Browse > Article
http://dx.doi.org/10.4040/jkan.2013.43.4.526

Clinical Nurses' Knowledge and Visual Differentiation Ability in Pressure Ulcer Classification System and Incontinence-associated Dermatitis  

Lee, Yun Jin (Department of Nursing, Severance Hospital)
Park, Seungmi (Department of Nursing, Hoseo University)
Kim, Jung Yoon (Department of Plastic Surgery, Seoul National University Bundang Hospital)
Kim, Chul-Gyu (Department of Nursing, Cheongju University)
Cha, Sun Kyung (Department of Nursing, Cheongju University)
Publication Information
Journal of Korean Academy of Nursing / v.43, no.4, 2013 , pp. 526-535 More about this Journal
Abstract
Purpose: This study was done to compare clinical nurses' knowledge and visual differentiation diagnostic ability for the pressure ulcer classification system (PUCS) and incontinence-associated dermatitis (IAD). Methods: A convenience sample of 602 nurses took the pressure ulcer classification system and incontinence-associated dermatitis knowledge test (PUCS & IAD KT) and completed the visual differentiation tool (VDT), consisting of 21 photographs with clinical information. Results: The overall mean score for correct answers was 14.5 (${\pm}3.2$) in PUCS & IAD KT and 11.15 (${\pm}4.9$) in PUCS & IAD VDT. Incorrect responses were most common for statements related to stage III, IAD for PUCS & IAD KT, and suspected deep tissue injury (SDTI), unstageable, and stage III for PUCS & IAD VDT. Significant correlations were found between PUCS & IAD KT and VDT (r=.48, p<.001). Factors affecting scores for PUCS & IAD VDT were PUCS & IAD KT, frequency of pressure ulcer, IAD management and participation in wound care education programs. Conclusion: Results indicate that nurses have an overall understanding of PUCS & IAD, but low visual differentiation ability regarding stage III, SDTI, and unstageable ulcers. Continuing education is needed to further improve knowledge and visual differentiation ability for PUCS & IAD.
Keywords
Pressure ulcer; Nurses; Knowledge; Dermatitis;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Kwon, E. O., Eom, I. H., Chang, S. J., Shim, M. Y., & Lee, S. H. (2012). Accuracy of nurses' assessments of pressure ulcers in hospitalized patients. Journal of Korean Clinical Nursing Research, 18(1), 29-38.
2 Lee, E. J., & Yang, S. O. (2011). Clinical knowledge and actual performance of pressure ulcer care by hospital nurses. Journal of Korean Clinical Nursing Research, 17(2), 251-261.
3 Lee, M. O. (2000). Knowledge level of pressure ulcer among hospital nurses. Journal of Korean Academy of Adult Nursing, 12(4), 619-628.
4 Lee, Y. J., Kim, J. Y., & Lee, T. W. (2011). Inter-rater reliability of the pressure ulcer classification system. Korean Wound Management Society, 7(2), 75-80.
5 Nixon, J., Thorpe, H., Barrow, H., Phillips, A., Andrea Nelson, E., Mason, S. A., et al. (2005). Reliability of pressure ulcer classification and diagnosis. Journal of Advanced Nursing, 50(6), 613-623. http://dx.doi. org/10.11 11/j.1365-2648.2005.03439.x   DOI
6 Pedley, G. E. (2004). Comparison of pressure ulcer grading scales: A study of clinical utility and inter-rater reliability. International Journal of Nursing Studies, 41(2), 129-140.   DOI
7 Richbourg, L., Smith, J., & Dunzweiler, S. (2011). Suspected deep tissue injury evaluated by North Carolina WOC nurses: A descriptive study. Journal of Wound, Ostomy and Continence Nursing, 38(6), 655 -660. http://dx.doi.org/10.1097/WON.0b013e31823429e7   DOI
8 Russell, L. (2002). Pressure ulcer classification: The systems and the pitfalls. British Journal of Nursing, 11(12 Suppl), S49-S50, S52, S54-S47 passim.
9 Shea, J. D. (1975). Pressure sores: Classification and management. Clinical Orthopaedics and Related Research, (112), 89-100.
10 Suddaby, E. C., Barnett, S., & Facteau, L. (2005). Skin breakdown in acute care pediatrics. Pediatric Nursing, 31(2), 132-138, 148.
11 Vanderwee, K., Clark, M., Dealey, C., Gunningberg, L., & Defloor, T. (2007). Pressure ulcer prevalence in Europe: A pilot study. Journal of Evaluation in Clinical Practice, 13(2), 227-235. http://dx.doi.org/10.1111/j.136 5-2753.2006.00684.x   DOI
12 Whittington, K. T., & Briones, R. (2004). National Prevalence and Incidence Study: 6-year sequential acute care data. Advances in Skin & Wound Care, 17(9), 490-494.   DOI
13 Yang, N. Y., & Moon, S. Y. (2009). Perceived importance, educational needs, knowledge and performance concerning pressure ulcer care by clinical nurses. Journal of Korean Academy of Adult Nursing, 21(1), 95-104.
14 Young, Z. F., Evans, A., & Davis, J. (2003). Nosocomial pressure ulcer prevention: A successful project. Journal of Nursing Administration, 33(7-8), 380-383.   DOI
15 Aydin, A. K., & Karadag. (2010). Assessment of nurses' knowledge and practice in prevention and management of deep tissue injury and stage I pressure ulcer. Journal of Wound, Ostomy and Continence Nursing, 37(5), 487-494. http://dx.doi.org/10.1097/WON.0b013e3181edec0b   DOI
16 Baumgarten, M., Margolis, D. J., Localio, A. R., Kagan, S. H., Lowe, R. A., Kinosian, B., et al. (2006). Pressure ulcers among elderly patients early in the hospital stay. Journals of Gerontology. Series A: Biological Sciences and Medical Sciences, 61(7), 749-754.   DOI
17 Beeckman, D., Schoonhoven, L., Boucqué, H., Van Maele, G., & Defloor, T. (2008). Pressure ulcers: E-learning to improve classification by nurses and nursing students. Journal of Clinical Nursing, 17(13), 1697-1707.   DOI
18 Beeckman, D., Schoonhoven, L., Fletcher, J., Furtado, K., Gunningberg, L., Heyman, H., et al. (2007). EPUAP classification system for pressure ulcers: European reliability study. Journal of Advanced Nursing, 60(6), 682-691. http://dx.doi.org/10.1111/j.1365-2648.2007.04474.x   DOI
19 Bennett, G., Dealey, C., & Posnett, J. (2004). The cost of pressure ulcers in the UK. Age and Ageing, 33(3), 230-235. http://dx.doi.org/10.1093/ageing/ afh086   DOI
20 Defloor, T., & Schoonhoven, L. (2004). Inter-rater reliability of the EPUAP pressure ulcer classification system using photographs. Journal of Clinical Nursing, 13(8), 952-959. http://dx.doi.org/10.1111/j.1365-2702.20 04.00974.x   DOI
21 Defloor, T., Schoonhoven, L., Katrien, V., Weststrate, J., & Myny, D. (2006). Reliability of the European Pressure Ulcer Advisory Panel classification system. Journal of Advanced Nursing, 54(2), 189-198. http://dx.doi. org/10.1111/j.1365-2648.2006.03801.x   DOI
22 Honaker, J. S., Forston, M. R., Davis, E. A., Wiesner, M. M., & Morgan, J. A. (2013). Effects of non contact low-frequency ultrasound on healing of suspected deep tissue injury: A retrospective analysis. International Wound Journal, 10(1), 65-72. http://dx.doi.org/10.1111/j.1742-481X. 2012.00944.x   DOI
23 Fader, M., Clarke-O'Neill, S., Cook, D., Dean, G., Brooks, R., Cottenden, A., et al. (2003). Management of night-time urinary incontinence in residential settings for older people: An investigation into the effects of different pad changing regimes on skin health. Journal of Clinical Nursing, 12(3), 374-386.   DOI
24 Finlay, K., Smith, J., Abrams, S., & Evangelista, M. (2004). The impact of nursing education on pressure ulcer prevention. Journal of Wound, Ostomy and Continence Nursing, 31(3S), S3-S4.
25 Gray, M. (2010). Optimal management of incontinence-associated dermatitis in the elderly. American Journal of Clinical Dermatology, 11(3), 201-210. http://dx.doi.org/10.2165/11311010-000000000-00000   DOI
26 Hopkins, A., Dealey, C., Bale, S., Defloor, T., & Worboys, F. (2006). Patient stories of living with a pressure ulcer. Journal of Advanced Nursing, 56(4), 345-353. http://dx.doi.org/10.1111/j.1365-2648.2006.04007.x   DOI
27 Jin, Y. S. (2009). Knowledge, performance, and awareness of importance on pressure ulcer care among nurses at a general hospital. Unpublished master's thesis, Yonsei University, Seoul.
28 Kelly, J., & Isted, M. (2011). Assessing nurses' ability to classify pressure ulcers correctly. Nursing Standard, 26(7), 62, 64, 66 passim.
29 Kim, H. Y. (2003). The knowledge of pressure ulcer and the nursing intervention of nurse in hospital. Unpublished master's thesis, Dong-A University, Busan.
30 Kim, K. S., Kim, J. A., Kim, M. S., Kim, Y. J., Kim, E. S., Park, K. O., et al. (2009). Development of performance measures based on the nursing process for prevention and management of pressure ulcers, falls and pain. Journal of Korean Clinical Nursing Research, 15(1), 133-147.
31 Korean Association of Wound Ostomy Continence Nurses. (2011). Clinical guideline for pressure ulcer. Seoul: Fornurse.