NURSES KNOWLEDGE TOWARDS PRESSURE ULCER PREVENTION A : Literature Review
Akuroma, Sylvia; Manzano, Mary (2021)
2021
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-202205097853
https://urn.fi/URN:NBN:fi:amk-202205097853
Tiivistelmä
Pressure ulcers are injuries that affect the skin and its underlying tissues due to prolonged pressure. This condition has not only posed a public health concern, but has created a huge economic impact, increasing patient morbidity and mortality. It has also led to questioning of nurses’ knowledge and undermining of the quality of nursing care rendered to the patient on a daily basis.
This study was aimed at assessing and establishing nurses’ knowledge of pressure ulcer prevention. The purpose was to explore and bring to the attention of the nurses the current existent evidence-based knowledge applicable in the assessment and prevention of pressure ulcers, and also to answer the most important question, i.e., what knowledge should nurses have towards preventing pressure ulcers?
Three database sources (CINAHL, PubMed, and Medline) were browsed to collect relevant research meeting the inclusion criteria. A qualitative content analysis was employed to analyze and extract the data found in 13 articles. After extraction, data were organized by formulating the main theme, categories, and sub-categories. The categories of perceived barriers identified were organizational barriers, nurses’ barriers, and patient barriers. Sub-categories were used to further classify the different barriers.
The result of this review clearly pointed out that the level of nurses’ knowledge towards pressure ulcer prevention in most healthcare facilities worldwide was inadequate. Organizational, Patient, and nurses’ factors (lack of training, unavailability of pressure ulcer relieving devices, guidelines and assessment tools, shortage of staff, heavy workload, lack of time, lack of documentation, lack of motivation and supervision) were the critical barriers identified in the nurse’s poor knowledge.
This study was aimed at assessing and establishing nurses’ knowledge of pressure ulcer prevention. The purpose was to explore and bring to the attention of the nurses the current existent evidence-based knowledge applicable in the assessment and prevention of pressure ulcers, and also to answer the most important question, i.e., what knowledge should nurses have towards preventing pressure ulcers?
Three database sources (CINAHL, PubMed, and Medline) were browsed to collect relevant research meeting the inclusion criteria. A qualitative content analysis was employed to analyze and extract the data found in 13 articles. After extraction, data were organized by formulating the main theme, categories, and sub-categories. The categories of perceived barriers identified were organizational barriers, nurses’ barriers, and patient barriers. Sub-categories were used to further classify the different barriers.
The result of this review clearly pointed out that the level of nurses’ knowledge towards pressure ulcer prevention in most healthcare facilities worldwide was inadequate. Organizational, Patient, and nurses’ factors (lack of training, unavailability of pressure ulcer relieving devices, guidelines and assessment tools, shortage of staff, heavy workload, lack of time, lack of documentation, lack of motivation and supervision) were the critical barriers identified in the nurse’s poor knowledge.