Abdulaziz Binkanan
Abstract
Nurses are leaders in implementing innovations that can create positive results in the prevention and management of pressure ulcers in patients admitted to acute care hospitals. Believing that nurses with knowledge of best practice could affect the prevalence, incidence and care of pressure ulcers, an educational program has been developed in a Canadian health system to inform and empower nurses providing skin and sores. The program provided participants with the knowledge and skills to recognize patients at risk for developing pressure ulcers and to independently treat stage I and stage II pressure ulcers and skin lesions related to humidity, friction and shear. Program includes evidence-based practice recommendations and highlights best practice guidelines developed by the Registered Nurses Association of Ontario, a provincial organization that plays an active role in developing , the implementation and evaluation of published guidelines derived from the synthesis of world research literature. The pre- and post-participation evaluation of 65 participating nurses from three hospitals found the program to be successful in terms of knowledge and meeting their educational expectations. Organizational support for the implementation of the resource nurse role in skin and wound care was encouraging and medical directives for stage I and stage II bedsores by nurses were implemented. Evaluation and monitoring of program results, including pressure ulcer incidence rates, continues. Hospitals in the United States are increasingly concerned about the increasing number of hospital pressure ulcers. To reduce its average prevalence of pressure ulcers acquired in hospitals by 9.2% in 2002-2003, a regional medical center in the southeastern United States launched a process and improvement program. education. Quarterly pressure ulcer prevalence studies were conducted and the medical intensive care unit revealed the highest number of hospital-based pressure ulcers among the five units participating in the study. As part of a new pressure ulcer strategic plan, significant changes have been made to organizational infrastructure and processes, including the implementation of the Braden Risk Scale Assessment Tool instead of the Norton risk scale, the development of a pressure ulcer prevention protocol, the creation of pressure sores / skin Tear Physician commands nurses, creates a team of skin resources and provides education, training and others additional relevant resources. Better appreciation and use of certified ostomy nurses was encouraged as a continuation of the wounds. New support surfaces have been purchased. The implementation of these changes has resulted in a decrease in the quarterly prevalence of hospital acquired pressure ulcers in participating units, including the critical medical care unit, where rates have gone from a peak of 29% to almost 0%. Clinicians now view pressure ulcers as preventable rather than unavoidable, and see ostomy-certified nurses in the case of an ostomy as resources and clinical experts for prevention and treatment. The overall quality of care and the use of financial resources have also improved considerably. Background and objective: pressure ulcer is a global problem and the lack of knowledge about pressure ulcer among nursesWas found. Therefore, the purpose of this study is to determine the effectiveness of an educational program on nurses' knowledge of bedsores. In addition, if they lack knowledge about pressure ulcers orprevention and care of pressure ulcer, then lack of knowledge can be eliminated by educational programor not. Materials and methods: 52 registered nurses working in a medical city participated in this study and face the pressureulcer on a daily basis. Quasi-experimental design in which the study has two parts (quantitative) - a pre-test andpost-test design used. A questionnaire distributed to nurses to assess their knowledge before conductingeducational program. Then the educational program was delivered to them; after that the same questionnairethem for comparison. After collecting the data, the report of the correct pre-test and post-test responses was compared. A statistical package for the social sciences was used. Results: After the implementation of the educational program, the majority of nurses provided the correct answers to the samequestionnaire and lack of knowledge can be eliminated by the educational program. In addition, about 25% correct answers to the questionnaire during the post-test, the nurses gave approximately 97% of correct answers. Conclusions: among several studies, many studies are considered in this study to provide a clear perceptionthat the education and training program can improve nurses' knowledge of pressure ulcer.In addition, the study and the results show that there is a need for associative and professional training inthis domain.