Analysis of nursing professionals’ knowledge about pressure ulcer prevention: a cross-sectional study
Análisis del conocimiento de profesionales de enfermería sobre prevención de úlcera por presión: estudio transversal
Análise do conhecimento de profissionais de enfermagem sobre prevenção de lesão por pressão: estudo transversal
Igor de Sousa Nóbrega; Tamires Paula Gomes Medeiros; Kalyne Araújo Bezerra; Emanuella de Castro Marcolino; Renata Clemente dos Santos-Rodrigues; Maria Cidney da Silva Soares
Abstract
Objectives: to analyze and compare the level of knowledge about pressure ulcer prevention among nurses and nursing technicians who work in Intensive Care Units and nursing students in the last year of the course.
Method: a cross-sectional, descriptive-exploratory study with a quantitative approach, using the Pieper’s Pressure Ulcer Knowledge Test. Data were analyzed using the Statistical Package for Social Science, using descriptive and inferential statistics (ANOVA-One Way, Shapiro-Wilk normality test and assumption of homogeneity using Levene’s test).
Results: the research sample included 70 participants, being 22 nurses, 14 nursing technicians and 34 undergraduate nursing students. It was observed that only 22.7% of nurses, 7.1% of technicians and 0.0% of students reached the percentage of correct answers ≥ 90% recommended by the knowledge test.
Conclusion and implications for practice: the results found in this study made it possible to identify an insufficient level of knowledge and a mistaken perception of aptitude, related to the pressure ulcer prevention, among the study participants, with emphasis on technicians and undergraduates in nursing. Therefore, this research points to the need for educational actions aimed at training the aforementioned public.
Keywords
Resumen
Palabras clave
Resumo
Objetivos: analisar e comparar o nível de conhecimento sobre prevenção de lesão por pressão entre enfermeiros e técnicos de enfermagem que atuam em Unidades de Terapia Intensiva e graduandos em enfermagem no último ano do curso.
Método: estudo transversal, de caráter descritivo-exploratório e de abordagem quantitativa, utilizando o Pieper’s Pressure Ulcer Knowledge Test. Os dados foram analisados através do Statistical Package for Social Science, mediante estatística descritiva e inferencial (ANOVA-One Way, teste de normalidade de Shapiro-Wilk e pressuposto de homogeneidade através do teste de Levene).
Resultados: a amostra da pesquisa abarcou 70 participantes, sendo 22 enfermeiros, 14 técnicos de enfermagem e 34 graduandos em enfermagem. Foi visto que apenas 22,7% dos enfermeiros, 7,1% dos técnicos e 0,0% dos graduandos em enfermagem atingiram o percentual de acertos ≥ 90% recomendado pelo teste de conhecimento.
Conclusão e implicações para a prática: os resultados encontrados neste estudo permitiram identificar um nível insuficiente de conhecimento e uma percepção de aptidão equivocada, relacionados à prevenção de lesão por pressão, entre os participantes do estudo, com ênfase para os técnicos e para os graduandos em enfermagem. Logo, esta pesquisa aponta para a necessidade de ações educativas que visem a capacitação do público supramencionado.
Palavras-chave
Referências
1 Zarei E, Madarshahian E, Nikkhah A, Khodakarim S. Incidence of pressure ulcers in intensive care units and direct costs of treatment: Evidence from Iran. J Tissue Viability. 2019 maio;28(2):70-4.
2 Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised national pressure ulcer advisory panel pressure injury staging system: revised pressure injury staging system. J Wound Ostomy Continence Nurs. 2016 nov/dez;43(6):585-97.
3 European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers: the International Guideline [Internet]. Westford: EPUAP/NPIAP/PPPIA; 2019 [citado 2022 jul 4]. Disponível em:
4 Silva DRA, Bezerra SMG, Costa JP, Luz MHBA, Lopes VCA, Nogueira LT. Pressure ulcer dressings in critical patients: a cost analysis. Rev Esc Enferm USP. 2017 jun 12;51(0):e03231.
5 Mervis JS, Phillips TJ. Pressure ulcers: pathophysiology, epidemiology, risk factors, and presentation. J Am Acad Dermatol. 2019 out;81(4):881-90.
6 Tirgari B, Mirshekari L, Forouzi MA. Pressure injury prevention: knowledge and attitudes of iranian intensive care nurses. Adv Skin Wound Care. 2018 abr;31(4):1-8.
7 Pachá HHP, Faria JIL, Oliveira KA, Beccaria LM. Pressure Ulcer in Intensive Care Units: a case-control study. Rev Bras Enferm. 2018 nov-dez;71(6):3027-34.
8 Joint Commission International. International Patient Safety Goals. Oakbrook Terrace: JCI; 2017. [citado 2022 jul 4]. Disponível em:
9 Lima Serrano M, González Méndez MI, Carrasco Cebollero FM, Lima Rodríguez JS. Risk factors for pressure ulcer development in Intensive Care Units: a systematic review. Med Intensiva. 2017 ago-set;41(6):339-46.
10 Aydogan S, Caliskan N. A descriptive study of turkish intensive care nurses’ pressure ulcer prevention knowledge, attitudes, and perceived barriers to care. Wound Manag Prev. 2019 fev;65(2):39-47.
11 Gedamu H, Abate T, Ayalew E, Tegenaw A, Birhanu M, Tafere Y. Level of nurses’ knowledge on pressure ulcer prevention: a systematic review and meta-analysis study in Ethiopia. Heliyon. 2021 jul 22;7(7):e07648.
12 Ribeiro AMN, Ribeiro EKC, Ferreira MTA, Sousa JERB, Silva AAS, Baldoino LS. The knowledge of nursing undergraduate students about pressure lesions. Rev Rene. 2019;20:e41016.
13 Lopes CM, Andrade EMLR, Luz MHBA. Conhecimento de graduandos de enfermagem sobre úlcera por pressão. Enferm. Foco. 2015;6(1/4):24-30.
14 Dag Sucu G, Firat Kilic H. Knowledge and attitudes of Turkish nursing students towards pressure injury prevention. J Tissue Viability. 2022 fev;31(1):16-23.
15 De Meyer D, Verhaeghe S, Van Hecke A, Beeckman D. Knowledge of nurses and nursing assistants about pressure ulcer prevention: a survey in 16 Belgian hospitals using the PUKAT 2.0 tool. J Tissue Viability. 2019 maio;28(2):59-69.
16 Dalvand S, Ebadi A, Gheshlagh RG. Nurses’ knowledge on pressure injury prevention: a systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool. Clin Cosmet Investig Dermatol. 2018 nov 23;11:613-20.
17 Hansen MH, Hurwitz WN, Madow WG. Sample survey methods and theory. Vol. 1: Methods and Applications. USA: Wiley Classics Library; 1988.
18 Pieper B, Mott M. Nurses’ knowledge of pressure ulcer prevention, staging, and description. Adv Wound Care. 1995 maio-jun;8(3):34, 38, 40 passim. PMid:7795877.
19 Haukoos JS, Lewis RJ. Advanced statistics: bootstrapping confidence intervals for statistics with “difficult” distributions. Acad Emerg Med. 2005 abr;12(4):360-5.
20 Field A. Descobrindo a estatística usando o SPSS-5. Porto Alegre: Penso Editora; 2015.
21 Machado MH, Aquiar Filho W, Lacerda WF, Oliveira E, Lemos W, Wermelinger M et al. General characteristics of nursing: the sociodemographic profile. Enferm Foco 2015;6(esp):11-7.
22 Bublitz S, de Azevedo Guido L, Kirchhof RS, Neves ET, Lopes LF. Sociodemographic and academic profile of nursing students from four Brazilian institutions. Rev Gaúcha Enferm. 2015;36(1):77-83.
23 Galvão NS, Serique MAB, Santos VLCG, Nogueira PC. Knowledge of the nursing team on pressure ulcer prevention. Rev Bras Enferm. 2017;70(2):294-300.
24 Murugiah S, Ramuni K, Das U, Hassan HC, Abdullah SKBF. The knowledge of pressure ulcer among nursing students and related factors. Enferm Clin. 2020;30(5):41-5.
25 Sousa RC, Faustino AM. Nurses’ understanding about the pressure injury prevention and care. R Pesq Cuid Fundam online. 2019;11(4):992-7.
26 Almeida ILS, Garces TS, Oliveira GYM, Moreira TMM. Pressure injury prevention scales in intensive care units: an integrative review. Rev Rene. 2020 fev 10;21:e42053.
27 Jansen RCS, Silva KBA, Moura MES. Braden Scale in pressure ulcer risk assessment. Rev Bras Enferm. 2020;73(6):e20190413.
28 Miyazaki MY, Caliri MHL, Santos CB. Knowledge on pressure ulcer prevention among nursing professionals. Rev Latino-Am Enfermagem nov-dez 2010;18(6):1203-11.
29 Debon R, Fortunato Fortes VL, Roman Rós AC, Scaratti M. The Nurses’ viewpoint regarding the use of the braden scale with the elderly patient. R Pesq Cuid Fundam online. 2018;10(3):817-23.
30 Sales DO, Waters C. The use of the Braden Scale to prevent pressure injury in intensive care unit patients. Braz J Hea Rev. 2019;2(6):4900-25.
31 Saranholi TL. Avaliação da acurácia das escalas CALCULATE e Braden na predição do risco de lesão por pressão em unidade de terapia intensiva [dissertação]. Botucatu: Programa de Pós-graduação em Enfermagem, Universidade Estadual Paulista; 2018.
32 Araújo TM, Araújo MFM, Barros LM, Oliveira FJG, Silva LA, Caetano JÁ. Educational intervention to assess the knowledge of intensive care nurses about pressure injury. Rev. Rene. 2019 ago 20;20:e41359.
33 Ursavaş FE, İşeri Ö. Effects of education about prevention of pressure ulcer on knowledge and attitudes of nursing students. J Tissue Viability. 2020 nov;29(4):331-6.
Submetido em:
06/07/2022
Aceito em:
09/03/2023