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Pressure ulcers: knowledge and attitude of nurses and nursing assistants in Belgian nursing homes

Liesbet Demarré UGent, Katrien Vanderwee UGent, Tom Defloor UGent, Sofie Verhaeghe UGent, Lisette Schoonhoven and Dimitri Beeckman UGent (2012) JOURNAL OF CLINICAL NURSING. 21(9-10). p.1425-1434
abstract
Aims. To gain insight into the knowledge and attitudes of nurses and nursing assistants and to study the correlation between knowledge, attitudes and the compliance with the pressure ulcer prevention guidelines provided to residents at risk of pressure ulcers in nursing homes. Background. There is a lack of evidence on knowledge and attitudes of nurses and nursing assistants towards pressure ulcer prevention in nursing homes. Design. A cross-sectional multi-centre study. Methods. A convenience sample of nine Belgian nursing homes, representing 18 wards was chosen in the study. In total, 145 nurses and nursing assistants were included. The compliance with the guidelines was evaluated in 615 residents, and data were collected using validated instruments. Results. Fully compliant prevention was found in only 6.9% of the residents at risk. The mean knowledge score of the nurses was 29.3 vs. 28.7% for the nursing assistants. The overall attitude score was 74.5%, and attitude scores were significantly different between nurses and nursing assistants. Nurses showed to have a more positive attitude towards pressure ulcer prevention than nursing assistants, respectively 78.3 and 72.3%. A more positive attitude was a significant predictor of pressure ulcer prevention compliance with the guidelines provided to residents at risk of pressure ulcers in nursing homes. Conclusions. Knowledge about pressure ulcer prevention of both nurses and nursing assistants in nursing homes was low. Attitudes were a significant predictor of the application of fully compliant prevention in residents at risk. Relevance to clinical practice. Pressure ulcer prevention is an important aspect in daily care for residents at risk in nursing homes. These insights will contribute to evidence-based practice in this area of care and will form the basis for the development of an education strategy for pressure ulcer prevention and management in nursing homes.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
nursing, knowledge, nursing homes, adequate preventive measures, attitude, pressure ulcer, QUALITY-OF-LIFE, PREVENTION, CARE, PREVALENCE, GERMANY, PERSPECTIVES, NETHERLANDS, POPULATION, HOSPITALS, BELIEFS
journal title
JOURNAL OF CLINICAL NURSING
J. Clin. Nurs.
volume
21
issue
9-10
pages
1425 - 1434
Web of Science type
Article
Web of Science id
000302721700024
JCR category
NURSING
JCR impact factor
1.316 (2012)
JCR rank
25/101 (2012)
JCR quartile
1 (2012)
ISSN
0962-1067
DOI
10.1111/j.1365-2702.2011.03878.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1937344
handle
http://hdl.handle.net/1854/LU-1937344
date created
2011-10-27 15:07:02
date last changed
2015-06-17 09:51:43
@article{1937344,
  abstract     = {Aims. To gain insight into the knowledge and attitudes of nurses and nursing assistants and to study the correlation between knowledge, attitudes and the compliance with the pressure ulcer prevention guidelines provided to residents at risk of pressure ulcers in nursing homes. 
Background. There is a lack of evidence on knowledge and attitudes of nurses and nursing assistants towards pressure ulcer prevention in nursing homes. 
Design. A cross-sectional multi-centre study. 
Methods. A convenience sample of nine Belgian nursing homes, representing 18 wards was chosen in the study. In total, 145 nurses and nursing assistants were included. The compliance with the guidelines was evaluated in 615 residents, and data were collected using validated instruments. 
Results. Fully compliant prevention was found in only 6.9\% of the residents at risk. The mean knowledge score of the nurses was 29.3 vs. 28.7\% for the nursing assistants. The overall attitude score was 74.5\%, and attitude scores were significantly different between nurses and nursing assistants. Nurses showed to have a more positive attitude towards pressure ulcer prevention than nursing assistants, respectively 78.3 and 72.3\%. A more positive attitude was a significant predictor of pressure ulcer prevention compliance with the guidelines provided to residents at risk of pressure ulcers in nursing homes. 
Conclusions. Knowledge about pressure ulcer prevention of both nurses and nursing assistants in nursing homes was low. Attitudes were a significant predictor of the application of fully compliant prevention in residents at risk. 
Relevance to clinical practice. Pressure ulcer prevention is an important aspect in daily care for residents at risk in nursing homes. These insights will contribute to evidence-based practice in this area of care and will form the basis for the development of an education strategy for pressure ulcer prevention and management in nursing homes.},
  author       = {Demarr{\'e}, Liesbet and Vanderwee, Katrien and Defloor, Tom and Verhaeghe, Sofie and Schoonhoven, Lisette and Beeckman, Dimitri},
  issn         = {0962-1067},
  journal      = {JOURNAL OF CLINICAL NURSING},
  keyword      = {nursing,knowledge,nursing homes,adequate preventive measures,attitude,pressure ulcer,QUALITY-OF-LIFE,PREVENTION,CARE,PREVALENCE,GERMANY,PERSPECTIVES,NETHERLANDS,POPULATION,HOSPITALS,BELIEFS},
  language     = {eng},
  number       = {9-10},
  pages        = {1425--1434},
  title        = {Pressure ulcers: knowledge and attitude of nurses and nursing assistants in Belgian nursing homes},
  url          = {http://dx.doi.org/10.1111/j.1365-2702.2011.03878.x},
  volume       = {21},
  year         = {2012},
}

Chicago
Demarré, Liesbet, Katrien Vanderwee, Tom Defloor, Sofie Verhaeghe, Lisette Schoonhoven, and Dimitri Beeckman. 2012. “Pressure Ulcers: Knowledge and Attitude of Nurses and Nursing Assistants in Belgian Nursing Homes.” Journal of Clinical Nursing 21 (9-10): 1425–1434.
APA
Demarré, L., Vanderwee, K., Defloor, T., Verhaeghe, S., Schoonhoven, L., & Beeckman, D. (2012). Pressure ulcers: knowledge and attitude of nurses and nursing assistants in Belgian nursing homes. JOURNAL OF CLINICAL NURSING, 21(9-10), 1425–1434.
Vancouver
1.
Demarré L, Vanderwee K, Defloor T, Verhaeghe S, Schoonhoven L, Beeckman D. Pressure ulcers: knowledge and attitude of nurses and nursing assistants in Belgian nursing homes. JOURNAL OF CLINICAL NURSING. 2012;21(9-10):1425–34.
MLA
Demarré, Liesbet, Katrien Vanderwee, Tom Defloor, et al. “Pressure Ulcers: Knowledge and Attitude of Nurses and Nursing Assistants in Belgian Nursing Homes.” JOURNAL OF CLINICAL NURSING 21.9-10 (2012): 1425–1434. Print.