Clinical Nurses' Knowledge and Visual Differentiation Ability in Pressure Ulcer Classification System and Incontinence-associated Dermatitis.
10.4040/jkan.2013.43.4.526
- Author:
Yun Jin LEE
1
;
Seungmi PARK
;
Jung Yoon KIM
;
Chul Gyu KIM
;
Sun Kyung CHA
Author Information
1. Department of Nursing, Severance Hospital, Seoul, Korea.
- Publication Type:Original Article ; English Abstract ; Research Support, Non-U.S. Gov't
- Keywords:
Pressure ulcer;
Nurses;
Knowledge;
Dermatitis
- MeSH:
Adult;
Dermatitis/*classification/complications/pathology;
Education, Continuing;
Educational Measurement;
Fecal Incontinence/complications;
Female;
Health Knowledge, Attitudes, Practice;
Humans;
Male;
Nurses/*psychology;
Pressure Ulcer/*classification/pathology;
Questionnaires;
Urinary Incontinence/complications
- From:Journal of Korean Academy of Nursing
2013;43(4):526-535
- CountryRepublic of Korea
- Language:Korean
-
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 (+/-3.2) in PUCS & IAD KT and 11.15 (+/-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.
