Evaluation of Knowledge among Nurses about Pressure Ulcer in a Tertiary Care Hospital, Lahore
Article Sidebar
Main Article Content
Abstract
Background: Pressure ulcers are a prevalent issue in healthcare settings, leading to significant morbidity and increased healthcare costs. Nurses play a crucial role in the prevention and management of these conditions, yet gaps in knowledge can affect patient outcomes. The study aimed to assess the knowledge of nurses at a tertiary care hospital in Lahore, Pakistan, a setting where pressure ulcer management is critical yet understudied.
Objective: This study aimed to evaluate the current level of knowledge among nurses regarding pressure ulcer prevention and management, and to identify any significant differences in knowledge across various critical care settings within the hospital.
Methods: A cross-sectional descriptive study was conducted at Shalamar Hospital, Lahore, involving 125 staff nurses and nursing interns selected via simple random sampling. Participants were required to have at least six months of experience in general wards. Data were collected using a validated questionnaire, assessing knowledge of pressure ulcer management. Ethical approval was obtained from the Shalamar College of Nursing's ethical committee. Data analysis was performed using SPSS version 25 and Microsoft Excel, applying descriptive and inferential statistics, including the Chi-square test, with a significance level set at p<0.05.
Results: The study revealed that 68.8% (86/125) of nurses had average knowledge, 29.6% (37/125) demonstrated good knowledge, and only 1.6% (2/125) exhibited poor knowledge regarding pressure ulcer management. Notably, nurses in the Surgical Intensive Care Unit (SICU) and High Dependency Unit (HDU) displayed the highest levels of knowledge, whereas those in the Medical Intensive Care Unit (MICU), Cardiac Care Unit (CCU), and Emergency Room (ER) had comparatively lower knowledge levels.
Conclusion: The majority of nurses at Shalamar Hospital possessed an average level of knowledge concerning pressure ulcer management. There is a critical need for targeted educational interventions to enhance knowledge and practices, particularly in units where nurses showed lower knowledge levels. Improving nurse education in pressure ulcer management could significantly impact the quality of patient care and reduce the prevalence of these injuries.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Cox J, Edsberg LE, Koloms K, VanGilder CAJJoW, Ostomy,, Nursing C. Pressure injuries in critical care patients in US hospitals: results of the International Pressure Ulcer Prevalence Survey. 2022;49(1):21.
Jabar M, Riaz HM, Sajjad SA, Rana AA, Ahmad I, Khalid SJAoM, et al. Prevalence of Pressure Ulcers and its Relative Distribution among Hospitalized Patients in Tertiary Care Hospitals of Lahore. 2022.
Zhang X, Zhu N, Li Z, Xie X, Liu T, Ouyang GJSr. The global burden of decubitus ulcers from 1990 to 2019. 2021;11(1):21750.
Naqvi SH, Osundolire S, Goldberg RA, Lapane KL, Nunes APJAoG, Geriatrics. Unhealed Pressure Ulcers Among Nursing Home Residents with Diabetes. 2023:104969.
Zaidi S, Sharma S. Decubitus Ulcer. 2020.
Ghazanfari MJ, Karkhah S, Maroufizadeh S, Fast O, Jafaraghaee F, Gholampour MH, et al. Knowledge, attitude, and practice of Iranian critical care nurses related to prevention of pressure ulcers: A multicenter cross-sectional study. 2022;31(2):326-31.
López M, Fernández‐Castro M, Martín‐Gil B, Muñoz‐Moreno MF, Jiménez JMJJoNM. Auditing completion of nursing records as an outcome indicator for identifying patients at risk of developing pressure ulcers, falling, and social vulnerability: An observational study. 2022;30(4):1061-8.
BoykoTatiana V, LongakerMichael T, YangGeorge PJAiwc. Review of the current management of pressure ulcers. 2018.
Ghorbani Vajargah P, Mollaei A, Falakdami A, Takasi P, Moosazadeh Z, Esmaeili S, Emami Zeydi A, Karkhah S. A systematic review of nurses' practice and related factors toward pressure ulcer prevention. International Wound Journal. 2023 Aug;20(6):2386-401.
Avsar P, Budri A, Patton D, Walsh S, Moore ZJWoEBN. Developing algorithm based on activity and mobility for pressure ulcer risk among older adult residents: implications for evidence‐based practice. 2022;19(2):112-20.
Abd-Alameer AF, Kadhim JJ. Nurses’ Knowledge, Attitudes and Barriers Towards Prevention of Pressure Ulcers in Critical Care Units. Remittances Review. 2023 Aug 16;8(4).
Moharramzadeh H, Heidarzadeh M, Aghamohammadi-Kalkhoran MJAiS, Care W. Investigating the Psychometric Properties of the Pieper-Zulkowski Pressure Ulcer Knowledge Test among Nurses in Iran. 2021;34(3):1-6.
Parvizi A, Haddadi S, Mollaei A, Ghorbani Vajargah P, Takasi P, Firooz M, Hosseini SJ, Farzan R, Karkhah S. A systematic review of nurses' knowledge and related factors towards the prevention of medical device‐related pressure ulcers. International Wound Journal. 2023 Sep;20(7):2843-54.
Al-khazali AH. Nurses’ knowledge and barriers to perform pressure ulcer prevention practices. Hiv Nursing. 2023;23(1):285-93.
Parveen K, Hussain M, Afzal M, Gilani SAJA. Assessment of nursing practice, competences at clinical to prevent decubitus ulcers at tertiary care hospital lahore pakistan. 2020;74.
Getie A, Baylie A, Bante A, Geda B, Mesfin FJPO. Pressure ulcer prevention practices and associated factors among nurses in public hospitals of Harari regional state and Dire Dawa city administration, Eastern Ethiopia. 2020;15(12):e0243875.
Liu LQ, Kelly J, Di Cesare M, Allan HT, Traynor M. The knowledge and attitudes regarding pressure ulcer prevention among healthcare support workers in the UK: a cross-sectional study. Journal of Tissue Viability. 2023 Feb 1;32(1):130-5.
Li Z, Marshall AP, Lin F, Ding Y, Chaboyer WJJoTV. Knowledge of pressure injury in medical and surgical nurses in a tertiary level hospital: A cross-sectional study. 2022;31(1):24-9.
Guerrero JG, Mohammed H, Pingue-Raguini M, Cordero RP, Aljarrah I. A Multicenter Assessment of Nurses’ Knowledge Regarding Pressure Ulcer Prevention in Intensive Care Units Utilizing the PUKAT 2.0. SAGE Open Nursing. 2023 May;9:23779608231177790.
Liang H, Hu H, Feng L, Wei H, Ying Y, Liu Y. The knowledge and attitude on the prevention of pressure ulcers in Chinese nurses: A cross‐sectional study in 93 tertiary and secondary hospitals. International Wound Journal. 2024 Apr;21(4):e14593.