Abstract
Giriş: Basınç ülserleri birçok sağlık hizmeti ortamında hala önemli bir sorundur. Basınç yaralarının önlenmesinde hemşireler anahtar rol oynar ve hemşirelerin olumsuz tutumları koruyucu bakım stratejilerini etkileyebilir. Amaç: Bu çalışmanın amacı, Yara Ostomi İnkontinans Hemşireliği dersini seçmeli ders olarak alan hemşirelik öğrencilerinin basınç yarasını önlemeye yönelik tutumunu değerlendirmektir. Gereç ve Yöntem: Çalışma, bir devlet üniversitesinde 2017-2018/ güz döneminde Yara Ostomi İnkontinans Hemşireliği dersini seçmeli alan 58 hemşirelik öğrencisi ile yapılmıştır. Ders, tek bir öğretim üyesi tarafından teorik olarak yürütülmüştür. Veriler, hemşirelik öğrencilerinin demografik özelliklerini içeren birey tanıtım formu ve basınç ülserlerini önlemeye yönelik tutum ölçeği kullanılarak toplanmıştır. Veri toplama formu toplam 3 kez uygulanmıştır. Bulgular: Çalışmaya katılan hemşire öğrencilerin yaş ortalaması 22.91±2.41, %79.3’ünün kadın ve %87.9’unun üçüncü sınıf öğrencisi olduğu, %70.7’sinin uygulama alanlarında basınç yarası olan hastaya bakım verdiği saptanmıştır. Öğrenci hemşirelerin basınç ülserlerini önlemeye yönelik tutum ölçeği toplam puan ortalamalarının birinci değerlendirmede 40.51±2.54, ikinci değerlendirmede 43.92±3.89, üçüncü değerlendirmede 44.18±2.40 olarak saptanmıştır. Zaman içerisinde öğrenci hemşirelerin basınç yarasını önlemeye yönelik tutumunu belirlemek üzere yapılan değerlendirmeler arasında istatistiksel olarak anlamlı fark saptanmıştır (p<0.01). Sonuç: Hemşirelik öğrencilerinin basınç yarasını önlemeye yönelik olumlu tutuma sahip olduğu, basınç yarası ile ilgili eğitim alma durumunun, basınç yarasını önlemeye yönelik tutumu etkilediği görülmüştür.
Keywords
References
- 1. Aslan, A.ve van Giersbergen, M. Y. (2016). Nurses’ attitudes towards pressure ulcer prevention in Turkey. Journal of Tissue Viability, 25(1), 66-73. doi:10.1016/j.jtv.2015.10.001
- 2. Beeckman, D., Vanderwee, K., Demarré, L., Paquay, L., Van Hecke, A., & Defloor, T. (2010). Pressure ulcer prevention: development and psychometric validation of a knowledge assessment instrument. Int J Nurs Stud, 47(4), 399–410. https://doi.org/10. 1016/j.ijnurstu.2009.08.010.
- 3. Bredesen, I. M., Bjøro, K., Gunningberg, L., & Hofoss, D. (2015). The prevalence, prevention and multilevel variance of pressureulcers in Norwegian hospitals: a cross-sectional study. Int J Nurs Stud, 52(1), 149–56. https://doi.org/10.1016/j.ijnurstu. 2014.07.005.
- 4. Caliri, L. M. H., Miyazaki, M. Y., & Pieper, B. (2003). Knowledge of pressure ulcers by undergraduate nursing students in Brazil. Ostomy Wound Manag, 49(3), 54–63.
- 5. Charalambous, C., Koulouri, A., Roupa, Z., Vasilopoulos, A., Kyriakou, M., & Vasiliou, M. (2019). Knowledge and attitudes of nurses in a majör public hospital in Cyprus towards pressure ulcer prevention. J Tissue Viability, 28(1), 40-5. https://doi.org/10. 1016/j.jtv.2018.10.005.
- 6. Clark, M., Semple, M. J., Ivins, N., Mahoney, K., & Harding, K. (2017). National audit of pressure ulcers and incontinence-associated dermatitis in hospitals across Wales: a cross sectional study. BMJ Open, 7(8), e015616. https://doi.org/10.1136/bmjopen- 2016-015616.
- 7. Çelik, S., Dirimeşe, E., Taşdemir, N., Aşık, Ş., Demircan, S., Eyican, S., & Güven, B. (2017). Hemşirelerin Bası Yarasını Önleme ve Yönetme Bilgisi. Bakırköy Tıp Dergisi, 13(3), 133-139. doi: 10.5350/BTDMJB201713305
- 8. Demarré, L., Vanderwee, K., Defloor, T., Verhaeghe, S., Schoonhoven, L., & Beeckman, D. (2011). Pressure ulcers: knowledge and attitude of nurses and nursing assistants in Belgian nursing homes. J Clin Nurs, 21(9–10), 1425-34. https://doi.org/10.1111/j. 13652702.2011.03878.x.
- 9. European Pressure Ulcer Advisory Panel (EPUAP). (2019). Pressure ulcer terminology. http://www.epuap.org/news/pressure-ulcer-terminology/. Accessed 26 November
- 10. Garcez Sardo, P. M., Simões, C. S., Alvarelhão, J. J. ve diğerleri. (2016). Analyses of pressure ulcer point prevalence at the first skin assessment in a Portuguese hospital. J Tissue Viability, 25(2), 75-82. https://doi. org/10.1016/j.jtv.2016.02.006.
- 11. Garrigues, L. J., Cartwright, J. C., & Bliss, D. Z. (2017). Attitudes of nursing students about pressure injury prevention. J Wound Ostomy Cont Nurs, 44(2), 123-8. https://doi.org/10.1097/WON.0000000000000302.
- 12. Gunningberg, L., Mårtensson, G., Mamhidir, A. G., Florin, J., Muntlin Athlin, Å., & Bååth, C. (2015). Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: a descriptive, comparative multicentre study in Sweden. International wound journal, 12(4), 462-468. doi: 10.1111/iwj.12138
- 13. Hemşirelik Lisans Eğitimi Çalıştayı Sonuç Raporu, Yüksek Öğretim Kurulu (YÖK), 23.11.2017 Ankara. Erişim Adresi: https://www.yok.gov.tr/Documents/Yayinlar/Yayinlarimiz/ Hemsirelik_Lisans_Egitimi_Calistayi_Sonuc_Raporu.pdf
- 14. Inan, D. G. ve Oztunç, G. (2012). Pressure ulcer prevalence in Turkey: a sample from a university hospital. J Wound, Ostomy Cont Nurs, 39(4), 409-13. https://doi.org/10. 1097/WON.0b013e31825825b1.
- 15. Kaşıkçı, M., Aksoy, M., & Ay, E. (2018). Investigation of the prevalence of pressure ulcers and patient-related risk factors in hospitals in the province of Erzurum: a cross-sectional study. J Tissue Viability, 27(3), 135-40. https://doi.org/10.1016/j.jtv.2018. 05.001.
- 16. Kısacık, O. G. ve Sönmez, M. (2020). Pressure ulcers prevention: Turkish nursing students’ knowledge and attitudes and influencing factors. Journal of TissueViability, 29(1), 24–31. https://doi.org/10.1016/j.jtv.2019.11.003
- 17. Kottner, J., Wilborn, D., Dassen, T., & Lahmann, N. (2009). The trend of pressure ulcer prevalence rates in Germanhospitals: results of seven cross-sectional studies. J Tissue Viability, 18(2), 36-46. https://doi.org/10.1016/j.jtv.2009.02.002.
- 18. Mallah, Z., Nassar, N., & Kurdahi Badr, L. (2015). The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: controlled before and afters tudy. Appl Nurs Res, 28(2), 106-13. https://doi.org/10. 1016/j.apnr.2014.07.001.
- 19. Moore, Z. E. ve Cowman, S. (2015). Repositioning for treating pressure ulcers. Cochrane Database of Systematic Reviews, 5(1), 1-19. doi: 10.1002/14651858
- 20. Moore, Z., Johanssen, E., & van Etten, M. (2013). A review of PU prevalence and incidence across Scandinavia, Iceland and Ireland. J Wound Care, 22(7), 361-2. https://doi. org/10.12968/jowc.2013.22.7.361. 364-8.
- 21. National Pressure Ulcer Advisory Panel. (2016). National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury. (Accessed November 2019).
- 22. Simonetti, V., Comparcini, D., Flacco, M. E., Di Giovanni, P., & Cicolini, G. (2015). Nursing students’ knowledge and attitude on pressure ulcer prevention evidence-based guidelines: a multicenter cross-sectional study. Nurse education today, 35(4), 573-579. doi.org/10.1016/j.nedt.2014.12.020.
- 23. Tolulope, E. D., Akinwande, F. A., Funmilayo, O. E., & Obialor, B. A. (2018). Descriptive, cross-sectional study to assess pressure ulcer knowledge and pressure ulcer prevention attitudes of nurses in a tertiary health ınstitution in Nigeria. Ostomy Wound Manag, 64(6), 24-8. https://doi.org/10.25270/owm.2018.6.2428.
- 24. Usher, K., Woods, C., Brown, J., ve diğerleri. (2018). Australian nursing students’ knowledge and attitudes towards pressure injury prevention: A cross-sectional study. International journal of nursing studies, 81, 14-20. doi: 10.1016/j.ijnurstu.2018.01.015
- 25. Ünver, S., Fındık, Ü. Y., Özkan, Z. K., & Sürücü, Ç. (2017). Attitudes of surgical nurses towards pressure ulcer prevention. Journal of tissue viability, 26(4), 277-281. doi: 10.1016/j.jtv.2017.09.001
- 26. Üstün, Y. (2013). Basınç ülserlerini önlemeye yönelik tutum ölçeğinin Türkçe’ye uyarlanması, geçerlik ve güvenirliğinin incelenmesi. Ege Üniversitesi Sağlık Bilimleri Enstitüsü Yüksek Lisans Tezi.
- 27. Yılmazer, T., Tüzer, H., & Tarla, A. (2019). Basınç yarasının önlenmesinde hemşirelerin bilgi düzeylerinin incelenmesi. Sağlık Akademisi Kastamonu, 4(3), 211-224.
Abstract
Introduction: Pressure ulcers is a significant problem in many healthcare settings. Nurses play the key role in prevention of pressure ulcers, and negative attitudes of them may affect preventive care strategies. Aim: to investigate attitudes of nurses who take wound ostomy incontinence nursing course, on the prevention of pressure ulcers. Materials and Methods: The study was conducted with 58 nursing students, who take wound ostomy incontinence nursing course in the 2017-2018/ autumn semester from a state university. The course was conducted theoretically by a single faculty member. The data were collected by using individual identification form and Attitude Scale towards Pressure Ulcer Prevention(APUP). The data collection form was applied to nursing students 3 times. Results: The average age of the nursing students participating in the study was 22.91±2.41, %79.3% of them was female, 87.9% of them third-year, and 70.7% provided care to the patient with pressure wounds in practice. The total score average in APUP scale of nursing students to prevent pressure ulcers was 40.51±2.54 in the first assessment; 43.92±3.89 in second assessment,
44.18±2.40 in the third assessment. There was significant difference between the
evaluations to determine the attitude of student nurses to prevent pressure sores over time
(p<0.01). Conclusion: Nursing students were found to have positive attitude towards
preventing pressure ulcer and it was seen that that the state of being educated about
pressure ulcers affects the attitude towards preventing pressure ulcer.
Keywords
References
- 1. Aslan, A.ve van Giersbergen, M. Y. (2016). Nurses’ attitudes towards pressure ulcer prevention in Turkey. Journal of Tissue Viability, 25(1), 66-73. doi:10.1016/j.jtv.2015.10.001
- 2. Beeckman, D., Vanderwee, K., Demarré, L., Paquay, L., Van Hecke, A., & Defloor, T. (2010). Pressure ulcer prevention: development and psychometric validation of a knowledge assessment instrument. Int J Nurs Stud, 47(4), 399–410. https://doi.org/10. 1016/j.ijnurstu.2009.08.010.
- 3. Bredesen, I. M., Bjøro, K., Gunningberg, L., & Hofoss, D. (2015). The prevalence, prevention and multilevel variance of pressureulcers in Norwegian hospitals: a cross-sectional study. Int J Nurs Stud, 52(1), 149–56. https://doi.org/10.1016/j.ijnurstu. 2014.07.005.
- 4. Caliri, L. M. H., Miyazaki, M. Y., & Pieper, B. (2003). Knowledge of pressure ulcers by undergraduate nursing students in Brazil. Ostomy Wound Manag, 49(3), 54–63.
- 5. Charalambous, C., Koulouri, A., Roupa, Z., Vasilopoulos, A., Kyriakou, M., & Vasiliou, M. (2019). Knowledge and attitudes of nurses in a majör public hospital in Cyprus towards pressure ulcer prevention. J Tissue Viability, 28(1), 40-5. https://doi.org/10. 1016/j.jtv.2018.10.005.
- 6. Clark, M., Semple, M. J., Ivins, N., Mahoney, K., & Harding, K. (2017). National audit of pressure ulcers and incontinence-associated dermatitis in hospitals across Wales: a cross sectional study. BMJ Open, 7(8), e015616. https://doi.org/10.1136/bmjopen- 2016-015616.
- 7. Çelik, S., Dirimeşe, E., Taşdemir, N., Aşık, Ş., Demircan, S., Eyican, S., & Güven, B. (2017). Hemşirelerin Bası Yarasını Önleme ve Yönetme Bilgisi. Bakırköy Tıp Dergisi, 13(3), 133-139. doi: 10.5350/BTDMJB201713305
- 8. Demarré, L., Vanderwee, K., Defloor, T., Verhaeghe, S., Schoonhoven, L., & Beeckman, D. (2011). Pressure ulcers: knowledge and attitude of nurses and nursing assistants in Belgian nursing homes. J Clin Nurs, 21(9–10), 1425-34. https://doi.org/10.1111/j. 13652702.2011.03878.x.
- 9. European Pressure Ulcer Advisory Panel (EPUAP). (2019). Pressure ulcer terminology. http://www.epuap.org/news/pressure-ulcer-terminology/. Accessed 26 November
- 10. Garcez Sardo, P. M., Simões, C. S., Alvarelhão, J. J. ve diğerleri. (2016). Analyses of pressure ulcer point prevalence at the first skin assessment in a Portuguese hospital. J Tissue Viability, 25(2), 75-82. https://doi. org/10.1016/j.jtv.2016.02.006.
- 11. Garrigues, L. J., Cartwright, J. C., & Bliss, D. Z. (2017). Attitudes of nursing students about pressure injury prevention. J Wound Ostomy Cont Nurs, 44(2), 123-8. https://doi.org/10.1097/WON.0000000000000302.
- 12. Gunningberg, L., Mårtensson, G., Mamhidir, A. G., Florin, J., Muntlin Athlin, Å., & Bååth, C. (2015). Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: a descriptive, comparative multicentre study in Sweden. International wound journal, 12(4), 462-468. doi: 10.1111/iwj.12138
- 13. Hemşirelik Lisans Eğitimi Çalıştayı Sonuç Raporu, Yüksek Öğretim Kurulu (YÖK), 23.11.2017 Ankara. Erişim Adresi: https://www.yok.gov.tr/Documents/Yayinlar/Yayinlarimiz/ Hemsirelik_Lisans_Egitimi_Calistayi_Sonuc_Raporu.pdf
- 14. Inan, D. G. ve Oztunç, G. (2012). Pressure ulcer prevalence in Turkey: a sample from a university hospital. J Wound, Ostomy Cont Nurs, 39(4), 409-13. https://doi.org/10. 1097/WON.0b013e31825825b1.
- 15. Kaşıkçı, M., Aksoy, M., & Ay, E. (2018). Investigation of the prevalence of pressure ulcers and patient-related risk factors in hospitals in the province of Erzurum: a cross-sectional study. J Tissue Viability, 27(3), 135-40. https://doi.org/10.1016/j.jtv.2018. 05.001.
- 16. Kısacık, O. G. ve Sönmez, M. (2020). Pressure ulcers prevention: Turkish nursing students’ knowledge and attitudes and influencing factors. Journal of TissueViability, 29(1), 24–31. https://doi.org/10.1016/j.jtv.2019.11.003
- 17. Kottner, J., Wilborn, D., Dassen, T., & Lahmann, N. (2009). The trend of pressure ulcer prevalence rates in Germanhospitals: results of seven cross-sectional studies. J Tissue Viability, 18(2), 36-46. https://doi.org/10.1016/j.jtv.2009.02.002.
- 18. Mallah, Z., Nassar, N., & Kurdahi Badr, L. (2015). The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: controlled before and afters tudy. Appl Nurs Res, 28(2), 106-13. https://doi.org/10. 1016/j.apnr.2014.07.001.
- 19. Moore, Z. E. ve Cowman, S. (2015). Repositioning for treating pressure ulcers. Cochrane Database of Systematic Reviews, 5(1), 1-19. doi: 10.1002/14651858
- 20. Moore, Z., Johanssen, E., & van Etten, M. (2013). A review of PU prevalence and incidence across Scandinavia, Iceland and Ireland. J Wound Care, 22(7), 361-2. https://doi. org/10.12968/jowc.2013.22.7.361. 364-8.
- 21. National Pressure Ulcer Advisory Panel. (2016). National Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury. (Accessed November 2019).
- 22. Simonetti, V., Comparcini, D., Flacco, M. E., Di Giovanni, P., & Cicolini, G. (2015). Nursing students’ knowledge and attitude on pressure ulcer prevention evidence-based guidelines: a multicenter cross-sectional study. Nurse education today, 35(4), 573-579. doi.org/10.1016/j.nedt.2014.12.020.
- 23. Tolulope, E. D., Akinwande, F. A., Funmilayo, O. E., & Obialor, B. A. (2018). Descriptive, cross-sectional study to assess pressure ulcer knowledge and pressure ulcer prevention attitudes of nurses in a tertiary health ınstitution in Nigeria. Ostomy Wound Manag, 64(6), 24-8. https://doi.org/10.25270/owm.2018.6.2428.
- 24. Usher, K., Woods, C., Brown, J., ve diğerleri. (2018). Australian nursing students’ knowledge and attitudes towards pressure injury prevention: A cross-sectional study. International journal of nursing studies, 81, 14-20. doi: 10.1016/j.ijnurstu.2018.01.015
- 25. Ünver, S., Fındık, Ü. Y., Özkan, Z. K., & Sürücü, Ç. (2017). Attitudes of surgical nurses towards pressure ulcer prevention. Journal of tissue viability, 26(4), 277-281. doi: 10.1016/j.jtv.2017.09.001
- 26. Üstün, Y. (2013). Basınç ülserlerini önlemeye yönelik tutum ölçeğinin Türkçe’ye uyarlanması, geçerlik ve güvenirliğinin incelenmesi. Ege Üniversitesi Sağlık Bilimleri Enstitüsü Yüksek Lisans Tezi.
- 27. Yılmazer, T., Tüzer, H., & Tarla, A. (2019). Basınç yarasının önlenmesinde hemşirelerin bilgi düzeylerinin incelenmesi. Sağlık Akademisi Kastamonu, 4(3), 211-224.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Nursing |
| Journal Section | Original research articles |
| Authors | |
| Early Pub Date | August 30, 2022 |
| Publication Date | August 1, 2022 |
| Submission Date | January 27, 2020 |
| Acceptance Date | August 2, 2020 |
| Published in Issue | Year 2022 Volume: 7 Issue: 2 |
Health Academy Kastamonu is included in the class of 1-b journals (journals scanned in international indexes other than SCI, SSCI, SCI-expanded, ESCI) according to UAK associate professorship criteria. HEALTH ACADEMY KASTAMONU Journal cover is registered by the Turkish Patent Institute.