href="https://fonts.googleapis.com/css2?family=Work+Sans:ital,wght@0,200;0,300;0,400;0,500;0,600;0,700;1,200;1,300;1,400;1,500;1,600;1,700&display=swap" rel="stylesheet">
Yıl: 2022 Cilt: 7 Sayı: 4 Sayfa Aralığı: 528 - 535 Metin Dili: İngilizce DOI: 10.4274/cjms.2022.2021-182 İndeks Tarihi: 13-10-2022

Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study

Öz:
BACKGROUND/AIMS: Patients in emergency departments (EDs) are a risk group in terms of pressure injuries. MATERIALS AND METHODS: We conducted this descriptive study to determine both the prevalence of pressure injuries (PIs) in EDs and the level of knowledge of healthcare professionals working there regarding PIs. This study was a pilot study. The point prevalence study in the ED was conducted on 17.12.2018 with 23 patients who were being treated in the ED for more than 2 hours and who voluntarily participated in this study. A questionnaire to determine the level of knowledge of health professionals working in the ED was carried out with 16 physicians and 17 nurses working in the ED between 17-23 December, 2018. The data of this study were collected using The Demographic Questionnaire, Pressure Injuries Knowledge form, and Pressure Injuries Assessment form. RESULTS: The prevalence of PIs in the patients followed up within the scope of this study was 17.4%; 85.71% of them were hospital-acquired injuries; 57.14% of them were stage 1; and 71.4% of them were related to medical devices. The mean knowledge test score of the participating physicians and nurses was 54.18±13.08. The mean knowledge test scores of the physicians and nurses who had received training on PIs were found to be higher than those who had not received training, and the difference was statistically significant (p<0.05). CONCLUSION: Healthcare professionals need to evaluate patients holistically, take precautions to avoid PIs, evaluate patients in terms of the risk of developing PIs, and provide treatment and care. Therefore, training about PIs should be given to healthcare professionals working in emergency departments.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory and Pan Pacific Pressure Injury Alliance. In: Haesler E, editor. Prevention and treatment of pressure ulcers: quick reference guide. Osborne Park: Western Australia, Cambridge Media; 2014.
  • 2. Dealey C, Brindle CT, Black J, Alves P, Santamaria N, Call E, et al. Challenges in pressure ulcer prevention. Int Wound J. 2015; 12(3): 309-12.
  • 3. Joint Commission Center for Transforming Healthcare (2020). Hospital acquired pressure ulcers/injuries (HAPU/I) prevention. (Accessed April 08, 2020). Available from: https://www.centerfortransforminghealthcare. org/improvement-topics/hospital-acquired-pressure-ulcers-prevention/?_ ga=2.86905112.1814700425.1586383518-988394093.1586383518
  • 4. Lee JH. Socioeconomic effects of pressure ulcer. J Korean Medical Assoc. 2021; 64(1): 11-5.
  • 5. Ahtiala MH, Kivimäki R, Laitio R, Soppi ET. The association between pressure ulcer/ınjury development and short-term mortality in critically III patients: A Retrospective Cohort Study. Wound Manag Prev. 2020; 66(2): 14-21.
  • 6. Magny E, Vallet H, Cohen-Bittan J, Verny M, Boddaert J, Meziere A, et al. Pressure ulcers are assocıated with six-month mortality in hip fracture in orthogerıatrıc care. Innov Aging. 2017; 1(1): 1127-8.
  • 7. Young T, Furtado K, Alves P. Health Related Quality of Life (HRQOL) Implications for People with Pressure Ulcers. Romanelli M, Clark M, Gefen A, Ciprandi G, editors. Science and Practice of Pressure Ulcer Management. London: Springer; 2018.
  • 8. Dugaret E, Videau MN, Faure I, Gabinski C, Bourdel-Marchasson I, Salles N. Prevalence and incidence rates of pressure ulcers in an emergency department. Int Wound J. 2014; 11(4): 386-91.
  • 9. Pham B, Teague L, Mahoney J, Goodman L, Paulden M, Poss J, et al. Early prevention of pressure ulcers among elderly patients admitted through emergency departments: a cost-effectiveness analysis. Ann Emerg Med. 2011; 58(5): 468-78.
  • 10. Karadağ A, Göçmen Baykara Z, Özden G. The determination of the prevalence of pressure ulsers and nursing interventions for the prevention of pressure ulsers at a university hospital. 20 th. WCET Biennial Congress. Gothenburg; 2014.
  • 11. Koyuncu M, Yıldar M. Demographic characteristics of patients admitted to private hospital emergency service. J Contemp Med. 2021; 11(1): 75-81.
  • 12. Mahsanlar Y, Parlak I, Yolcu S, Akay S, Demirtas Y, Eryigit V. Factors affecting the length of stay of patients in emergency department observation units at teaching and research hospitals in Turkey. Turk J Emerg Med. 2016; 14(1): 3-8.
  • 13. Keskinoğlu P, İnan F. Analysis of emergency department visits by elderly patients in an urban public hospital in Turkey. J Clin Gerontol Geriatr. 2014; 5(4): 127-31.
  • 14. Yazıcı G, Elbaş NÖ. Conceptions of nurses concerning safety of patient and nurse in emergency service working environment. Health Care Acad J. 2017; 4(2): 69:80.
  • 15. European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory and Pan Pacific Pressure Injury Alliance. Haesler E, editor. Prevention and treatment of pressure ulsers: Quick reference guide 2019. EPUAP/NPIAP/ PPPIA; 2019.
  • 16. Gefen A, Alves P, Ciprandi G, Coyer F, Milne CT, Ousey K, et al. Device-related pressure ulcers: SECURE prevention. J Wound Care. 2020; 29(Suppl 2A): 1-52. 17. Li Z, Lin F, Thalib L, Chaboyer W. Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. Int J Nurs Stud. 2020; 105: 103546.
  • 18. Çınar F, Şahin SK, Aslan FE. Evaluation of Studies in Turkey on the Prevention of Pressure Sores in the Intensive Care Unıt: A Systematic Review. Balıkesir Health Sciences Journal. 2018; 7(1): 42-50.
  • 19. Saleh MYN, Papanikolaou P, Nassar OS, Shahin A, Anthony D. Nurses’ knowledge and practice of pressure ulcer prevention and treatment: An observational study. J Tissue Viability. 2019; 28(4): 210-7.
  • 20. Padula WV, Pronovost PJ. Addressing the multisectoral impact of pressure injuries in the USA, UK and abroad. BMJ Qual Saf. 2018; 27(3): 171-3.
  • 21. Ham WH, Schoonhoven L, Schuurmans MJ, Veugelers R, Leenen LP. Pressure ulcer education improves interrater reliability, identification, and classification skills by emergency nurses and physicians. J Emerg Nurs. 2015; 41(1): 43-51.
  • 22. Denby A, Rowlands A. Stop them at the door: should a pressure ulcer prevention protocol be implemented in the emergency department? J Wound Ostomy Continence Nurs. 2010; 37(1): 35-8.
  • 23. Sendelbach S, Zink M, Peterson J. Decreasing pressure ulcers across a healthcare system: moving beneath the tip of the iceberg. J Nurs Adm. 2011; 41(2): 84-9.
  • 24. El Enein NY, Zaghloul AA. Nurses’ knowledge of prevention and management of pressure ulcer at a health insurance hospital in Alexandria. Int J Nurs Pract. 2011; 17(3): 262-8.
  • 25. Nuru N, Zewdu F, Amsalu S, Mehretie Y. Knowledge and practice of nurses towards prevention of pressure ulcer and associated factors in Gondar University Hospital, Northwest Ethiopia. BMC Nurs. 2015; 14: 34.
  • 26. Pınar R, Oğuz S. Norton ve Braden Bası Yarası Değerlendirme Ölçeklerinin Yatağa Bağımlı Aynı Hasta Grubunda Güvenirlik ve Geçerliğinin Sınanması: Uluslararası Katılımlı VI. Ulusal Hemşirelik Kongresi, Kongre Kitabı, Ankara; 1998: 172-5.
  • 27. Yara Ostomi İnkontinans Hemşireleri Derneği. Braden Ölçeği. (Accessed May 05, 2020). Available from: https://www.yoihd.org.tr/sayfa.aspx?id=81
  • 28. National Pressure Injury Advisory Panel. Pressure Injury Stages. Available at: https://npiap.com/page/PressureInjuryStages (Accessed January 05, 2018)
  • 29. Fulbrook P, Miles S, Coyer F. Prevalence of pressure injury in adults presenting to the emergency department by ambulance. Aust Crit Care. 2019; 32(6): 509- 14.
  • 30. Baykara ZG, Karadağ A, Bulut H, Şenol Çelik S, Güler Demir S, Gül S, et al. Basınç yaralanmalarını önleme ve iyileştirme. Ankara: Yara Ostomi İnkontinans Hemşireleri Derneği, Öztürk Ticaret; 2020.
  • 31. Beeckman D, Schoonhoven L, Boucqué H, Van Maele G, Defloor T. Pressure ulcers: E-learning to improve classification by nurses and nursing students. J Clin Nurs. 2008; 17(13): 1697-707.
  • 32. Claudia G, Diane M, Daphney SG, Danièle D. Prevention and treatment of pressure ulcers in a university hospital centre: a correlational study examining nurses’ knowledge and best practice. Int J Nurs Pract. 2010; 16(2): 183-7.
  • 33. Rafiei H, Abdar ME, Iranmanesh S, Lalegani H, Safdari A, Dehkordi AH. Knowledge about pressure ulcer prevention, classification and management: A survey of registered nurses working with trauma patients in the emergency department. Int J Orthop Trauma Nurs. 2014; 18(3): 135-42.
  • 34. Hoedl M, Eglseer D, Lohrmann C. Structure, Process, and Quality Indicators for Pressure Injury Prevention and Care in Austrian Hospitals: A Quality Improvement Project. J Wound Ostomy Continence Nurs. 2019; 46(6): 479-84.
  • 35. Costa C, Fanton E, Roncoroni E, Stevanin S, Franco MG, Bonesso P, et al. Measuring nursing sensitive outcomes in publicly funded hospitals in the Veneto Region, Italy: the development of a regional policy. Ig Sanita Pubbl. 2018; 74(6): 547-64.
APA Yazici G, AKTAS D, Guler S, BULUT H, göçmen baykara z, Demircan A (2022). Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study. , 528 - 535. 10.4274/cjms.2022.2021-182
Chicago Yazici Gulay,AKTAS DILEK,Guler Sevil,BULUT HÜLYA,göçmen baykara zehra,Demircan AHMET Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study. (2022): 528 - 535. 10.4274/cjms.2022.2021-182
MLA Yazici Gulay,AKTAS DILEK,Guler Sevil,BULUT HÜLYA,göçmen baykara zehra,Demircan AHMET Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study. , 2022, ss.528 - 535. 10.4274/cjms.2022.2021-182
AMA Yazici G,AKTAS D,Guler S,BULUT H,göçmen baykara z,Demircan A Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study. . 2022; 528 - 535. 10.4274/cjms.2022.2021-182
Vancouver Yazici G,AKTAS D,Guler S,BULUT H,göçmen baykara z,Demircan A Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study. . 2022; 528 - 535. 10.4274/cjms.2022.2021-182
IEEE Yazici G,AKTAS D,Guler S,BULUT H,göçmen baykara z,Demircan A "Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study." , ss.528 - 535, 2022. 10.4274/cjms.2022.2021-182
ISNAD Yazici, Gulay vd. "Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study". (2022), 528-535. https://doi.org/10.4274/cjms.2022.2021-182
APA Yazici G, AKTAS D, Guler S, BULUT H, göçmen baykara z, Demircan A (2022). Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study. Cyprus Journal of Medical Sciences, 7(4), 528 - 535. 10.4274/cjms.2022.2021-182
Chicago Yazici Gulay,AKTAS DILEK,Guler Sevil,BULUT HÜLYA,göçmen baykara zehra,Demircan AHMET Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study. Cyprus Journal of Medical Sciences 7, no.4 (2022): 528 - 535. 10.4274/cjms.2022.2021-182
MLA Yazici Gulay,AKTAS DILEK,Guler Sevil,BULUT HÜLYA,göçmen baykara zehra,Demircan AHMET Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study. Cyprus Journal of Medical Sciences, vol.7, no.4, 2022, ss.528 - 535. 10.4274/cjms.2022.2021-182
AMA Yazici G,AKTAS D,Guler S,BULUT H,göçmen baykara z,Demircan A Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study. Cyprus Journal of Medical Sciences. 2022; 7(4): 528 - 535. 10.4274/cjms.2022.2021-182
Vancouver Yazici G,AKTAS D,Guler S,BULUT H,göçmen baykara z,Demircan A Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study. Cyprus Journal of Medical Sciences. 2022; 7(4): 528 - 535. 10.4274/cjms.2022.2021-182
IEEE Yazici G,AKTAS D,Guler S,BULUT H,göçmen baykara z,Demircan A "Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study." Cyprus Journal of Medical Sciences, 7, ss.528 - 535, 2022. 10.4274/cjms.2022.2021-182
ISNAD Yazici, Gulay vd. "Pressure Injuries in the Emergency Department: Prevalence and Healthcare Professionals’ Knowledge Levels-A Pilot Study". Cyprus Journal of Medical Sciences 7/4 (2022), 528-535. https://doi.org/10.4274/cjms.2022.2021-182