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Factors Affecting Attitudes and Preventive Practice of Pressure Ulcer among Nurses

임상간호사의 욕창예방간호에 대한 태도와 수행도에 영향을 미치는 요인

  • Received : 2013.01.14
  • Accepted : 2013.03.13
  • Published : 2013.04.30

Abstract

Purpose: The purpose of this study was to investigate attitudes and preventive practice of pressure ulcer among hospital nurses and identify factors affecting their preventive practice of pressure ulcer. Methods: Data were collected at April, 2011 in a university hospital in Korea. A total of 140 hospital nurses completed a questionnaire including attitudes and preventive practice of pressure ulcer. Data were analyzed with descriptive statistics, Spearmans rho, and stepwise multiple regression via SPSS/WIN 20.0. Results: Levels of attitudes and preventive practice of pressure ulcer were average 3.65 out of 5 and 2.19 out of 3 respectively. There was significant difference in preventive practice of pressure ulcer by area of practice ($x^2$= 43.35, p<.001), frequency of pressure ulcer care ($x^2$=10.72, p=.013), and experience of wound care education (Ζ=4.73, p=.030). The attitudes toward pressure ulcer prevention were positive correlated to preventive practice among nurses (rho=.190, p=.049). Area of practice, attitude toward pressure ulcer prevention and experience of wound care education explained 48% of variance in preventive practice of pressure ulcer. Conclusion: For improving quality of care, it is important to provide educations to change nurses attitudes toward preventive practice of pressure ulcer.

Keywords

References

  1. Aydin, A. K., & Karadag, A. (2010). Assessment of nurse's knowledge and practice in prevention and management of deep tissue injury and stage I pressure ulcer. Journal of Wound Ostomy Continence Nursing, 37, 487-494. http://dx.doi.org/10.1097/WON.0b013e3181edec0b
  2. Baranoski, S. (2006). Raising awareness of pressure ulcer prevention and treatment. Advances in Skin & Wound Care, 19, 398-405. https://doi.org/10.1097/00129334-200609000-00018
  3. Cho, K. H., Jun, K. J., Bok, S. K., Hong, J. H., Lee, H., Park, N. K., et al. (2005). Epidemiologic study on clinical features of patient with pressure ulcer: A prospective study. The Journal of Korean Academy of Rehabilitation Medicine, 29, 122-127.
  4. Clarke, H. F., Bradley, C., Whytock, S., Handfield, S., Van Der Wal, R., & Gundry, S. (2005). Pressure ulcers: Implementation of evidence-based nursing practice. Journal of Advanced Nursing, 49, 578-590. http://dx.doi.org/10.1111/j.1365-2648.2004.03333.x
  5. Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
  6. Gray, M. (2010). Optimal management of incontinence-associated dermatitis in the elderly. American Journal of Clinical Dermatology, 11(3). 201-210. http://dx.doi.org/10.2165/11311010-000000000-00000
  7. Joo, S. Y. (2005). Knowledge and practice of pressure sores in home care nurses. Unpublished master's thesis, The Catholic University of Korea, Seoul.
  8. Kim, J. M., & Park, J. S. (2010). Development of an algorithm for the prevention and management of pressure ulcers. Korean Journal of Adult Nursing, 22, 353-364
  9. Kim, K. N., Kang, K. J., Lee, H. S., Shin, Y. H., Kim, S. K., Park, K. H., et al. (2011). Survey on pressure ulcers and influencing factors of stage change in acute university hospital inpatients. Journal of Korean Clinical Nursing Research, 17, 433-442.
  10. Kim, K. S., Kim, J. A., Kim, M. S., Kim, Y. J., Kim, E. S., Park, K. O., et al. (2009). Development of performance measures based on the nursing process for prevention and management of pressure ulcers, falls and pain. Journal of Korean Clinical Nursing Research, 15, 133-147.
  11. Korean Association of Wound Ostomy Continence Nurses. (2011). Clinical guideline for pressure ulcer. Seoul: Fornurse.
  12. Kwon, E. S. (2005). Study on the hospital nurses' knowledge, perception and performance of pressure ulcer care. Unpublished master's thesis, Hanyang University, Seoul.
  13. Lee, E. J., & Yang, S. O. (2011). Clinical knowledge and actual performance of pressure ulcer care by hospital nurses. Journal of Korean Clinical Nursing Research, 17, 251-261.
  14. Lee, H. J. (2008). Application and evaluation of a pressure ulcer prevention protocol for patients with open heart surgery. Unpublished master's thesis. Yonsei University, Seoul.
  15. Lee, M. J. (2010). Risk factor of pressure ulcers among elderly in the geriatric hospital. Unpublished master's thesis. Ewha Womans University, Seoul.
  16. Lee, S. H. (2010). The status of pressure ulcers among elders in nursing homes and geriatric hospital. Unpublished master's thesis. Ewha Womans University, Seoul.
  17. Lewis, M., Pearson, A., & Ward, C. (2003). Pressure ulcer prevention and treatment: transforming research findings into consensus based clinical guidelines. International Journal of Nursing Practice, 9, 92-102. http://dx.doi.org/10.1046/j.1322-7114.2002.00405.x
  18. National Pressure Ulcer Advisory Panel. (2009). Pressure ulcer stages revised by NPUAP. Retrieved April 20, 2012, from http://www.npuap.org/wp-content/uploads/2012/03/Final_Quick_Prevention_for_web_2010.pdf
  19. Park, H. S., Park, K. Y., & Yu, S. M. (2005). Factors influencing the development of pressure ulcers in surgical patients. Journal of Korean Advanced Nursing, 35, 125-134. https://doi.org/10.4040/jkan.2005.35.1.125
  20. Park, K. O. (2005). Study on decubitus knowledge and decubitus nursing interventions of nurses in intensive care unit. Unpublished master's thesis. Chung-Ang University, Seoul.
  21. Samuriwo, R. (2010). The impact of nurses' values on the prevention of pressure ulcers. British Journal of Nursing, 19 (15), 4-14.
  22. Seo, K. S. (2010). Nurses' knowledge, attitudes, and preventive care for pressure ulcers in nursing homes. Unpublished master's thesis. Ewha Womans University, Seoul.
  23. Whang, H. Y. (2007). Risk factors of pressure sore developed during elective surgery. Unpublished master's thesis, Chungnam University, Daejeon.
  24. Yang, N. Y., & Moon, S. Y. (2009). Perceived importance, educational needs, knowledge and performance concerning pressure ulcer care by clinical nurses. Korean Journal of Adult Nursing, 21, 95-104.
  25. Yang, S. O. (2010). Effect of the perception of clinical nurses on the extent of nursing care for bedsore patients. Unpublished master's thesis, Sunchon National University, Suncheon.

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  3. A study on the nursing knowledge, attitude, and performance towards pressure ulcer prevention among nurses in Korea long-term care facilities vol.16, pp.17424801, 2019, https://doi.org/10.1111/iwj.13021