Objective: To explore the status of nursing students about identifying the pressure injury risk factors in a case scenario. Material and Methods: This descriptive study was carried out with 489 volunteered nursing students of a university between 5-26 May, 2017. For data collection, student information form including a case scenario was used. Students were instructed to read the case scenario carefully and write down the case-related pressure injury risk factors that they noticed. The data were evaluated using the mean, percentage, Standard deviation, Mann-Whitney U, Kruskal-Wallis H and Chi-square tests. Results: The rate of students who wrote case-related risk factors was 97.75% and the mean number of case-related risk factors written by nursing students was 7.40±3.83 among 20 risk factors. Students who had additional education and training experience on pressure injury care had written significantly more case-related risk factors than who had not (p<0.05). Conclusion: Although the rate of students who wrote risk factors was high, number of case-related risk factors identified by students was found to be insufficient. Taking additional education and training about pressure injury care helped students to identify pressure injury risk factors. It is recommended to reinforce the theoretical knowledge of especially 1st and 2nd years nursing students about pressure injury risk factors with clinical practices.
Keywords: Nursing students; pressure injury; risk factors
Amaç: Bu çalışma, hemşirelik öğrencilerinin vaka senaryosundaki basınç yaralanması risk faktörlerini belirleyebilme durumlarını değerlendirmeyi amaçlamıştır. Gereç ve Yöntemler: Bu tanımlayıcı çalışma, 5-6 Mayıs 2017 tarihleri arasında bir üniversitenin hemşirelik bölümündeki gönüllü 489 öğrenciyle yürütüldü. Veri toplamada, vaka senaryosu içeren bir öğrenci bilgi formu kullanıldı. Öğrencilerden, vaka senaryosunu dikkatlice okumaları ve tespit ettikleri vaka-ilişkili basınç yaralanması risk faktörlerini forma yazmaları istendi. Veriler ortalama, yüzde, standart sapma, Mann-Whitney U, Kruskal-Wallis H ve Ki-kare testleri kullanılarak değerlendirildi. Bulgular: Vaka-ilişkili basınç yaralanması risk faktörü yazan öğrencilerin oranı %97,75 idi ve vakada verilen 20 farklı basınç yaralanması risk faktöründen öğrenciler tarafından yazılanların ortalaması 7,40±3,83 idi. Basınç yaralanması bakımı konusunda ders alan ve bakım deneyimi olan öğrencilerin, ders almayan ve deneyimi olmayan öğrencilerden istatistiksel olarak anlamlı derecede daha fazla vaka-ilişkili basınç yaralanması risk faktörü yazdığı belirlendi (p<0,05). Sonuç: Her ne kadar vaka-ilişkili risk faktörleri yazan öğrencilerin oranı yüksek olsa da, öğrencilerin belirlediği risk faktörlerinin sayısı yetersiz bulundu. Basınç yaralanması konusunda ek eğitim almanın ve bakım vermenin öğrencilerin basınç yaralanması risk faktörlerini belirlemelerine yardımcı olduğu görüldü. Özellikle 1. ve 2. sınıf hemşirelik öğrencilerinin basınç yaralanması risk faktörleri hakkındaki teorik bilgilerin klinik uygulamalarla pekiştirilmesi önerilir.
Anahtar Kelimeler: Hemşirelik öğrencileri; basınç yaralanması; risk faktörleri
- Schoonhoven L, Bousema M, Buskens E; prePURSE-Study Group. The prevalence and incidence of pressure ulcers in hospitalized patients in the Netherlands: a prospective inception cohort study. Int J Nurs Stud. 2007;44(6):927-35. [Crossref] [PubMed]
- 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]
- Ayazoğlu TA, Karahan A, Gun Y, Onk D. Determination of risk factors in the development and prevalence of pressure sores in patients hospitalized in a cardiovascular and thoracic surgery intensive care unit. EJMI. 2018;2(1):12-7.
- Inan DG, Oztunç G. Pressure ulcer prevalence in Turkey: a sample from a university hospital. J Wound Ostomy Continence Nurs. 2012;39(4):409-13. [Crossref] [PubMed]
- Katran HB. The research on the incidence of pressure sores in a surgical intensive care unit and the risk factors affecting the development of pressure sores. JAREN. 2015;1(1):8-14. [Crossref]
- Shokati AM, Rafiei H, Alipoor HM, Bokharaei M, Amiri M. Incidence of pressure ulcer in patients who were admitted to open heart cardiac surgery intensive care unit. Int J Epidemiol Res. 2016;3(1):12-8.
- Amirah MFY, Rasheed AMY, Parameaswari PJ, Awajeh AM, Issa MR, Abdallah M. Pressure injury prevalence and risk factors among adult critically ill patients at a large intensive care unit. J Intensive Crit Care. 2019;5(2):1-4.
- Chaboyer WP, Thalib L, Harbeck EL, Coyer FM, Blot S, Bull CF, et al. Incidence and prevalence of pressure injuries in adult intensive care patients: a systematic review and meta-analysis. Crit Care Med. 2018;46(11):e1074-81. [Crossref] [PubMed]
- Brown DS, Donaldson N, Burnes Bolton L, Aydin CE. Nursing-sensitive benchmarks for hospitals to gauge high-reliability performance. J Health Qual. 2010;32(6):9-17. [Crossref] [PubMed]
- Gunningberg L, Mårtensson G, Mamhidir AG, Florin J, Muntlin Athlin A, 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. [Crossref] [PubMed]
- 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]
- 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]
- 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;21(9-10):1425-34. [Crossref] [PubMed]
- Altun İ, Demir Zencirci A. Knowledge and management of pressure ulcers: impact of lecture-based interactive workshops on training of nurses. Adv Skin Wound Care. 2011;24(6):262-6. [Crossref] [PubMed]
- Aydın AK, Karadağ A. Assessment of nurses' knowledge and practice in prevention and management of deep tissue injury and stage 1 pressure ulcer. J Wound Ostomy Continence Nurs. 2010;37(5):487-94. [Crossref] [PubMed]
- Uzun O, Aylaz R, Karadağ E. Prospective study: reducing pressure ulcers in intensive care units at a Turkish medical centre. J Wound Ostomy Continence Nurs. 2009;36(4):404-11. [Crossref] [PubMed]
- Zulkowski K, Capezuti E, Ayello EA, Sibbald RG. Wound care content in undergraduate programs: we can do better. WCET Journal. 2015;35(1):10-4.
- 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]
- Gray M. Wound, ostomy, and continence education in nursing school curriculums. J Wound Ostomy Continence Nurs. 1994;21(6):213-5. [Crossref] [PubMed]
- Aydın Y, Adıgüzel A, Altun TE. [Determining the attitudes of nurses and midwives toward research]. J Hum Rhythm. 2015;1(4):168-75.
- 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]
- 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. [Crossref] [PubMed] [PMC]
- 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. [Crossref] [PubMed]
- Garrigues LJ, Cartwright JC, Bliss DZ. Attitudes of nursing students about pressure injury prevention. J Wound Ostomy Continence Nurs. 2017;44(2):123-8. [Crossref] [PubMed]
- Carpenito-Moyet LJ. [Doku Bütünlüğünde Bozulma]. Erdemir F, editör. Hemşirelik Tanıları El Kitabı. 13. Baskı. İstanbul: Nobel Tıp Kitabevleri; 2012. p.308-12.
- Birol L. Hemşirelik Süreci: Hemşirelik Bakımında Sistematik Yaklaşım. 6. Baskı. İzmir: Etki Matbaacılık; 2004. p.343-5.
- Avrupa Basınç Ülseri Danışma Paneli (EPUAP), Ulusal Basınç Ülseri Danışma Paneli (NPUAP). Basınç Ülserlerini Önleme: Hızlı Başvuru Kılavuzu. Çeviri: Yara Ostomi İnkontinans Hemşireleri Derneği. Ankara: 2010. p.26.
- European Pressure Ulcer Advisory Panel (EPUAP), National Pressure Ulcer Advisory Panel (NPUAP). Prevention and Treatment of Pressure Ulcers Quick Reference Guide. 2nd ed. Washington, DC: National Pressure Ulcer Advisory Panel; 2014. p.75.
- Rafiei H, Mehralian H, Abdar ME, Madadkar T. Pressure ulcers: how much do nursing students really know? Br J Nurs. 2015;24(6):S12-7. [Crossref] [PubMed]
- 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. [Crossref] [PubMed]
- Silva MDG. Predisposing factors for the development of pressure ulcers: comprehension of nursing students. Int Arch Med. 2016;9(249):1-9.
- Huff JM. Adequacy of wound education in undergraduate nursing curriculum. J Wound Ostomy Continence Nurs. 2011;38(2):160-4. [Crossref] [PubMed]
- Tschannen D, Mckay M, Steven M. Improving pressure ulcer staging accuracy through a nursing student experiential intervention. J Nurs Educ. 2016;55(5):266-70. [Crossref] [PubMed]
- Ayello EA, Zulkowski K, Capezuti E, Jicman WH, Sibbald RG. Educating nurses in the United States about pressure injuries. Adv Skin Wound Care. 2017;30(2):83-94. [Crossref] [PubMed]
- Raipaul K, Acton C. The use of smart technology to deliver efficient and effective pressure-damage education. Br J Nurs. 2015;24(20):4-12. [Crossref] [PubMed]
- Doğu Ö. [Determining the pressure ulcer knowledge, attitudes and practices of intensive care unit nurses]. J Hum Rhythm. 2015;1(3):95-100.
- Dikken J, Bakker A, Hoogerduijn JG, Schuurmans MJ. Comparisons of knowledge of Dutch nursing students and hospital nurses on aging. J Contin Educ Nurs. 2018;49(2):84-90. [Crossref] [PubMed]
- Comparcini D, Simonetti V, Tomietto M, Galli F, Fiorani C, Di Labio L, et al. [Nursing students' satisfaction and perception of their first clinical placement: observational study]. Prof Inferm. 2014;67(1):41-7.
- Tomietto M, Saiani L, Palese A, Cunico L, Cicolini G, Watson P, et al. Clinical learning environment and supervision plus nurse teacher (CLES+T) scale: testing the psychometric characteristics of the Italian version. G Ital Med Lav Ergon. 2012;34(2 Suppl B):B72-80.
- Pancorbo-Hidalgo P, García-Fernández F, López-Medina I, López-Ortega J. Pressure ulcer care in Spain: nurses' knowledge and clinical practice. J Adv Nurs. 2007;58(4):327-38. [Crossref] [PubMed]
- Rocha LES. Prevention of pressure ulcers: evaluation of nursing professionals knowledge. Cogitare Enferm. 2015;20(3):592-600.
- Lawrence P, Fulbrook P, Miles S. A survey of Australian nurses' knowledge of pressure injury/pressure ulcer management. J Wound Ostomy Continence Nurs. 2015;42(5):450-60. [Crossref] [PubMed]
- Kıraner E, Terzi B, Ekinci AU, Tunalı B. [Characteristics of patients with pressure wound in the intensive care unit]. J Critical Care Nurse. 2016;20(2):78-83.
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