KNOWLEDGE, PRACTICE AND PERCEIVED BARRIER OF PRESSURE ULCER PREVENTION AMONG NURSES IN A PUBLIC HOSPITAL IN SELANGOR

  • Fatimah Sham Faculty of Health Science, Puncak Alam Campus, Universiti Teknologi MARA (UiTM), 42300 Malaysia; Maternofetal and Embryology Research Group, Faculty of Medicine, Sungai Buloh Campus, Universiti Teknologi MARA (UiTM), 47000 Malaysia
  • Dayana Izni Binti Sharif Faculty of Health Science, Puncak Alam Campus, Universiti Teknologi MARA (UiTM), 42300 Malaysia; UiTM Medical Specialist Centre, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor Branch,47000, Jln Hospital, Sungai Buloh, Selangor, MALAYSIA
  • Norhidayah binti Moksin Faculty of Health Science, Puncak Alam Campus, Universiti Teknologi MARA (UiTM), 42300 Malaysia; UiTM Medical Specialist Centre, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor Branch,47000, Jln Hospital, Sungai Buloh, Selangor, MALAYSIA
  • Hasnah Selamat Nursing Unit, Hospital Sungai Buloh, Jalan Hospital, 47000, Sungai Buloh, Selangor
Keywords: Pressure Ulcers prevention, Nurses, Knowledge, Practice, Perceived barriers

Abstract

Pressure Ulcers (PUs) are a significant health problem for hospitalized patients associated with the leading cause of morbidity and mortality. Each year, more than 2.5 million patients suffer from PUs, and about 60,000 people died due to complications of PUs globally. Although PUs brings devastating consequences, fortunately, it can be prevented. The prevention of PUs represents a marker of quality of care and safety of a health-care organization. PUs prevention indeed needs multidisciplinary collaboration management; however, nurses' role is more significant as they are the frontline in providing patient care. This study aimed to assess knowledge, practice, and perceived barriers of PUs prevention among nurses in a Public Hospital in Selangor. A descriptive and cross-sectional study was used to obtain the data. A purposive sample of 220 nurses had been recruited from ICU, CCU, medical, surgical, and orthopedic wards at Public Hospital in Selangor. Data were obtained from self-administered questionnaires. The result was analyzed using the IBM Statistical Packages for Social Science (SPSS) Window Version 23. This study revealed that the respondents had adequate knowledge (95.0%) and good practice (96.8%) of PUs prevention. Heavy workload and inadequate staff were mostly cited as the barrier of PUs prevention. In overall, the respondents' knowledge and practice were good; however, deficits in a particular area of knowledge and practice of PUs prevention still exist. The hospital and nursing department should organize continuous education programs and in-house training in related field to optimized nurses’ knowledge and practice regarding pressure ulcer prevention and management.

References

1. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel, P. P. P. I. A. (2014). Prevention and Treatment of Pressure Ulcers : Quick Reference Guide. Clinical Practice Guideline.

2. Nuru, N., Zewdu, F., Amsalu, S., & Mehretie, Y. (2015). Knowledge and practice of nurses towards prevention of pressure ulcer and associated factors in Gondar University Hospital, Northwest Ethiopia. BMC Nursing, 14(1), 1–8. https://doi.org/10.1186/s12912-015-0076-8

3. Lyder, C. H., & Ayello, E. a. (2008). Pressure Ulcers : A Patient Safety Issue. Patient Safety and Quality: An Evidence-Based Handbook for Nurses, 268–299. https://doi.org/NBK2650 [bookaccession]

4. Zeh, M., Moore, Z. E., Webster, J., & Samuriwo, R. (2015). Wound-care teams for preventing and treating pressure ulcers (Review), (9). https://doi.org/10.1002/14651858.CD011011.pub2

5. Finkelman, A., & Kenner, C. (2016). The Essence of Nursing: Knowledge and Caring. Professional Nursing Concepts: Competencies for Qualities Leadership, 53–83. Retrieved from http://books.google.com/books?id=kGrsXNgaYuMC&pgis=1

6. Repić, G., & Ivanović, S. (2014). Pressure Ulcers and Their Impact on Quality of Life. Acta Medica Medianae, 53(4), 75–80. https://doi.org/10.5633/amm.2014.0412

7. Ebi, W. E., Menji, Z. A., & Hunde, B. M. (2017). Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia. Http://Www.Sciencepublishinggroup.Com, 5(4), 1. https://doi.org/10.11648/J.AJIM.S.2017050401.11

8. Uba, M., Alh, F., & R. Kever t al. (2015). Dearth of literature on barriers to provision of psychiatric nursing care in Nigeria: Findings from a literature review.

9. Köse, I., Yeşil, P., Öztunç, G., & Eskimez, Z. (2016). Knowledge of Nurses Working in Intensive Care Units in Relation to Preventive Interventions for Pressure Ulcer. International Journal of Caring Scieces, 9(2), 677–687.

10. Dilie, A., & Mengistu, D. (2015). Assessment of Nurses ’ Knowledge , Attitude , and Perceived Barriers to Expressed Pressure Ulcer Prevention Practice in Addis Ababa Government Hospitals , Addis Ababa , Ethiopia , 2015. Advances in Nursing, 2015, 1–11. https://doi.org/10.1155/2015/796927

11. Tubaishat, A., Aljezawi, M., & Al Qadire, M. (2013). Nurses’ attitudes and perceived barriers to pressure ulcer prevention in Jordan. Journal of Wound Care, 22(9), 490–497. https://doi.org/10.12968/jowc.2013.22.9.490

12. Kim, J. Y., & Lee, Y. J. (2019). A study on the nursing knowledge, attitude, and performance towards pressure ulcer prevention among nurses in Korea long-term care facilities. International Wound Journal, 16(September 2018), 29–35. https://doi.org/10.1111/iwj.13021

13. Chianca, T. C. M., Rezende, J. P. R., Borges, E. L., Nogueira, V. L., & Caliri, M. H. L. (2010). Tânia Couto Machado Chianca, PhD, RN; Jomara Figueiredo Pinto Rezende, RN; Eline Lima Borges, PhD, RN, CWET; Vera Lucia Nogueira, RN; and Maria Helena Larcher Caliri, PhD, RN. 56(10), 58–64.

14. 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, 1–6. https://doi.org/10.1155/2014/973602

15. Shrestha, N., & Shrestha, P. (2016). Knowledge of Pressure Ulcer Management among Nurses. 09(02), 47–51.

16. Suleman, Muna, Rahman, Abdel, Kharabsheh, Al, … Rn, M. Y. N. S. (2014). Exploring Nurses ’ Knowledge and Perceived Barriers to Carry Out Pressure Ulcer Prevention and Treatment , Documentation , and Risk Assessment Royal Medical Services The University of Jordan. American International Journal of Contemporary Research, 4(4), 112–119.

17. Moore, Z., & Cowman, S. (2012). Pressure ulcer prevalence and prevention practices in care of the older person in the Republic of Ireland. Journal of Clinical Nursing, 21(3–4), 362–371. https://doi.org/10.1111/j.1365-2702.2011.03749.x
Published
2020-08-01
How to Cite
Fatimah Sham, Dayana Izni Binti Sharif, Norhidayah binti Moksin, & Hasnah Selamat. (2020). KNOWLEDGE, PRACTICE AND PERCEIVED BARRIER OF PRESSURE ULCER PREVENTION AMONG NURSES IN A PUBLIC HOSPITAL IN SELANGOR. Malaysian Journal of Public Health Medicine, 20(Special1), 325-335. https://doi.org/10.37268/mjphm/vol.20/no.Special1/art.738