Figure - available from: Journal of Multidisciplinary Healthcare
This content is subject to copyright. Terms and conditions apply.
Results from APUP statement “Pressure ulcers are preventable in high risk patients”, by professional group, representing percentage scores for the four-item Likert scale.
Source publication
Background: Pressure ulcers (PUs) are a major burden to individuals, impacting their physical, mental and social wellbeing. While PU prevention is traditionally regarded as a nursing issue, an interprofessional approach has been promoted as best practice. However, little is known about current practice or the knowledge and attitudes of the wider in...
Citations
... Hence it reveals that most (68%) caregivers have Average knowledge. Fahd et al. [12] supported to perform the quasiexperimental study on the effect of the designed pressure ulcer prevention program on caregivers knowledge of immobilized patients in King Fahd Hospital; 64 male and female caregivers were selected randomly, structured questionnaire was used to collect data, 96.9% of the sample had poor knowledge with mean score of (7+3.8) regarding pressure sore in the pre-test, but in the post-test, 93.8% of them had good knowledge with mean score of (19.2+3.1), ...
... regarding pressure sore in the pre-test, but in the post-test, 93.8% of them had good knowledge with mean score of (19.2+3.1), there was a highly statistical difference between the 'p-value 0.001, the study concluded that implementation of the educational programmed for caregivers showed remarkable improvement of the caregiver's knowledge in preventive of pressure sore [12] . A quantitative cross-sectional study was conducted among caregivers of home-based palliative care patients residing in Olavanna Panchayath, Kozhikode. ...
... Collaboration and multidisciplinary can be answers to this issue. As Clarkson 12 This paves the way to new collaborative medical applications, such as expert telemedicine or advanced practice nurses, which are already being developed in France. Furthermore, at present, these witnesses to the positive impact of multidisciplinary health work need to be mentioned to strengthen the meaning of our professions. ...
Pressure ulcers (PUs) are one of the most important care-related ailments, making their prevention a pressing concern for hospital structures. Epidemiology of PU is interesting to adapt human resources and observe the impact of targeted public health measures. Very few data are presented in the French literature. In this context, a dedicated "Pressure ulcer, Wounds and Healing" task force was created in 1996 by a multidisciplinary team of physicians, administrative staff, and paramedics in the CH of Le Mans. Alongside this, an annual prevalence study was performed between 1996 and 2019 in CH of Le Mans, collecting relevant data: the number of patients who presented pressure ulcers, the number of patients who were at risk of developing pressure ulcers, and the severity of these ulcers. This study brings new data about PU epidemiology in France and shows a significant decrease in the prevalence, becoming lower than the national prevalence. Also, a significant time-related regression of the prevalence was observed, the severity level continually decreased whereas the number of geriatric patients grew and patients with PU's risk remained constant. Finally, the number of patients who developed a PU within the hospitalization decreased too. We observed a link between the creation of the task force and the evolution of pressure ulcer epidemiology, thus recommending that the same practices be adopted in other hospitals and fields of application.
... Recognising the important role of physiotherapists in promoting chronic wound healing, the American Physical Therapy Association and the Commission for Accreditation of Physical Therapy Education have made this a key requirement for graduation into the physical therapy profession. Other scholarly works, such as those of McCulloch (1998) and Clarkson et al (2019), demonstrated that physiotherapists were well-versed in electrotherapy and its application in wound care. Feily et al (2006) reported that physiotherapists have many interventions at their disposal to improve wound healing outcomes in chronic These contradictory findings may be the result of academic and training curriculum deficiencies, and complex acute wounds. ...
Chronic wounds are becoming of public health concern, and despite
extensive literature supporting the use of electrotherapy in the management
of chronic wounds, Nigerian physiotherapists are rarely involved in wound
care. This study sought to determine physiotherapists’ knowledge and
use of electrotherapy in wound management. It used a self-administered
questionnaire to collect information from physiotherapists in various practice
settings. It was found that the majority of respondents (98.7%) had a good
understanding of the role of electrotherapy in wound care, but had a poor
understanding of both precaution (10.2%) and wound assessment (7.9%).
Only 11.8% of physiotherapists were found to be involved in wound care and
there was no association between knowledge and job rank (P =0.27).
... In this study, when the opinions of senior managers and specialist physicians on the eligibility of city hospitals for the health sector are evaluated together, it is noteworthy that senior managers have a more positive approach than specialist physicians. Clarkson et al. [61] investigated the knowledge and attitudes of health personnel towards disease prevention. Signifcant diferences were found between the occupational groups of the study participants. ...
City hospitals (integrated health campuses) are a remarkable health policy action that has recently been implemented to meet the increasing public health needs. Health care professionals work in a collaborative atmosphere and provide interprofessional care on health campuses. This study is designed to explore the confirmatory factor structure of the Initial Attitudes towards Integrated Health Care (ATIHC) scale in Turkish health professionals, which was used to evaluate the attitudes of health professionals, consisting of senior managers and specialist physicians, towards city hospitals. Data were gathered from 196 health professionals, including senior managers and specialist physicians, working in a city hospital located in the rural part of the country. Confirmatory factor analysis (CFA) was used to analyze the data through the first-order and second-order stages. The performance of the second-order CFA model is meaningful (p<0.00001) and acceptable (X2/df = 1663/430 = 3.8; RMSEA = 0.12), and the goodness-of-fit indices are good (CFI = 0.92; NFI = 0.89; IFI = 0.92). The ATIHC scale, which consists of four latent variables under the second-order latent “attitudes” variable, better represents the sample, and health care quality and efficiency (β = 1.03, p<0.01) and coordination of care components (β = 1.02, p<0.01) are the prominent factors in explaining the attitudes of health professionals towards city hospitals. The Turkish version of ATIHC is a reliable and valid instrument for measuring the attitudes of health professionals towards city hospitals.
... Apart from geriatric, hospice and palliative care, interdisciplinary teams are recommended as a form of medical care in pediatrics [20], in patients suffering from infantile cerebral palsy [21], in the course of obesity [22] and diabetes mellitus [23], as well as in gynecological conditions, such as infertility [24], premenstrual syndrome and premenstrual dystrophic disorders [25] and in the prevention of pressure ulcers [26]. ...
Unlabelled:
Teamwork, as the preferred method of cooperation in healthcare, became prevalent in the 1960s, and since then has been universally recognized as a measure to improve the quality of healthcare. Research indicates that medical care based on interdisciplinary cooperation is associated with increased patient safety, lower hospitalization rates, and reduced rates of complications and medical errors. Furthermore, it enhances the coordination of care and improves patient access to medical services. This model of providing medical care also results in considerable benefits for medical professionals. These include greater job satisfaction and a reduced risk of professional burnout syndrome.
Aim:
The aim of the study was to explore the opinions of medical students with regard to cooperation in the interdisciplinary team, as well as the factors affecting the formation of opinions.
Material and methods:
The study was conducted using the Polish version of the questionnaire Attitudes Towards Interprofessional Health Care Teams. The study involved 1266 participants, including students of medicine (n = 308), midwifery (n = 348), nursing (n = 316) and physiotherapy (n = 294).
Results:
According to the opinions of the students participating in the study, the therapeutic process based on the interdisciplinary model improves the quality of medical care provided, increases patient safety, and improves communication between members of the therapeutic team. The factors affecting the assessment of cooperation in interdisciplinary medical care teams included the faculty and the year of studies, gender, as well as participation in the multidisciplinary courses.
Conclusions:
Students recognize the need for interdisciplinary medical teams. The training of future medical professionals should incorporate the elements of interprofessional education. This form of education allows students to develop both a professional identity and identification with their own profession, as well as encourages teamwork skills and shapes the attitude of openness towards representatives of other medical professions. However, in order to provide the students with the relevant knowledge, skills and competencies, it is essential to respect their diversity in terms of the faculty, as well as to account for the impact of gender and the year of studies which may affect their readiness to engage in teamwork.
... Although physiotherapists are team members who take an active role in PU care, studies evaluating the knowledge level of physiotherapists are insufficient. 16,17,18,19 Therefore, our study aims to evaluate the physiotherapists' knowledge of pressure ulcer prevention. ...
... When studies involving physiotherapists and using similar evaluations were reviewed, the physiotherapists' knowledge level of preventive approaches was insufficient in our study, as in Worsley et al. 16 and Clarkson et al. 18 However, it is noteworthy that five physiotherapists were added to Worsley's work 16 and eight to Clarkson's work. 18 Two hundred sixty-five physiotherapists were included in our study. ...
... When studies involving physiotherapists and using similar evaluations were reviewed, the physiotherapists' knowledge level of preventive approaches was insufficient in our study, as in Worsley et al. 16 and Clarkson et al. 18 However, it is noteworthy that five physiotherapists were added to Worsley's work 16 and eight to Clarkson's work. 18 Two hundred sixty-five physiotherapists were included in our study. In addition, in our study and only in Worsley's study, 16 the nutrition/eating theme had the highest level of knowledge. ...
Pressure ulcers can develop in bedridden or immobile patients which physiotherapists frequently encounter. Although physiotherapists receive training for preventing pressure ulcers, there is limited evidence of physiotherapists' knowledge level. Our study evaluated physiotherapists' pressure ulcer prevention knowledge. The level of knowledge for pressure ulcer prevention was inquired with the Turkish version of the Pressure Ulcer Prevention Knowledge Assessment Instrument (PUPKAI‐T). Two hundred and sixty‐five physiotherapists participated in our study. The median PUPKAI‐T total score ranged from 8 to 21. Only two physiotherapists (0.8%) got good points from the questionnaire. The highest score was Nutrition (Theme 4; 59.2%), and the lowest score belonged to the contact preventive interventions that reduce pressure/shearing (Theme 5; 26.7%). The question with the lowest success rate was the positioning question of Theme 5 (Question 2; 12.5%). In our study, physiotherapists' pressure ulcer prevention knowledge was evaluated with a relatively high number of participants compared to the literature. These results brought to mind that training programs that specifically emphasise techniques to prevent pressure ulcers and positioning manoeuvres to be organised increase the knowledge level of physiotherapists.
... Our study reported a lower mean knowledge score of 0.42 per item (42%) than the scores reported among allied healthcare professionals in two UK studies [28,29]. Clarkson and colleagues used same questionnaire surveyed 119 healthcare professionals including nurses, physiotherapists, occupational therapists, podiatrists, healthcare and rehabilitation assistants. ...
... Clarkson and colleagues used same questionnaire surveyed 119 healthcare professionals including nurses, physiotherapists, occupational therapists, podiatrists, healthcare and rehabilitation assistants. They reported a median score of 0.65 per item (65%) among all participants [28]. Similarly, Worsley and colleagues reported a median score of 69% in five Physiotherapist and four occupational therapists [29]. ...
... At a minimum it would be helpful if PrU prevention training had a place amongst the repertoire of support worker mandatory skills training. Clarkson [28] suggest that while traditionally PrU prevention has been generally regarded as a nursing concern, they suggest that both HCAs and Occupational Therapist have more positive attitudes toward prevention strategies than nurses. A body of evidence indicated that healthcare outcomes improve when all staff feel valued as part of strong, self-reinforcing teams. ...
Background
Pressure ulcers cause significant, detrimental effects on personal wellbeing. They represent a serious health and social care burden. Nurses and those working in support roles are primarily accountable for preventing pressure ulcers. Healthcare support workers are an expanding group of key workers in the UK.
Objective
To examine healthcare support workers’ knowledge and attitudes regarding pressure ulcer prevention.
Methods
A cross-sectional study was conducted from December 2020 to June 2021, using Knowledge and Attitudes toward Pressure Ulcer Prevention Assessment Tool.
Results
A total of 164 participants completed the questionnaire fully. A low mean knowledge score of 0.42 ± 0.14, but a positive attitude score of 0.76 ± 0.10 per item were reported. The weakest areas of knowledge include aetiology, risk assessment and addressing pressure-reducing interventions for patients at risk. Higher mean scores per item in knowledge of pressure ulcer prevention were reported in participants working in acute hospital wards and nursing homes (0.468 ± 0.15, 0.47 ± 0.08 respectively) than those in other settings (p < 0.05). Participants working in primary care scored lowest (0.33 ± 0.12). The scores of participants with more positive attitudes towards pressure ulcer prevention significantly correlated with higher score of knowledge (p < 0.005).
Conclusion
While positive attitudes towards pressure ulcer prevention exist among healthcare support workers, this is overshadowed by significant knowledge deficits. Findings highlight the importance of continuing structured education for support workers across both acute and community settings. A future national survey and interventional study are needed to examine support workers’ pressure ulcer knowledge and to inform a national continuous education strategy.
... This finding was consistent with several studies from the United States [21], Greece [22], Belgium [23], China [24,25], and Ethiopia [26]. On the other hand, this finding was inconsistent with studies from Australia [27], Nigeria [28], and the Netherlands [29]. However, the results of a systematic review and meta-analysis showed that nurses' knowledge towards PU prevention was 53.1%, which was less than acceptable (60%) based on PUKAT tools [30]. ...
Introduction
Pressure ulcer (PU), as a long-term disabling condition, is an important indicator for patient safety and quality of nursing care in hospitals. This systematic review aimed to evaluate the knowledge, attitude, and practice of Iranian nurses towards PU prevention.
Methods
A systematic search was conducted on PubMed, Web of Science, Scopus databases, Google Scholar Search Engine, as well as Magiran, Iranmedex, and Scientific Information Database (SID) Persian databases using the relevant keywords, from the earliest date available to August 21, 2020. Studies were appraised using the appraisal tool for cross-sectional studies (AXIS tool).
Findings
Among a total of 1,543 Iranian nurses included in the 9 studies, 80.53% were female with a mean age of 31.14 (SD = 5.52) years. The mean work experience of the participants was 7.94 years (SD = 5.44). The knowledge and practice of Iranian nurses toward PU prevention were insufficient and relatively desirable, respectively. Also, the present study showed that nurses' attitudes toward PU prevention were contradictory. Age, gender, level of education, work experience, and participation in previous educational workshops were possible factors related to nurses' knowledge about PU prevention. Women with higher work experience had a more positive attitude.
Conclusion
This review found inappropriate knowledge, attitude, and practice of Iranian nurses toward PU prevention and highlights the importance of regular upgrading of nurses' knowledge and practice related to PU prevention.
... In our study, respondents achieved the best score in the theme of risk assessment (70% correct answers), and similar results were obtained in a study conducted in the United Kingdom [30]. The topic of risk assessment contains only two questions that are closely related to the usual clinical practice and the correct answers reflect the usual nursing practice which may be the reason for best results on the questionnaire. ...
... The lowest results of both groups of respondents in this study were in the theme of pressure ulcer prevention, which was also found in studies conducted in Turkey [16], the United Kingdom [30], Australia [3], and Belgium [24] and in a systematic review conducted by Dalvand [28]. ...
Aim:
The aim of the study was to determine the knowledge of nurses and nursing students about pressure injury (PI) prevention.
Materials and methods:
A cross-sectional study was used, and the sample consisted of 312 participants, of whom 198 were nursing students and 114 were nurses from the clinical hospital. The response rate for the total population was 78%. The Pressure Ulcer Knowledge Assessment Tool PUKAT 2.0. was translated to Croatian and used in the study. Data were collected between January and March 2020. Descriptive statistics and chi square tests with Fisher correction for small samples were used to analyze the data.
Results:
The mean number of correct answers was 10.45 points or 41.8%, which is not considered a satisfactory result. Nurses from the clinical hospital achieved 45.48% correct answers, while part-time students achieved 39.7%. Respondents achieved the best results in the theme of risk assessment and the lowest in the theme prevention of pressure ulcers. A statistically significant difference between the two groups of respondents was found in the themes of classification and observation (p = 0.004), nutrition (p = 0.015), prevention of pressure ulcers (p = 0.010), and specific patient groups (p = 0.002), as well as in the number of total correct answers (p = 0.000).
Conclusions:
The results showed that knowledge about PI prevention in nurses and nursing students was inadequate. Nurses showed a higher level of knowledge than the students. PIs are a significant clinical problem affecting quality of life, health care costs, and treatment outcomes in patients, so it is important that nurses have adequate knowledge.
... In the present study, the level of knowledge of participants related to PU prevention was desirable. This finding was supported by studies from the Netherlands [20] and Australia [21], yet inconsistent with the results of other studies in Greece [12], China [22], Belgium [23], and the United States [16]. One possible explanation for this discrepancy could be differences in the nurses' work setting. ...
... One possible explanation for this discrepancy could be differences in the nurses' work setting. In contrast to the present study, studies in the Netherlands [20], Australia [21], and Belgium [23] have not specifically evaluated ICU nurses. In the ICU, patients are more prone to PU. ...
Introduction
Pressure ulcers (PU) are a major, but preventable health problem in all health settings, but especially in intensive care units (ICUs). This study aimed to investigate the knowledge, attitude, and practice (KAP) of Iranian ICU nurses related to the prevention of PU.
Methods
In a cross-sectional study, data obtained from 183 ICU nurses working in four hospitals affiliated to Mazandaran University of Medical Sciences, Sari, Iran were evaluated. The study was conducted from July to October 2020. Data were collected using a four-part questionnaire including demographic characteristics, Pieker Pressure Ulcer Knowledge Test (PPUKT), Attitude toward Pressure Ulcer Prevention (APUP) tool, and the practice of nurses related to the prevention of PU.
Findings
The mean scores of KAP of ICU nurses toward PU prevention were 70.57 (SD = 13.51), 52.82 (SD = 6.16), and 22.44 (SD = 5.20), respectively. There was a positive correlation between nurses' attitude and practice (r = 0.232, P = 0.002), and a negative correlation between knowledge and attitude (r = −0.156, P = 0.035) of nurses regarding PU prevention. Additionally, a positive correlation was found between nurses' years of working experience in ICU and their knowledge regarding PU prevention (r = 0.159, P = 0.032).
Conclusion
According to the results of the present study, the level of KAP of Iranian ICU nurses related to PU prevention were desirable, positive, and relatively desirable. Therefore, nurse managers and policymakers should try to eliminate the main barriers such as heavy workload, inadequate nurse staffing, and lack of appropriate guidelines for PU prevention which consequently affect the practice of ICU nurses in the prevention of PU.
