Prevention and treatment of pressure ulcers in a university hospital centre: A correlational study examining nurses' knowledge and best practice

2010 ◽  
Vol 16 (2) ◽  
pp. 183-187 ◽  
Author(s):  
Gallant Claudia ◽  
Morin Diane ◽  
St-Germain Daphney ◽  
Dallaire Danièle
Keyword(s):  
Best Practice ◽  
Pressure Ulcers ◽  
University Hospital ◽  
Correlational Study ◽  
Prevention And Treatment ◽  
Nurses Knowledge

Best Practice Recommendations for the Prevention and Treatment of Pressure Ulcers

2007 ◽  
Vol 20 (8) ◽  
pp. 447-460 ◽  
Author(s):  
David H. Keast ◽  
Nancy Parslow ◽  
Pamela E. Houghton ◽  
Linda Norton ◽  
Chris Fraser
Keyword(s):  
Best Practice ◽  
Pressure Ulcers ◽  
Practice Recommendations ◽  
Prevention And Treatment

Best Practice Recommendations for the Prevention and Treatment of Pressure Ulcers

2007 ◽  
Vol 20 (8) ◽  
pp. 461-462 ◽  
Author(s):  
David H. Keast ◽  
Nancy E. Parslow ◽  
Pamela E. Houghton ◽  
Linda Norton ◽  
Chris Fraser
Keyword(s):  
Best Practice ◽  
Pressure Ulcers ◽  
Practice Recommendations ◽  
Prevention And Treatment

scholarly journals Effect of Application Bundle Skin Care on Nurses’ Performance and Orthopedic Patients’ Skin Outcome: Quasi-Experimental Study

2020 ◽  
Vol 11 (4) ◽  
pp. 7525-7535
Author(s):  
Gehan Abd Elfattah Atia Elasrag ◽  
Nahed ELnabawy Elsabagh ◽  
Shahenda A. Salih ◽  
Marwa Mohamed Ahmed Ouda
Keyword(s):  
Pressure Ulcers ◽  
Rating Scale ◽  
Positive Impact ◽  
Pressure Sore ◽  
Skin Care ◽  
University Hospital ◽  
Braden Scale ◽  
Quasi Experimental ◽  
Orthopedic Patients ◽  
Nurses Knowledge

Treating severe pressure ulcers may consume considerable manpower, time, and medical resources. Pressure ulcers can be avoided and effectively treated when nurses conduct proper skin assessment and care for wounds appropriately. Research hypothesis: There was positive impact of bundle skincare training on nurses' performance and orthopedic patients' skin outcome. quasi-experimental design was utilized at orthopedic units at Shebin El Koum teaching Hospital and Menofia University Hospital. Tools used for data collection were Pre-designed Questionnaire contained on nurses' characteristics, Attitude Rating Scale and Nurses' knowledge, also used Observational Checklist and BRADEN scale. The subject composed of 45 nurses and 90 orthopedic patients. Mean score of total knowledge pre-intervention was 6.83±3.1, while at the post was 9.95±2.1. Also, a mean score of total practice pre-intervention was 7.11±2.6, while at the post was 11.83±3.4, and, a mean score of total attitude pre-intervention was 5.02±2.8, while at the post was 7.82±1.9. Mean score of BRADEN scale at pre-intervention was 12.81±3.04, while at the post was 13.45±1.99. Application bundle skin care had a positive effect on nurses' knowledge, practice and attitude related skincare for orthopedic patients. So, there was an improvement at BRADEN score of patients post-application bundle skincare. Age, gender and previous hospitalization, BMI, and length had positive predictor effect on pressure sore risk. Skincare bundle for orthopedic patients is acceptable and has the potential to improve nursing care. 

Nurses’ knowledge and experience related to short peripheral venous catheter extravasation

2021 ◽  
pp. 112972982110455
Author(s):  
Selma Atay ◽  
Şengül Üzen Cura ◽  
Sevda Efil
Keyword(s):  
Venous Catheter ◽  
Cytotoxic Agents ◽  
University Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Peripheral Venous Catheter ◽  
Intravenous Treatment ◽  
Cold Application ◽  
Service Training ◽  
Nurses Knowledge

Background: The majority of hospitalized patients receive a Peripheral Venous Catheter (PVC) in the course of their treatment. Extravasation injury is a serious complication of intravenous treatment. Objective: This cross-sectional survey designed study aims to investigate nurses’ knowledge and experience related to short peripheral venous catheter extravasation. Method: The study sample included 145 nurses working in a university hospital in the west of Turkey. A questionnaire developed in accordance with the literature was used for data collection. The data were assessed by frequency and proportions. Results: Of the nurses included in this study, 26.2% reported they had experienced extravasation injury in a patient; 74.5% said they had received no instruction in the management of extravasation during their in-service training program; and 85.5% stated they did not keep a record of extravasation. 89.7% of the nurses reported infused medications as a cause of extravasation, and 81.4% reported catheter sites as a cause. Among the medications reported by the nurses as causing extravasation: 89.7% reported contrast agents; 84.8% TPN solutions; 71.0% cytotoxic agents; and 65.1% mannitol. The symptoms of extravasation reported by nurses included: swelling (97.9%), redness (97.2%), pain (92.4%), rise in temperature (65.5%), and ulceration (60.0%). In responding to the occurrence of extravasation, interventions reported by the nurses included: stopping the flow of fluid (98.6%), elevation (89.7%), cold application (76.6%), and aspiration of drug (40.7%). Conclusion: Based on these results, it is recommended that guidelines are developed for the management of extravasation, that periodic in-service training programs are provided and that observational studies are carried out into the administration of vesicant drugs.

Intensive Care Nurses’ Knowledge of Pressure Ulcers: Development of an Assessment Tool and Effect of an Educational Program

2008 ◽  
Vol 17 (4) ◽  
pp. 338-346 ◽  
Author(s):  
Carol Tweed ◽  
Mike Tweed
Keyword(s):  
Intensive Care ◽  
Test Scores ◽  
Educational Program ◽  
Pressure Ulcers ◽  
Assessment Tool ◽  
Demographic Data ◽  
Intensive Care Nurses ◽  
The Mean ◽  
The Impact ◽  
Nurses Knowledge

Background Critically ill patients are at high risk for pressure ulcers. Successful prevention of pressure ulcers requires that caregivers have adequate knowledge of this complication. Objective To assess intensive care nurses’ knowledge of pressure ulcers and the impact of an educational program on knowledge levels. Methods A knowledge assessment test was developed. A cohort of registered nurses in a tertiary referral hospital in New Zealand had knowledge assessed 3 times: before an educational program, within 2 weeks after the program, and 20 weeks later. Multivariate analysis was performed to determine if attributes such as length of time since qualifying or level of intensive care unit experience were associated with test scores. The content and results of the assessment test were evaluated. Results Completion of the educational program resulted in improved levels of knowledge. Mean scores on the assessment test were 84% at baseline and 89% following the educational program. The mean baseline score did not differ significantly from the mean 20-week follow-up score of 85%. No association was detected between demographic data and test scores. Content validity and standard setting were verified by using a variety of methods. Conclusion Levels of knowledge to prevent and manage pressure ulcers were good initially and improved with an educational program, but soon returned to baseline.

Perinatal palliative care: a dedicated care pathway

2019 ◽  
pp. bmjspcare-2019-001849 ◽  
Author(s):  
Francesca Rusalen ◽  
Maria Elena Cavicchiolo ◽  
Paola Lago ◽  
Sabrina Salvadori ◽  
Franca Benini
Keyword(s):  
Palliative Care ◽  
Best Practice ◽  
Work Group ◽  
Care Pathway ◽  
Shared Care ◽  
University Hospital ◽  
Grade Method ◽  
Paediatric Palliative Care ◽  
Extremely Preterm ◽  
Perinatal Palliative Care

ObjectiveEnsure access to perinatal palliative care (PnPC) to all eligible fetuses/infants/parents.DesignDuring 12 meetings in 2016, a multidisciplinary work-group (WG) performed literature review (Grading of Recommendations, Assessment, Development and Evaluation (GRADE) method was applied), including the ethical and legal references, in order to propose shared care pathway.SettingMaternal-Infant Department of Padua’s University Hospital.PatientsPnPC eligible population has been divided into three main groups: extremely preterm newborns (first group), newborns with prenatal/postnatal diagnosis of life-limiting and/or life-threatening disease and poor prognosis (second group) and newborns for whom a shift to PnPC is appropriate after the initial intensive care (third group).InterventionsThe multidisciplinary WG has shared care pathway for these three groups and defined roles and responsibilities.Main outcome measuresPrenatal and postnatal management, symptom’s treatment, end-of-life care.ResultsThe best care setting and the best practice for PnPC have been defined, as well as the indications for family support, corpse management and postmortem counselling, as well suggestion for conflicts’ mediation.ConclusionsPnPC represents an emerging field within the paediatric palliative care and calls for the development of dedicated shared pathways, in order to ensure accessibility and quality of care to this specific population of newborns.

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