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Improving Pressure Ulcer Staging Accuracy Through a Nursing Student Experiential Intervention.
The Journal of Nursing Education
|April 27, 2016
Summary
A hands-on clinical experience called Skin Day significantly improved nursing students' accuracy in staging pressure ulcers (PUs). This experiential learning is crucial for accurate PU staging and best practice adherence.
Area of Science:
- Nursing Education
- Clinical Skills Assessment
- Dermatology
Background:
- Inaccurate pressure ulcer (PU) staging is a common issue in clinical practice.
- Standard educational methods may not adequately prepare nursing students for accurate PU staging.
- Improving PU staging accuracy is essential for appropriate patient care and treatment planning.
Purpose of the Study:
- To assess the effectiveness of a student-focused intervention designed to enhance pressure ulcer staging accuracy.
- To compare the PU staging accuracy of nursing students who received standard education versus an enhanced, experiential program.
Main Methods:
- A quasi-experimental design involved nursing students from two universities.
- The intervention group (n=55) participated in a pressure ulcer module, a hospital-based 'Skin Day,' and a standard lecture.
- The control group (n=103) received only the standard lecture.
- Student accuracy was measured using a standardized PU staging tool and compared via analysis of variance.
Main Results:
- The intervention group demonstrated significantly higher accuracy in pressure ulcer staging compared to the control group.
- Students in the intervention group showed particular improvement in staging Stage II PUs and suspected deep tissue injury.
- Stage III pressure ulcers presented the greatest staging challenge for all participating students.
Conclusions:
- Experiential learning, such as 'Skin Day,' significantly improves nursing students' ability to accurately stage pressure ulcers.
- Hands-on clinical experience is vital for developing essential skills in pressure ulcer assessment.
- Implementing such experiential opportunities should be standard in nursing education to ensure best practice adherence.
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