Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey
Yıl: 2019 Cilt: 11 Sayı: 2 Sayfa Aralığı: 140 - 147 Metin Dili: İngilizce DOI: 10.5336/nurses.2018-63157 İndeks Tarihi: 08-05-2020
Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey
Öz: Objective: This study focused on assessing the knowledge and attitudes of nurses towards pressureulcer (PU) prevention in intensive care units. Material and Methods: A cross sectional study was performed ineight intensive care units. 81 out of 95 nurses completed the questionnaire. The response rate of those who completed the questionnaire was 85.3%. As the data collection form of the study, “nurse information tool”, “tool forPU information” and “attitude toward PU tool (APuP)” were used. The participating nurses were fully informedby the researcher about the purpose and method of the study and were asked to complete the tools. Results: Approximately half of the nurses (48.1%) in intensive care units about knowledge of prevention of pressure ulcer isinadequate. Moreover, only in less than a quarter (21%) of the nurses have an attitude scores of equal to or greaterthan 75%. A significant negative correlation existed between knowledge levels and attitudes of nurses to preventpressure ulcer (p<0.05). In other words, the positive attitudes of nurses decrease, as the level of knowledge to prevent pressure ulcer increases. Conclusion: In conclusion, nurses' knowledge on prevention of pressure ulcer in intensive care units is inadequate. This study also explored that only in less than a quarter of the nurses’ attitudestowards pressure ulcer prevention is positive. As the knowledge level of the nurses increases, the decrease in theirpositive attitudes is also thought provoking. In this study, it is thought that the individual differences of nursesare more effective on positive attitude than knowledge. Strategic plans (regular individual training, preventionpolicies and management, etc.) are necessary to improve both knowledge and positive attitude towards prevention of pressure ulcer.
Anahtar Kelime: Konular:
Basınç Yarasının Önlenmesine İlişkin Hemşirelerin Bilgi ve Tutumları: Yoğun Bakım Üniteleri Örneği
Öz: Amaç: Araştırma, basınç yarasının önlenmesine ilişkin yoğun bakımda çalışan hemşirelerin bilgi ve tutumlarını incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma, bir üniversite hastanesinin sekiz yoğun bakım ünitesinde kesitsel olarak gerçekleştirilmiştir. Yoğun bakım ünitelerinde toplam 95 hemşire görev yapmaktadır ve bu hemşirelerin 81’i (%85,3) araştırmaya katılmayı kabul ederek anketleri tamamlamıştır. Araştırmada veri toplama formu olarak, “hemşire bilgi formu”, “basınç yarasına yönelik bilgi formu” ve “basınç yarasını önlemeye yönelik tutum ölçeği” kullanılmıştır. Araştırmaya katılan bütün hemşirelere araştırmanın amacı ve yöntemi açıklanmıştır. Bulgular: Yoğun bakım ünitelerinde görev yapan hemşirelerin yaklaşık yarısının (%48,1) basınç yarasının önlenmesi konusunda bilgi düzeyinin yetersiz olduğu belirlenmiştir. Ayrıca, hemşirelerin sadece dörtte birinden azı (%21), %75’e eşit veya daha yüksek olumlu tutum oranına sahiptir. Basınç yarasını önlemek için hemşirelerin bilgi düzeyleri ile tutumları arasında anlamlı bir negatif korelasyon bulunmuştur (p<0,05). Başka bir deyişle, hemşirelerin basınç yarasını önleme bilgi düzeyi arttıkça olumlu tutumları azalmaktadır. Sonuç: Sonuç olarak, yoğun bakım ünitelerinde görev yapan hemşirelerin basınç yarasının önlenmesi konusundaki bilgisi yetersizdir. Bu araştırma, hemşirelerin yalnızca dörtte birinden azının basınç yarası önleme konusundaki tutumlarının olumlu olduğunu da göstermiştir. Ayrıca hemşirelerin bilgi düzeyi arttıkça olumlu tutumlarının azalması da düşündürücüdür. Bu çalışmada hemşirelerin pozitif tutumları üzerine bilginin yanı sıra bireysel farklılıklarının daha etkili olduğu düşünülmektedir. Basınç yarasının önlenmesine yönelik hem bilgiyi hem de olumlu tutumu geliştirmek için stratejik planlar (düzenli bireysel eğitim, önleme politikaları ve yönetimi vb.) gereklidir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Hurd T, Posnett J. Point prevalence of wounds in a sample of acute hospitals in Canada. Int Wound J. 2009;6(4):287-93. [Crossref] [PubMed]
- 2. Shahin ES, Dassen T, Halfens RJ. Incidence, prevention and treatment of pressure ulcers in intensive care patients: a longitudinal study. Int J Nurs Stud. 2009;46(4):413-21. [Crossref] [PubMed]
- 3. Scott JR, Gibran NS, Engrav LH, Mack CD, Rivara FP. Incidence and characteristics of hospitalized patients with pressure ulcers: State of Washington, 1987 to 2000. Plast Reconstr Surg. 2006;117(2):630-4. [Crossref] [PubMed]
- 4. Olsho LE, Spector WD, Williams CS, Rhodes W, Fink RV, Limcangco R, et al. Evaluation of AHRQ’s on-time pressure ulcer prevention program: a facilitator-assisted clinical decision support intervention for nursing homes. Med Care. 2014;52(3):258-66. [Crossref] [PubMed]
- 5. Compton F, Hoffmann F, Hortig T, Strauss M, Frey J, Zidek W, et al. PU predictors in ICU patients: nursing skin assessment versus objective parameters. J Wound Care. 2008;17(10):417-24. [Crossref] [PubMed]
- 6. Gunningberg L, Stotts NA. Tracking quality over time: what do pressure ulcer data show? Int J Qual Health Care. 2008;20(4):246- 53. [Crossref] [PubMed]
- 7. Baharestani MM, Black JM, Carville K, Clark M, Cuddigan JE, Dealey C, et al. Dilemmas in measuring and using pressure ulcer prevalence and incidence: an international consensus. Int Wound J. 2009;6(2):97-104. [Crossref] [PubMed]
- 8. Schuurman JP, Schoohoven L, Keller BP, van Ramshorst B. Do pressure ulcers influence length of hospital stay in surgical cardiothoracic patients? A prospective evaluation. J Clin Nurs. 2009;18(17):2456-63. [Crossref] [PubMed]
- 9. Berlowitz D. Incidence and prevalence of pressure ulcers. In: Thomas DR, Compton GA, eds. Pressure Ulcers in the Aging Population: A Guide for Clinicians. 1st ed. New York: Humana Press; 2014. p.19-26. [Crossref]
- 10. Elliott R, McKinley S, Fox V. Quality improvement program to reduce the prevalence of pressure ulcers in an intensive care unit. Am J Crit Care. 2008;17(4):328-35.
- 11. Tweed C, Tweed M. Intensive care nurses’ knowledge of pressure ulcers: development of an assessment tool and effect of an educational program. Am J Crit Care. 2008;17(4): 338-46.
- 12. National PU Advisory Panel, European PU Advisory Panel and Pan Pacific Pressure Ulcer Alliance. Prevention and Treatment of Pressure Ulcers: Quick Reference Guide 2014. p.75. [cited 2018 Jan 8]. [Link]
- 13. 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. [Crossref] [PubMed]
- 14. Tayyib N, Coyer F, Lewis PA. A two-arm cluster randomized control trial to determine the effectiveness of a pressure ulcer prevention bundle for critically ill patients. J Nurs Scholarsh. 2015;47(3):237-47. [Crossref] [PubMed]
- 15. Källman U, Suserud BO. Knowledge, attitudes and practice among nursing staff concerning pressure ulcer prevention and treatment--a survey in a Swedish healthcare setting. Scand J Caring Sci. 2009;23(2):334-41. [Crossref] [PubMed]
- 16. Strand T, Lindgren M. Knowledge, attitudes and barriers towards prevention of pressure ulcers in intensive care units: a descriptive cross-sectional study. Intensive Crit Care Nurs. 2010;26(6):335-42. [Crossref] [PubMed]
- 17. Beeckman D, Defloor T, Schoonhoven L, Vanderwee K. Knowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals. Worldviews Evid Based Nurs. 2011;8(3):166- 76. [Crossref] [PubMed]
- 18. Demarré L, Vanderwee K, Defloor T, Verhaeghe S, Schoonhoven L, Beeckman D. Pressure ulcers: knowledge and attitude of nurses and nursing assistants in Belgian nursing homes. J Clin Nurs. 2011;2(9-10):1425-34. [Crossref] [PubMed]
- 19. Aslan A, Yavuz van Giersbergen M. Nurses’ attitudes towards pressure ulcer prevention in Turkey. J Tissue Viability. 2016;25(1):66-73. [Crossref] [PubMed]
- 20. Ünver S, Fındık ÜY, Özkan ZK, Sürücü Ç. Attitudes of surgical nurses towards pressure ulcer prevention. J Tissue Viability. 2017;26 (4):277-81. [Crossref] [PubMed]
- 21. Qaddumi J, Khawaldeh A. Pressure ulcer prevention knowledge among Jordanian nurses: a crosssectional study. BMC Nurs. 2014;13 (1):6. [Crossref] [PubMed] [PMC]
- 22. 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. [Crossref] [PubMed] [PMC]
- 23. 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. [Crossref] [PubMed]
- 24. Beeckman D, Defloor T, Demarré L, Van Hecke A, Vanderwee K. Pressure ulcers: development and psychometric evaluation of the Attitude towards pressure ulcer prevention instrument (APuP). Int J Nurs Stud. 2010;47 (11):1432-41. [Crossref] [PubMed]
- 25. Beeckman D, Vanderwee K, Demarré L, Paquay L, Van Hecke A, Defloor T. Pressure ulcer prevention: development and psychometric validation of a knowledge assessment instrument. Int J Nurs Stud. 2010;47(4):399- 410. [Crossref] [PubMed]
- 26. Ayello EA, Lyder CH. A new era of pressure ulcer accountability in acute care. Adv Skin Wound Care. 2008;21(3):134-40. [Crossref] [PubMed]
- 27. 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. [Crossref] [PubMed]
- 28. Gunningberg L. Are patients with or at risk of pressure ulcers allocated appropriate prevention measures? Int J Nurs Pract. 2005;11(2): 58-67. [Crossref] [PubMed]
- 29. Panagiotopoulou K, Kerr SM. Pressure area care: an exploration of Greek nurses’ knowledge and practice. J Adv Nurs. 2002;40(3): 285-96. [Crossref] [PubMed]
- 30. Meesterberends E, Wilborn D, Lohrmann C, Schols JM, Halfens RJ. Knowledge and use of pressure ulcer preventive measures in nursing homes: a comparison of Dutch and German nursing staff. J Clin Nurs. 2013;23 (13-14):1948-58. [Crossref] [PubMed]
- 31. Moore Z, Price P. Nurses’ attitudes, behaviours and perceived barriers towards pressure ulcer prevention. J Clin Nurs. 2004;13(8):942- 51. [Crossref] [PubMed]
- 32. 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. [Crossref] [PubMed] [PMC]
- 33. Tubaishat A, Aljezawi M, Al Qadire M. Nurses’ attitudes and perceived barriers to pressure ulcer prevention in Jordan. J Wound Care. 2013;22(9):490-7. [Crossref] [PubMed]
- 34. Simonetti V, Comparcini D, Flacco ME, Di Giovanni P, Cicolini G. Nursing students’ knowledge and attitude on pressure ulcer prevention evidence-based guidelines: a multicenter cross-sectional study. Nurse Educ Today. 2015;35(4):573-9. [Crossref] [PubMed]
| APA | Yılmazer T, Tuzer H, ERCİYAS A (2019). Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey. , 140 - 147. 10.5336/nurses.2018-63157 |
| Chicago | Yılmazer Tuba,Tuzer Hilal,ERCİYAS Ayşegül Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey. (2019): 140 - 147. 10.5336/nurses.2018-63157 |
| MLA | Yılmazer Tuba,Tuzer Hilal,ERCİYAS Ayşegül Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey. , 2019, ss.140 - 147. 10.5336/nurses.2018-63157 |
| AMA | Yılmazer T,Tuzer H,ERCİYAS A Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey. . 2019; 140 - 147. 10.5336/nurses.2018-63157 |
| Vancouver | Yılmazer T,Tuzer H,ERCİYAS A Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey. . 2019; 140 - 147. 10.5336/nurses.2018-63157 |
| IEEE | Yılmazer T,Tuzer H,ERCİYAS A "Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey." , ss.140 - 147, 2019. 10.5336/nurses.2018-63157 |
| ISNAD | Yılmazer, Tuba vd. "Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey". (2019), 140-147. https://doi.org/10.5336/nurses.2018-63157 |
| APA | Yılmazer T, Tuzer H, ERCİYAS A (2019). Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 11(2), 140 - 147. 10.5336/nurses.2018-63157 |
| Chicago | Yılmazer Tuba,Tuzer Hilal,ERCİYAS Ayşegül Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi 11, no.2 (2019): 140 - 147. 10.5336/nurses.2018-63157 |
| MLA | Yılmazer Tuba,Tuzer Hilal,ERCİYAS Ayşegül Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, vol.11, no.2, 2019, ss.140 - 147. 10.5336/nurses.2018-63157 |
| AMA | Yılmazer T,Tuzer H,ERCİYAS A Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi. 2019; 11(2): 140 - 147. 10.5336/nurses.2018-63157 |
| Vancouver | Yılmazer T,Tuzer H,ERCİYAS A Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi. 2019; 11(2): 140 - 147. 10.5336/nurses.2018-63157 |
| IEEE | Yılmazer T,Tuzer H,ERCİYAS A "Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey." Türkiye Klinikleri Hemşirelik Bilimleri Dergisi, 11, ss.140 - 147, 2019. 10.5336/nurses.2018-63157 |
| ISNAD | Yılmazer, Tuba vd. "Knowledge and Attitudes Towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey". Türkiye Klinikleri Hemşirelik Bilimleri Dergisi 11/2 (2019), 140-147. https://doi.org/10.5336/nurses.2018-63157 |
