1093/eurpub/ckx110
24. Kaddourah B, Abu-Shaheen AK, Al-Tannir M. Knowledge and attitudes of health professionals towards pressure ulcers at a rehabilitation hospital: A cross-sectional study. BMC Nurs. 2016; 15(17): 1-6. https://doi.org/10.1186/s12912-016-0138-6
25. Stadnyk B, Mordoch E, Martin D. Factors in facilitating an organisational culture to prevent pressure ulcers among older adults in health-care facilities. J Wound Care. 2018; 27(Sup 7): S4-S10. https://doi.org/10.12968/jowc.2018.27.Sup7.S4
26. Shanley E, Moore Z, Patton D, O´Connor T, Avsar P, Nugent L, et al. Development and psychometric evaluation of the patient knowledge of, and attitudes and behaviours towards pressure ulcer prevention instrument (KPUP). Int Wound J. 2019; 17(2): 339-50. https://doi.org/10.1111/iwj.13278
27. Suva G, Sharma T, Campbell KE, Sibbald RG, An D, Woo K. Strategies to support pressure injury best practices by the inter-professional team: A systematic review. Int Wound J. 2018; 15(4): 580-9. https://doi.org/10.1111/iwj.12901
28. Pool IA, Poell RF, ten Cate TJ. Perspectives on age and continuing professional development for nurses: A literature review. VOCAT LEARN. 2013; 297-321. https://doi.org/10.1007/s12186-013-9096-2
29. Fernández-Sánchez H, Guzmán-Facundo FR, Herrera-Medina D, Sidani S. Importancia del estudio piloto en un proyecto de intervención. Index enferm. 2021; (Preedición): e12860. https://bit.ly/2NalxbX
30. Sidani S, Braden CJ. Design, Evaluation, and Translation of Nursing Interventions. Nueva Jersey: Wiley-Blackwell; 2011. https://doi.org/10.1002/9781118785553
31. Pancorbo-Hidalgo PL, García-Fernández FP, López-Medina IM, López-Ortega J. Pressure ulcer care in Spain: nurses’ knowledge and clinical practice. J Adv Nurs. 2007; 58(4): 327-38. https://doi.org/10.1111/j.1365-2648.2007.04236.x
32. Secretaría de Salud. Ley General de Salud. México: Diario Oficial de la Federación (DOF); 2021(última reforma). https://bit.ly/3dfpzdP
33. Baron MV, Reuter CP, Burgos MS, Cavalli V, Brandenburg C, Frantz-Krug SB. Experimental study with nursing staff related to the knowledge about pressure ulcers. Rev. Latino-Am. Enfermagem. 2016; 24: e2831. http://dx.doi.org/10.1590/1518-8345.1134.2831
34. Pancorbo-Hidalgo PL, García-Fernández FP, Rodríguez-Torres MC, Torres-García M, López-Medina MI. Conocimientos y creencias de las enfermeras sobre el cuidado de las úlceras por presión: revision sistemática de la literatura. Gerokomos. 2007; 18(4): 30-8. https://bit.ly/3dk15A3
35. Hommel A, Gunningberg L, Idvall E, Bååth C. Successful factors to prevent pressure ulcers-an interview study. J Clin Nurs. 2017; 26(1-2): 182-9. https://doi.org/10.1111/jocn.13465
2. Tirgari B, Mirshekari L, Forouzi MA. Pressure injury prevention: Knowledge and attitudes of iranian intensive care nurses. Adv Ski Wound Care. 2018; 31(4): 1-8. https://doi.org/10.1097/01.ASW.0000530848.50085.ef
3. Garza-Hernández R, Meléndez-Méndez MC, Fang-Huerta MÁ, González-Salinas JF, Castañeda-Hidalgo H, Argumedo-Pérez NE. Conocimiento, actitud y barreras en enfermeras hacia las medidas de prevención de úlceras por presión. Cienc. enferm. 2017; 23(3): 47-58. http://dx.doi.org/10.4067/S0717-95532017000300047
4. Ortiz-Vargas I, García-Campos ML, Beltrán-Campos V, Gallardo-López F, Sánchez-Espinosa A, Ruiz-Montalvo ME. Cura húmeda de úlceras por presión. Atención en el ámbito domiciliar. Enferm. univ. 2017; 14(4): 243-50. http://dx.doi.org/10.1016/j.reu.2017.09.001
5. Dalvand S, Ebadi A, Gheshlagh RG. Nurses’ knowledge on pressure injury prevention: A systematic review and meta-analysis based on the pressure ulcer knowledge assessment tool. Clin Cosmet Investig Dermatol. 2018; 11: 613-20. https://doi.org/10.2147/CCID.S186381
6. Porter-Armstrong AP, Moore ZE, Bradbury I, McDonough S. Education of healthcare professionals for preventing pressure ulcers. Cochrane Database Syst Rev. 2018; 5(5): 1-50. https://doi.org/10.1002/14651858.CD011620.pub2
7. Gaspar S, Peralta M, Marques A, Budri A, Gaspar de Matos M. Effectiveness on hospital-acquired pressure ulcers prevention: a systematic review. Int Wound J. 2019; 16(5): 1087-102. https://doi.org/10.1111/iwj.13147
8. Torra-Bou JE, Verdú-Soriano J, Sarabia-Lavin R, Paras-Bravo P, Soldevilla-Ágreda JJ, García-Fernández FP. Las úlceras por presión como problema de seguridad del paciente. Gerokomos. 2016; 27(4): 161-7. https://bit.ly/3b8CSdk
9. Soban LM, Kim L, Yuan AH, Miltner RS. Organisational strategies to implement hospital pressure ulcer prevention programmes: Findings from a national survey. J Nurs Manag. 2017; 25(6): 457-67. https://doi.org/10.1111/jonm.12416
10. González-Méndez MI, Lima-Serrano M, Martín-Castaño C, Alonso-Araujo I, Lima-Rodríguez JS. Incidence and risk factors associated with the development of pressure ulcers in an intensive care unit. J Clin Nurs. 2018; 27(5-6): 1028-37. https://doi.org/10.1111/jocn.14091
11. Magnani-Fernandes L, Larcher-Caliri MH, Haas VJ. Efeito de intervenções educativas no conhecimento dos profissionais de enfemagem sobre prevenção de úlceras pressão. Acta Paul Enferm. 2008; 21(2): 305–11. https://bit.ly/2NvZzzO
12. Gul A, Andsoy II, Ozkaya B, Zeydan A. A descriptive, cross-sectional survey of Turkish nurses’ knowledge of pressure ulcer risk, prevention, and staging. Ostomy Wound Manage. 2017; 63(6): 40-6. https://bit.ly/3qonLTz
13. Usher K, Woods C, Brown J, Power T, Lea J, Hutchinson M, et al. Australian nursing students’ knowledge and attitudes towards pressure injury prevention: A cross-sectional study. Int J Nurs Stud. 2018; 81: 14-20. https://doi.org/10.1016/j.ijnurstu.2018.01.015
14. Secretaria de Salud. Comisión Permanente de Enfermería. Misión. Visión. México: CPE; 2017. https://bit.ly/2ZmDyGl
15. Kim JY, Lee YJ. Medical device-related pressure ulcer (MDRPU) in acute care hospitals and its perceived importance and prevention performance by clinical nurses. Int Wound J. 2019; 16(Suppl 1): 51-61. https://doi.org/10.1111/iwj.13023
16. Miyazaki MY, LArcher-Caliri MH, dos Santos CB. Knowledge on pressure ulcer prevention among nursing professionals. Rev. Latino-Am. Enfermagem. 2010; 18(6): 1203-11. https://doi.org/10.1590/s0104-11692010000600022
17. Souza-Galvão N, Barbosa-Serique MA, de Gouveia-Santos VLC, Nogueira PC. Knowledge of the nursing team on pressure ulcer prevention. Rev Bras Enferm. 2017; 70(2): 294-300. https://doi.org/10.1590/0034-7167-2016-0063
18. Fulbrook P, Lawrence P, Miles S. Australian nurses’ knowledge of pressure injury prevention and management: A cross-sectional survey. J Wound Ostomy Continence Nurs. 2019; 46(2): 106-12. https://doi.org/10.1097/WON.0000000000000508
19. Rodríguez-Renobato R, Esparza-Acosta GR, González-Flores SP. Conocimientos del personal de enfermería sobre la prevención y el tratamiento de las úlceras por presión. Vol. 25, Rev Enferm Inst Mex Seguro Soc. 2017. https://bit.ly/3rRUEYQ
20. Gunningberg L, Mårtensson G, Mamhidir AG, Florin J, Muntlin-Athlin Å, Bååth C. Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: A descriptive, comparative multicentre study in Sweden. Int Wound J. 2015; 12(4): 462-8. https://doi.org/10.1111/iwj.12138
21. De Meyer D, Verhaeghe S, Van Hecke A, Beeckman D. Knowledge of nurses and nursing assistants about pressure ulcer prevention: A survey in 16 Belgian hospitals using the PUKAT 2.0 tool. J Tissue Viability. 2019; 28(2): 59-69. https://doi.org/10.1016/j.jtv.2019.03.002
22. Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised national pressure ulcer advisory panel pressure Injury staging system: Revised pressure injury staging system. J Wound Ostomy Continence Nurs. 2016; 43(6): 585-97. https://doi.org/10.1097/WON.0000000000000281
23. Lee HJ, Ju YJ, Park EC, Kim J, Lee SG. Effects of home-visit nursing services on hospitalization in the elderly with pressure ulcers: A longitudinal study. Eur J Public Health. 2017; 27(5): 822-6. htpps://doi.org/10.1093/eurpub/ckx110
24. Kaddourah B, Abu-Shaheen AK, Al-Tannir M. Knowledge and attitudes of health professionals towards pressure ulcers at a rehabilitation hospital: A cross-sectional study. BMC Nurs. 2016; 15(17): 1-6. https://doi.org/10.1186/s12912-016-0138-6
25. Stadnyk B, Mordoch E, Martin D. Factors in facilitating an organisational culture to prevent pressure ulcers among older adults in health-care facilities. J Wound Care. 2018; 27(Sup 7): S4-S10. https://doi.org/10.12968/jowc.2018.27.Sup7.S4
26. Shanley E, Moore Z, Patton D, O´Connor T, Avsar P, Nugent L, et al. Development and psychometric evaluation of the patient knowledge of, and attitudes and behaviours towards pressure ulcer prevention instrument (KPUP). Int Wound J. 2019; 17(2): 339-50. https://doi.org/10.1111/iwj.13278
27. Suva G, Sharma T, Campbell KE, Sibbald RG, An D, Woo K. Strategies to support pressure injury best practices by the inter-professional team: A systematic review. Int Wound J. 2018; 15(4): 580-9. https://doi.org/10.1111/iwj.12901
28. Pool IA, Poell RF, ten Cate TJ. Perspectives on age and continuing professional development for nurses: A literature review. VOCAT LEARN. 2013; 297-321. https://doi.org/10.1007/s12186-013-9096-2
29. Fernández-Sánchez H, Guzmán-Facundo FR, Herrera-Medina D, Sidani S. Importancia del estudio piloto en un proyecto de intervención. Index enferm. 2021; (Preedición): e12860. https://bit.ly/2NalxbX
30. Sidani S, Braden CJ. Design, Evaluation, and Translation of Nursing Interventions. Nueva Jersey: Wiley-Blackwell; 2011. https://doi.org/10.1002/9781118785553
31. Pancorbo-Hidalgo PL, García-Fernández FP, López-Medina IM, López-Ortega J. Pressure ulcer care in Spain: nurses’ knowledge and clinical practice. J Adv Nurs. 2007; 58(4): 327-38. https://doi.org/10.1111/j.1365-2648.2007.04236.x
32. Secretaría de Salud. Ley General de Salud. México: Diario Oficial de la Federación (DOF); 2021(última reforma). https://bit.ly/3dfpzdP
33. Baron MV, Reuter CP, Burgos MS, Cavalli V, Brandenburg C, Frantz-Krug SB. Experimental study with nursing staff related to the knowledge about pressure ulcers. Rev. Latino-Am. Enfermagem. 2016; 24: e2831. http://dx.doi.org/10.1590/1518-8345.1134.2831
34. Pancorbo-Hidalgo PL, García-Fernández FP, Rodríguez-Torres MC, Torres-García M, López-Medina MI. Conocimientos y creencias de las enfermeras sobre el cuidado de las úlceras por presión: revision sistemática de la literatura. Gerokomos. 2007; 18(4): 30-8. https://bit.ly/3dk15A3
35. Hommel A, Gunningberg L, Idvall E, Bååth C. Successful factors to prevent pressure ulcers-an interview study. J Clin Nurs. 2017; 26(1-2): 182-9. https://doi.org/10.1111/jocn.13465
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