Factors Affecting Nurses’ Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital
Prevention of pressure ulcers is an indicator of quality of care. Nursing care has a major effect on pressure ulcer development and prevention. Hence, many people believe that most pressure ulcers are preventable if the appropriate interventions are implemented. The study aimed to assess factors affecting nursing compliance in preventing pressure ulcer. Descriptive correlation design was used which is a type of non-experimental design to collect data from medical, surgical units and the critical cardiac unit at King Abdulaziz University Hospital in Jeddah city. Purposive sampling technique was carried out to select 113 nurses and 113 patients. Data were collected by three tools, tool 1 is a structured questionnaire divided into 2 parts, included demographic data and list of barriers facing nurses in preventing pressure ulcer, tool 2 is an observational checklist and tool 3 is the Waterlow pressure ulcer risk assessment tool. The study concluded that there is significant correlation between barriers and nursing compliance in prevention pressure ulcer. Heavy workload/staff shortage is considered as the most barriers facing nurses’ compliance regarding prevention pressure ulcer. The study recommended that the managers should review nurses’ workload which the findings of this study have shown to be a major barrier in the priority given to the prevention of pressure ulcers.
Factors Affecting Nurses’ Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital, American Journal of Nursing Science.
Vol. 6, No. 5,
2017, pp. 387-395.
Adejumo, P. (2011). Nurses’ perception of activities at preventing pressure sore among selected patients at the University College hospital, Ibadan. West Afr. J. Nurs. 21(2): 90-98. Advanced Nursing 54, 94-10.
Aiken, LH., Sloane, DM., Bruyneel, L., Van den Heede, K., Griffiths, P., Busse R, Diomidous M, Kinnunen J, Kozka M, Lesaffre E, McHugh Moreno-Casbas, MT., Rafferty, A. M., Schwendimann, R., Scott, P. A., Tishelman C, van Achterberg T & Sermeus W (2014). Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Lancet 383, 1824.
Annesley Thomas M. (2010). “The Discussion Section: Your Closing Argument.” Clinical Chemistry 56: 1671-1674.
Ayello, E. (2007). How and why to do pressure ulcer risk assessment. Adv. Skin Wound Care 15(3): 125-320.
Bredesen, I. M., Bjøro, K., Gunningberg, L., and Hofoss, D. (2015). The prevalence, prevention and multilevel variance of pressure ulcers in Norwegian hospitals: a cross-sectional study. Int. J. Nurs. Stud.; 52: 149–156
Elliot R, McKinley S, Fox V. (2008). Quality improvement program to reduce the prevalence of pressure ulcers in an intensive care unit. Am J Crit Care; 17: 4.
European Pressure Ulcer Advisory Panel & National Pressure Ulcer Advisory Panel (2009). Prevention and treatment of pressure ulcers: quick reference guide. National Pressure Ulcer Advisory Panel, Washington DC.
Fernandes, L. M., Caliri, M. H. L. (2008). Uso da escala de Braden e de Glasgow para identificação do risco para úlceras de pressão em pacientes internados em centro de terapia intensiva. Rev. Latino-Am. Enfermagem. 16(6): 973-8.
Gefen, A. (2008). “How much time does it take to get a pressure ulcer? Integrated evidence from human, animal, and in vitro studies,” Ostomy Wound Management, vol. 54, no. 10.
Gunningberg, L. and N. Stotts (2008). "Tracking quality over time: what do pressure ulcer data show?" International Journal of Quality in Health Care 20(4): 246-253.
Hadley, M. B., Roques, A. (2007). Nursing in Bangladesh: Rhetoric and reality. Social Science and Medicine. 64: 1153-65. PMid: 16884841 http://dx.doi.org/10.1016/j.socscim ed.2006.06.032.
Jankowski, M. I and Nadzam, M. D. (2011): Identifying gaps, barriers, and solutions in implementing pressure ulcer prevention programs, The joint Commission Journal on Quality and Patient Safety,(37)(6) 154-60.
Jordan O’Brien JA, Cowman S. (2011). An exploration of nursing documentation of pressure ulcer care in an acute setting in Ireland. J Wound Care. 20(5): 197–205.
Källman U, Suserud B. (2009). Knowledge, attitudes and practice among nursing staff concerning pressure ulcer prevention and treatment–a survey in a Swedish healthcare setting. Scand J Caring Sci.; 23(2): 334–41. doi: 10.1111/j.1471-6712.2008.00627.x.
MOORE, Z. & COWMAN, S. (2012). Pressure ulcer prevalence and prevention practices in care of the older person in the Republic of Ireland. J Clin Nurs, 21, 362-71.
Moore, Z., Price, P. (2004): Nurses’ attitudes, behaviors and perceived barriers towards pressure ulcer prevention. J Clin Nurs, 13: 942-952.
Mwebaza I, Katende G, Groves S, Nankumbi J. (2014)Nurses’ Knowledge, Practices, and Barriers in Care of Patients with Pressure Ulcers in a Ugandan Teaching Hospital. Nursing Research and Practice.; 2014: 973602. doi: 10.1155/2014/973602.
Paquay, L., Wouters, R., Defloor, T., Buntinx, F., Debaillie, R. and Geys, L. (2008). “Adherence to pressure ulcer prevention guidelines in home care: a survey of current practice,” Journal of Clinical Nursing, vol. 17, no. 5, pp. 627–636.
Park, S. H., Boyle, D. K., Bergquist-Beringer, S., Staggs, V. S. & Dunton, N. E. (2014). Concurrent and lagged effects of registered nurse turnover and staffing on unit-acquired pressure ulcers. Health Serv Res 49, 1205-1225. patients in selected hospitals at Mangalore, Published master thesis in Medical – Surgical Nursing, Athena College of Nursing, Failnir Road: p. 3.
Niederhauser, A., Van Deusen Lukas, C., Parker, V., Ayello, E. A., Zulkowski, K., and Berlowitz, D. (2012). Comprehensive programs for preventing pressure ulcers: a review of the literature. Adv. Skin Wound Care.25: 167–188
Saleh M (2007). The impact of pressure ulcer risk assessment on patient outcomes among hospitalised patients at Riyadh Military Hospital – Saudi Arabia. Leicester: De Montfort University.
Shahin, E. S. M., Dassen, T. and Halfens, R. J. G. (2008). Pressure ulcer prevalence and incidence in intensive care patients: a literature review. Nursing in Critical Care. 13(2): 71-79. PMid: 18289185 http://dx.doi.org/10.1111/j.1478-5153.2007.00249.x.
Smith D, Waugh S. (2009). Research study: an assessment of registered nurses’ knowledge of pressure ulcers prevention and treatment. Kansas Nurs. 84(1): 3–5.
Soban et al., (2011) Soban, L. M., Hempel, S., Munjas, B. A., Miles, J., and Rubenstein, L. V. Preventing pressure ulcers in hospitals: a systematic review of nurse-focused quality improvement interventions. Jt. Comm. J. Qual. Patient. Saf.; 37: 245–252.
Strand, T., Lindgren, M. (2010). Knowledge, attitudes and barriers towards prevention of pressure ulcers in intensive care units: A descriptive cross-sectional study. Intensive Crit Care Nurs. 26: 335–342.
Sullivan, N. and Schoelles, K. M. (2013). Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann. Intern. Med.; 158: 410–416.
Sving, E., Idvall, E., Högberg, H., and Gunningberg, L. (2014). Factors contributing to evidence-based pressure ulcer prevention. A cross-sectional study. Int. J. Nurs. Stud.; 51: 717–725.
Tescher, A. N., Branda, M. E., Byrne, T. J. & Naessens, J. M. (2012). All at-risk patients are not created equal: analysis of Braden pressure ulcer risk scores to identify specific risks. J Wound Ostomy Continence Nurs 39, 282-291.
Thayer, D. (2013), “Closing the evidence-based gap in skin care.http://www.o-wm.com/content/closing-evidence-based-gap-skin-care.
Tubaishat, A., D. Anthony, and M. Saleh (2011). Pressure ulcers in Jordan: A point prevalence study. Journal of Tissue Viability, 20(1), 14-19. PMid: 20880710 http://dx.doi.org/10.1016/j.jtv.2010.08.001
Vanderwee, K., Grypdonck, M. & Defloor, T. (2007b). Non-blanchable erythema as an indicator for the need for pressure ulcer prevention: a randomized-controlled trial. Journal of Clinical Nursing 16, 325–335.
Van Gaal BG, Schoonhoven L, Vloet LC, Mintjes JA, Borm GF, Koopmans RT, van Achterberg T. (2010): The effect of the SAFE or SORRY? programme on patient safety knowledge of nurses in hospitals and nursing homes: a cluster randomized trial. Int J Nurs Stud., 47 (9): 1117-1125. 10.1016/j.ijnurstu.02.001.
Van Gaal, B. G., Schoonhoven, L., Mintjes-de Groot, J. A., Defloor, T., Habets, H., Voss, A., van Achterberg, T., and Koopmans, R. T. (2014). Concurrent incidence of adverse events in hospitals and nursing homes. J. Nurs. Scholarsh.; 46: 187–198.
Wann-Hansson, C., Hagell, P. &Willman, A. (2008). Risk factors and prevention among patients with hospital-acquired and pre- existing pressure ulcers in an acute care hospital. Journal of Clinical Nursing, 17, 1718-1727. doi: 10.1111/j.1365-2702.2008.02286.x.
Waterlow, J. (2005). Pressure Ulcer Prevention Manual. Taunton: Waterlow.