Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia

Werku Etafa Ebi; Zeleke Argaw Menji; Belachew Melese Hunde

doi:doi:10.11648/j.ajim.s.2017050401.11

| Peer-Reviewed

Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia

Werku Etafa Ebi, Zeleke Argaw Menji, Belachew Melese Hunde

Published in American Journal of Internal Medicine (Volume 5, Issue 4-1)

Received: 14 January 2017 Accepted: 3 February 2017 Published: 28 February 2017

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Background: There is limited evidence on nurses’ knowledge and perceived barriers to prevent pressure ulcer in Ethiopia. The present study aimed to assess nurses’ knowledge and perceived barriers to prevent pressure ulcer in public hospitals in Addis Ababa, Ethiopia. Methodology: A self-reported cross-sectional survey design was used to collect data from 356 nurses who were providing care to patients with pressure ulcers between 21 April and 28 May 2015. We used a structured questionnaire, which was adapted from previous studies to collect the data. Data were coded and entered in computer using EPI data version 3.1 statistical packages, and transported into SPSS version 20 for data analysis. Descriptive statistics were used to describe demographic characteristics, level of nurses' knowledge on PU prevention and treatment, and perceived barriers to carry out PU prevention and treatment. Results: Findings of the present study revealed that the majority of nurses who participated in this study had unsatisfactory knowledge (63.85%) as regards the pressure ulcers management. Nurses were questioned to specify their agreement about the presence of specific barriers in the work environment. Shortage of staff was the utmost frequently cited barrier to carrying out PU-prevention measures (83.1%), followed by limited resources (67.7%) and lack of guidelines (policies) about PU prevention (59.8%). Conclusions: In-service training and educational program should be designed for nurses to enhance their Knowledge and practice. Satisfactory dissemination of PU prevention and treatment guidelines appears to be essential to advance quality of PU prevention and treatment.

Published in	American Journal of Internal Medicine (Volume 5, Issue 4-1) This article belongs to the Special Issue Evolution and Transformation of Inpatient Medicine
DOI	10.11648/j.ajim.s.2017050401.11
Page(s)	1-6
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Pressure Ulcers, Knowledge, Perceived Barriers, Pubic Hospitals, Addis Ababa, Ethiopia

References

[1]	Panel EPUAPaNPUA. Prevention and treatment of pressure ulcers: quick reference guide. Washington DC: National Pressure Ulcer Advisory Panel; 2009.
[2]	Vander wee K, Clark M, Dealey C, Gunning berg L, T. D. Pressure ulcer prevalence in Europe. Journal of Evaluation in Clinic for al Practice. 2007; 13 (2): 227-35.
[3]	EWM. Challenges facing district nurses in the prevention of pressure ulcers. EWMA. October 2011; 11 (3).
[4]	Baranoski, S., & Ayello, E. A. Wound care essentials: Practice principles (3rd edition). Springhouse PA: Lippincott Williams & Wilkins. 2012, (4).
[5]	Improvement: 5 million lives campaign. Getting started kit: Prevent pressure ulcers how-to guide. 2008. Retrieved from www.ihi.org (accessed Feb 2015).
[6]	Gorecki C, Brown JM, Nelson EA, Briggs M, Schoonhoven L, Dealey C, et al. Impact of pressure ulcers on quality of life in older patients. JAGS. 2009; 57: 1157-1183.
[7]	EinDiB EA. Pressure Ulcers: Prevention, Evaluation, and Management. American Family Physician.2008 Nov.15; 78 (10): 1-9.
[8]	E. S. M. Shahin, T. Dassen a, Halfens. RJG. Pressure ulcer prevalence in intensive care patients. Journal of Evaluation in Clinical Practice. 2008; 14 (4): 563-8.
[9]	R. Chou T, Dana C, al. Be. “Pressure ulcer risk assessment and prevention: Effective Health CareProgram. 2013. http://www.effectivehealthcare.ahrq.gov/ehc/product/309/1489/pressure-ulcer-prevention report- 130528.pdf
[10]	Mary Ann Turjanica CL, CM, Pauline Miller, Barbra L. Turner a, Jones S. Incidence, Correlates, and Interventions Used For Pressure Ulcers of the Ear. CNE Series. September-October 2011; 20 (5): 41.
[11]	Haileyesus Gedamu, Mignote Hailu A. A. Prevalence and Associated Factors of Pressure Ulcer among Hospitalized Patients. Journal of Advanced in nursing. December 2014(8).
[12]	EinDiB EA. Pressure Ulcers: Prevention, Evaluation, and Management. American Family Physician.2008 Nov.15; 78 (10): 1-9.
[13]	Smith D WS. Assessment of registered nurses’ knowledge of pressure ulcers prevention and treatment. Kansas Nurs. 2009; 84 (1): 3-5.
[14]	Ivan Mwebaza, Godfrey Katende, Sara Groves a, J. N. Nurses’ Knowledge, Practices, and Barriers in Care of Patients with Pressure Ulcers in a Ugandan Teaching Hospital. Nursing Research and Practice. February, 2014.
[15]	Islam S: Knowledge, Attitude and Practice regarding Pressure Ulcer Prevention for Hospitalized Patients at Rajshahi Medical College Hospital in Bangladesh In.: Prince of Songkla University; 2010.
[16]	Kalllman U. Knowledge, attitudes and practice among nursing staff concerning pressure ulcer prevention and treatment – a survey in a Swedish healthcare setting. Scand J Caring Sci. 2009, 23:334-41.
[17]	Pieper B, and Mott, M. Nurses’ knowledge of pressure ulcer prevention, staging and description. Advanced Wound Care. 1995.8, 34-48.
[18]	Moore Z, Price P. Nurses’ attitudes, behaviours and perceived barrierstowards pressure ulcer prevention. J ClinNurs. 2004; 13(8): 942–51.
[19]	Kim, H. S., Schwartz-barcott, D., Holter, I.m., lorensen, m. developing a translation of the mcGill pain questionnaire for cross-cultural comparison: an example from norway. J Advnurs. 1995; 21: 421–426.
[20]	Jankowski, M. I and Nadzam, M. D. Identifying gaps, barriers, and solutions in implementing pressure ulcer prevention programs, The joint Commission Journal on Quality and Patient Safety, 2011, (37)(6) 154-60.
[21]	Nurses’ attitudes and perceived barriers to pressure ulcer prevention in Jordan. Journal of wound care. Vol. 22, No 9, Sept.2013.
[22]	Kallman, U., Suserud, B. O. Knowledge, attitudes and practice among nursing staff concerning pressure ulcer prevention and treatment: a survey in a Swedish healthcare setting. Sc and J Caring Sci. 2009; 23: 334–341.
[23]	Strand, T., Lindgren, M. Knowledge, attitudes and barriers towards prevention of pressure ulcers in intensive care units: A descriptive cross-sectional study. Intensive Crit Care Nurs. 2010; 26: 335–342.
[24]	Hunt, M. The process of translating research findings into nursing practice. J AdvNurs. 2006; 12: 101–110.
[25]	Pancorbo-Hidalgo, P. L., García-Fernández, F. P., López-Medina, I. M., López-Ortega, J. Pressure ulcer care in Spain: nurses’ knowledge and clinical practice. J AdvNurs. 2007; 58: 327–338.
[26]	TAHA, A. S. Nurse’s knowledge and practices related to pressure ulcer at intensive care unit. Journal of international academic research for multidisciplinary. 2014. Volume 2, Issue 2. ISSN: 2320-5083.
[27]	Burdette-Taylor SR and Kass J. Heel ulcers in critical care unit: A major pressure problem. 2012. Crit Care Nurs 2012;25: 41-53.

Cite This Article

Plain Text BibTeX RIS

APA Style

Werku Etafa Ebi, Zeleke Argaw Menji, Belachew Melese Hunde. (2017). Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia. American Journal of Internal Medicine, 5(4-1), 1-6. https://doi.org/10.11648/j.ajim.s.2017050401.11

Copy | Download

ACS Style

Werku Etafa Ebi; Zeleke Argaw Menji; Belachew Melese Hunde. Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia. Am. J. Intern. Med. 2017, 5(4-1), 1-6. doi: 10.11648/j.ajim.s.2017050401.11

Copy | Download

AMA Style

Werku Etafa Ebi, Zeleke Argaw Menji, Belachew Melese Hunde. Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia. Am J Intern Med. 2017;5(4-1):1-6. doi: 10.11648/j.ajim.s.2017050401.11

Copy | Download

@article{10.11648/j.ajim.s.2017050401.11,
  author = {Werku Etafa Ebi and Zeleke Argaw Menji and Belachew Melese Hunde},
  title = {Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia},
  journal = {American Journal of Internal Medicine},
  volume = {5},
  number = {4-1},
  pages = {1-6},
  doi = {10.11648/j.ajim.s.2017050401.11},
  url = {https://doi.org/10.11648/j.ajim.s.2017050401.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.s.2017050401.11},
  abstract = {Background: There is limited evidence on nurses’ knowledge and perceived barriers to prevent pressure ulcer in Ethiopia. The present study aimed to assess nurses’ knowledge and perceived barriers to prevent pressure ulcer in public hospitals in Addis Ababa, Ethiopia. Methodology: A self-reported cross-sectional survey design was used to collect data from 356 nurses who were providing care to patients with pressure ulcers between 21 April and 28 May 2015. We used a structured questionnaire, which was adapted from previous studies to collect the data. Data were coded and entered in computer using EPI data version 3.1 statistical packages, and transported into SPSS version 20 for data analysis. Descriptive statistics were used to describe demographic characteristics, level of nurses' knowledge on PU prevention and treatment, and perceived barriers to carry out PU prevention and treatment. Results: Findings of the present study revealed that the majority of nurses who participated in this study had unsatisfactory knowledge (63.85%) as regards the pressure ulcers management. Nurses were questioned to specify their agreement about the presence of specific barriers in the work environment. Shortage of staff was the utmost frequently cited barrier to carrying out PU-prevention measures (83.1%), followed by limited resources (67.7%) and lack of guidelines (policies) about PU prevention (59.8%). Conclusions: In-service training and educational program should be designed for nurses to enhance their Knowledge and practice. Satisfactory dissemination of PU prevention and treatment guidelines appears to be essential to advance quality of PU prevention and treatment.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia
AU  - Werku Etafa Ebi
AU  - Zeleke Argaw Menji
AU  - Belachew Melese Hunde
Y1  - 2017/02/28
PY  - 2017
N1  - https://doi.org/10.11648/j.ajim.s.2017050401.11
DO  - 10.11648/j.ajim.s.2017050401.11
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 1
EP  - 6
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.s.2017050401.11
AB  - Background: There is limited evidence on nurses’ knowledge and perceived barriers to prevent pressure ulcer in Ethiopia. The present study aimed to assess nurses’ knowledge and perceived barriers to prevent pressure ulcer in public hospitals in Addis Ababa, Ethiopia. Methodology: A self-reported cross-sectional survey design was used to collect data from 356 nurses who were providing care to patients with pressure ulcers between 21 April and 28 May 2015. We used a structured questionnaire, which was adapted from previous studies to collect the data. Data were coded and entered in computer using EPI data version 3.1 statistical packages, and transported into SPSS version 20 for data analysis. Descriptive statistics were used to describe demographic characteristics, level of nurses' knowledge on PU prevention and treatment, and perceived barriers to carry out PU prevention and treatment. Results: Findings of the present study revealed that the majority of nurses who participated in this study had unsatisfactory knowledge (63.85%) as regards the pressure ulcers management. Nurses were questioned to specify their agreement about the presence of specific barriers in the work environment. Shortage of staff was the utmost frequently cited barrier to carrying out PU-prevention measures (83.1%), followed by limited resources (67.7%) and lack of guidelines (policies) about PU prevention (59.8%). Conclusions: In-service training and educational program should be designed for nurses to enhance their Knowledge and practice. Satisfactory dissemination of PU prevention and treatment guidelines appears to be essential to advance quality of PU prevention and treatment.
VL  - 5
IS  - 4-1
ER  -

Copy | Download

Author Information

Werku Etafa Ebi

Department of Nursing, College of Health Sciences, Samara University, Samara, Ethiopia
Zeleke Argaw Menji

Department of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
Belachew Melese Hunde

Department of Statistics, College of Natural and Computational Science, Samara University, Samara, Ethiopia

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Werku Etafa Ebi, Zeleke Argaw Menji, Belachew Melese Hunde. (2017). Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia. American Journal of Internal Medicine, 5(4-1), 1-6. https://doi.org/10.11648/j.ajim.s.2017050401.11

Copy | Download

ACS Style

Werku Etafa Ebi; Zeleke Argaw Menji; Belachew Melese Hunde. Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia. Am. J. Intern. Med. 2017, 5(4-1), 1-6. doi: 10.11648/j.ajim.s.2017050401.11

Copy | Download

AMA Style

Werku Etafa Ebi, Zeleke Argaw Menji, Belachew Melese Hunde. Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia. Am J Intern Med. 2017;5(4-1):1-6. doi: 10.11648/j.ajim.s.2017050401.11

Copy | Download

@article{10.11648/j.ajim.s.2017050401.11,
  author = {Werku Etafa Ebi and Zeleke Argaw Menji and Belachew Melese Hunde},
  title = {Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia},
  journal = {American Journal of Internal Medicine},
  volume = {5},
  number = {4-1},
  pages = {1-6},
  doi = {10.11648/j.ajim.s.2017050401.11},
  url = {https://doi.org/10.11648/j.ajim.s.2017050401.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.s.2017050401.11},
  abstract = {Background: There is limited evidence on nurses’ knowledge and perceived barriers to prevent pressure ulcer in Ethiopia. The present study aimed to assess nurses’ knowledge and perceived barriers to prevent pressure ulcer in public hospitals in Addis Ababa, Ethiopia. Methodology: A self-reported cross-sectional survey design was used to collect data from 356 nurses who were providing care to patients with pressure ulcers between 21 April and 28 May 2015. We used a structured questionnaire, which was adapted from previous studies to collect the data. Data were coded and entered in computer using EPI data version 3.1 statistical packages, and transported into SPSS version 20 for data analysis. Descriptive statistics were used to describe demographic characteristics, level of nurses' knowledge on PU prevention and treatment, and perceived barriers to carry out PU prevention and treatment. Results: Findings of the present study revealed that the majority of nurses who participated in this study had unsatisfactory knowledge (63.85%) as regards the pressure ulcers management. Nurses were questioned to specify their agreement about the presence of specific barriers in the work environment. Shortage of staff was the utmost frequently cited barrier to carrying out PU-prevention measures (83.1%), followed by limited resources (67.7%) and lack of guidelines (policies) about PU prevention (59.8%). Conclusions: In-service training and educational program should be designed for nurses to enhance their Knowledge and practice. Satisfactory dissemination of PU prevention and treatment guidelines appears to be essential to advance quality of PU prevention and treatment.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Nurses’ knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia
AU  - Werku Etafa Ebi
AU  - Zeleke Argaw Menji
AU  - Belachew Melese Hunde
Y1  - 2017/02/28
PY  - 2017
N1  - https://doi.org/10.11648/j.ajim.s.2017050401.11
DO  - 10.11648/j.ajim.s.2017050401.11
T2  - American Journal of Internal Medicine
JF  - American Journal of Internal Medicine
JO  - American Journal of Internal Medicine
SP  - 1
EP  - 6
PB  - Science Publishing Group
SN  - 2330-4324
UR  - https://doi.org/10.11648/j.ajim.s.2017050401.11
AB  - Background: There is limited evidence on nurses’ knowledge and perceived barriers to prevent pressure ulcer in Ethiopia. The present study aimed to assess nurses’ knowledge and perceived barriers to prevent pressure ulcer in public hospitals in Addis Ababa, Ethiopia. Methodology: A self-reported cross-sectional survey design was used to collect data from 356 nurses who were providing care to patients with pressure ulcers between 21 April and 28 May 2015. We used a structured questionnaire, which was adapted from previous studies to collect the data. Data were coded and entered in computer using EPI data version 3.1 statistical packages, and transported into SPSS version 20 for data analysis. Descriptive statistics were used to describe demographic characteristics, level of nurses' knowledge on PU prevention and treatment, and perceived barriers to carry out PU prevention and treatment. Results: Findings of the present study revealed that the majority of nurses who participated in this study had unsatisfactory knowledge (63.85%) as regards the pressure ulcers management. Nurses were questioned to specify their agreement about the presence of specific barriers in the work environment. Shortage of staff was the utmost frequently cited barrier to carrying out PU-prevention measures (83.1%), followed by limited resources (67.7%) and lack of guidelines (policies) about PU prevention (59.8%). Conclusions: In-service training and educational program should be designed for nurses to enhance their Knowledge and practice. Satisfactory dissemination of PU prevention and treatment guidelines appears to be essential to advance quality of PU prevention and treatment.
VL  - 5
IS  - 4-1
ER  -

Copy | Download