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Pressure Injury Knowledge in Critical Care Nurses
Donna M Miller1, Lisa Neelon, Kathleen Kish-Smith
1Donna M. Miller, DNP, MSN, MEd, RN, Acute Care Nursing, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio. Lisa Neelon, MSN, RN, CCRN, MICU/CICU, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio. Kathleen Kish-Smith, BSN, RN, MICU/CICU, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio. Laura Whitney, BS, RN, CCM, MICU/CICU, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio. Christopher J. Burant, PhD, FGSA, Statistical Resource Center, Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio; Geriatric Research, Education & Clinical Center, Cleveland, Ohio; and Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
Critical care nurses show gaps in pressure injury knowledge, particularly in prevention. While staging knowledge is higher, targeted education is needed to improve prevention practices and maintain effective programs.
Area of Science:
- Nursing
- Critical Care
- Patient Safety
Background:
- Pressure injuries represent a significant patient safety concern in critical care settings.
- Multimodal education initiatives aim to enhance nurses' knowledge and practice regarding pressure injury prevention and management.
Purpose of the Study:
- To assess the pressure injury knowledge of critical care nurses concerning prevention and staging after participating in multimodal education.
- To identify specific knowledge gaps that require further educational intervention.
Main Methods:
- A postintervention descriptive study design was employed.
- 32 critical care registered nurses (RNs) completed the Pieper-Zulkowski Pressure Ulcer Knowledge Test (PZ-PUKT).
- Data analysis included calculating cumulative and subscale scores for prevention and staging, and Pearson correlations were used to explore associations with nurse characteristics.
Main Results:
- Nurses achieved an average cumulative score of 51.66% (72%) on the PZ-PUKT.
- Knowledge regarding pressure injury staging (81%) was higher than that related to prevention (70%).
- Younger nurses with less experience and those in medical intensive care units demonstrated higher staging scores.
Conclusions:
- Significant knowledge gaps persist in pressure injury prevention among critical care nurses.
- Educational strategies should focus on reinforcing prevention principles to complement existing staging knowledge.
- Findings can guide the development of targeted educational programs to enhance pressure injury prevention initiatives.
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