Related Experiment Video
Updated: Feb 6, 2026

Mouse Model of Pressure Ulcers After Spinal Cord Injury
Published on: March 9, 2019
Assessing Pressure Injury Knowledge Using the Pieper-Zulkowski Pressure Ulcer Knowledge Test
Barbara Delmore1, Elizabeth A Ayello, Hiske Smart
1Barbara Delmore, PhD, RN, CWCN, MAPWCA, IIWCC-NYU, is Senior Nurse Scientist, Center for Innovation in the Advancements of Care; and Clinical Assistant Professor, Hansjörg Wyss, Department of Plastic Surgery, New York University Langone Health, New York. Elizabeth A. Ayello, PhD, RN, ETN, MAPWCA, FAAN, is Faculty, Excelsior College School of Nursing, Albany, New York; President, Ayello Harris & Associates, Inc, Copake, New York; and Editor-in-Chief, Advances in Skin & Wound Care, Philadelphia, Pennsylvania. Hiske Smart, RN, MA Nursing Science (PU for CHE), Hons B Soc Sc Nursing Science (UFS), IIWCC-CAN, is Clinical Nurse Specialist, Wound Care and Hyperbaric Oxygen Therapy Unit, King Hamad University Hospital, Kingdom of Bahrain. R. Gary Sibbald, MD, DSc (Hons), MEd, BSc, FRCPC (Med Derm), FAAD, MAPWCA, is Professor, Medicine and Public Health, University of Toronto, Toronto, Ontario, Canada; Director, International Interprofessional Wound Care Course & Masters of Science in Community Health (Prevention & Wound Care), Dalla Lana Faculty of Public Health, University of Toronto; Past President, World Union of Wound Healing Societies; and Editor-in-Chief, Advances in Skin & Wound Care, Philadelphia, Pennsylvania. Acknowledgments: The authors would like to recognize the efforts of Aceleen Monteagudo in Manila, Philippines, and Gary Kwok in the United States. A special thank-you to Evan X. Accardi for helping to enter, organize, and perform initial analysis of the data. The authors have disclosed no financial relationships related to this article. Submitted October 6, 2017; accepted in revised form February 6, 2018.
Healthcare professionals showed significantly improved pressure injury knowledge after an interactive educational course. This intervention effectively addressed knowledge gaps in prevention, staging, and wound care, reinforcing adult learning principles.
Area of Science:
- Nursing Education
- Patient Safety
- Wound Care Research
Background:
- Pressure injuries represent a significant challenge in healthcare settings.
- Effective knowledge dissemination among healthcare professionals is crucial for preventing pressure injuries.
- Existing educational interventions require evaluation to ensure knowledge acquisition and retention.
Purpose of the Study:
- To assess the impact of an interactive educational intervention on healthcare professionals' knowledge of pressure injuries.
- To quantify changes in pressure injury knowledge before and after the intervention.
- To validate the effectiveness of the Pieper-Zulkowski Pressure Ulcer Knowledge Test (PZ-PUKT) in measuring knowledge deficits.
Main Methods:
- A quasi-experimental, pretest/posttest design was employed in Manila, Philippines.
- Participants included healthcare professionals attending a 2-day Basic WoundPedia course.
- The 72-item PZ-PUKT, assessing prevention, staging, and wounds, was administered before and after the educational content.
Main Results:
- A statistically significant increase in pressure injury knowledge scores was observed post-intervention.
- The educational intervention successfully improved knowledge across all three subscales: prevention, staging, and wounds.
- Participants demonstrated enhanced understanding of pressure injury concepts following the course.
Conclusions:
- Interactive educational interventions are effective in improving healthcare professionals' pressure injury knowledge.
- Pre- and post-intervention assessments are valuable for identifying and correcting knowledge deficits.
- The PZ-PUKT is a useful tool for adult learners to self-assess and update their knowledge on pressure injury prevention and management.
More Related Videos
Related Concept Videos
Vapor Pressure
Definition and Measurement of Pressure: Atmospheric Pressure, Barometer, and Manometer
Assessing Blood pressure in the Leg
Preparation:
Constant Pressure Calorimetry
Vapor Pressure Lowering
Assessing Blood pressure using a doppler ultrasound
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:

