An Observational Study on Wound Dressing Performance among Nurses in Adult Units
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 3
Abstract
Introduction: Wound care is a nursing duty that requires excellent skills and knowledge to prevent massive complications, such as infection, gangrene and amputation or, in severe cases, even death. Aim: The aim of this study is to explore existing wound care practices among nurses and to measure the effectiveness of a wound management course on their performance. Methodology: A cross-sectional observational study was conducted on nurses in adult general care and critical care settings using a modified checklist for pre, intra and post wound dressing. Result: The sample included 41 nurses. Of these, 20 (48.8%) had attended a wound management course. The mean score for nurses’ adherence to correct wound management techniques was 77.6%. Compliance was lower in the pre-phase, confirming the dressing order: n= 27 (66.7%), conducting client verification n= 29 (71.8%), and explaining the procedures to the client N= 24 (59%). Compliance was higher during the performance phase (n = 36; 90%). However, the least compliance was shown in the post-phase in the area of educating patients and family by only 33.3% (n = 13).The chi-square test disclosed a significant difference in dressing done with completely aseptic techniques among participants who attended the wound management course (p = 0.02). Conclusion: The educational course on wound management is beneficial to nurses; however, an advanced educational course that focuses on holistic care is recommended. In addition, wound care guidelines should be modified to include pre-, intra- and post-dressing practices. Further research is suggested to study in depth the correlation between attitude and performance.
Authors and Affiliations
BaMohammed A, Mohidin S, George B, Al-Aidarous S
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