Effect of Open Wound Care Protocol on Nurses’ Knowledge and Patients Wound Healing (original) (raw)
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Effect Of Closed Wound Care Protocol On Nurses.Practices And Patients Wound Healing
2020
Background: care of wounds is a dynamic, complex process and requires specific knowledge of the nursing team, comprising professionals who will develop this care both in prevention and in the specific treatment. This study aimed to assess nurses' practice regarding closed wound care in the surgical unit, and evaluate the effect of a wound care protocol on nurses' practice in, and assess patients' wound healing pre- and post-applying wound care protocol in at two hospital Mansoura University and emergency hospitals. The study sample includes two groups first group, consisted of 55 nurses from the two hospitals, and second group consist 207 patients with closed wound. The sample of nurses received a suggested protocol regarding wound care. Data collection was accomplished utilizing three tools; Astructured interview for the nurses, wound care observational checklist, andBraden scale, wound assessment tool. Data was collected from both nurses and patients three times; one t...
A Survey of Wound Care Practices by Nurses in a Clinical Setting
Background: Nurse practitioners play a vital role in wound care and management because of the prevalence of wounds in the community and hospital setting. Aims and objectives: The purpose was to identify current knowledge and practices of nurses with respect to wound management. Method: A qualitative descriptive research was designed, nineteen nurses in wound care wards in Bingham University teaching hospital were recruited into this study. This was achieved with the aid of a self-administered questionnaire for a two-week period. Results: Three groups of nurses responded to this survey (73.7% males; 31.6% aged 31-40 years). Registered nurses dominated (68.4%), majority of them worked in male ward (36.8%) and private ward (36.8%). Almost on full-time (94.7%), more than half were diploma holders (57.9%) with 1 to 5 years of experience (47.4%). Majority (84.2%) were involved in wound treatment and management, there were significant association between years of experience and wound classification, wound treatment, treatment failure and treatment failure factors. Conclusion: Wound care practices require accurate knowledge and assessment skills, a better understanding of wound management provides comprehensible, rapid patient wound care and minimizes patient mortality as well as reduces health services financial costs.
Chronic Wound Care Management and Research, 2022
Background: Wound infection is caused by pathogenic organisms invading viable tissue surrounding a localized defect or excavation in the skin or underlying soft tissue. Nurses have a critical role in wound care and dressing selection, and they should strive to stay current in this ever-changing field. To prevent wound infection, it is essential to improve wound-care knowledge and practice. Objective: To assess knowledge and practice of wound care and associated factors among nurses working in government hospitals of South Wollo Zone, Ethiopia. Methods: A hospital-based cross-sectional study design was used among 422 randomly selected nurses in government hospitals in South Wollo. A pretested structured self-administered questionnaire was used to collect data. Data were entered in EpiData 4.4.2 and exported to SPSS 25.0 for analysis. Descriptive statistics and bivariate and multivariate logistic regression were applied. Variables with P value <0.05 were considered statistically significant for knowledge and good practice of wound care. Results: According to the findings, 40.3% and 51.0% had good knowledge and practice of wound care, respectively. Holding a bachelor's degree or above (AOR 3.27, 95% CI 1.97-5.43) and training (AOR 3.71, 95% CI 2.37-5.81) were significantly associated with knowledge of wound care. More than 10 years of experience (AOR 3.15, 95% CI 1.96-5.04), training (AOR 3.75, 95% CI, 2.38-5.85), and not having a patient load (AOR 3.15, 95% CI 1.96-5.04) were significantly associated with wound-care practices. Conclusion: Nurses' wound-care knowledge and practice were low. Knowledge and practice on wound care were determined by educatio, training, patient load, and experience. Nurses should get training and share experience.
Menoufia Nursing Journal
Background: Surgical wound infection is a serious complication of surgical procedures. Purpose was to evaluate the effect of preoperative and intraoperative nursing intervention on surgical wound infection among surgical patients. Design A quasiexperimental design was used to achieve the purpose of the study. Sampling: Consecutive samples of 110 adult patients undergoing surgical procedure were selected and divided alternatively and randomly into two equal groups: 55 patients in each group. Setting: Study was carried out at Outpatient general surgery clinic, General surgical department and operating theatre of Menoufia University Hospital. Instruments of the study: Three instruments were used for collecting necessary data (structured interview questionnaire, biophysiological measurements, and Bates-Jensen wound assessment instrument. Results: 10.9% versus 36.4% respectively of the study and control group had surgical wound infection. Conclusions: preoperative and intraoperative nursing intervention was effective in prevention of surgical wound infections. Recommendations: preoperative and intraoperative nursing intervention should be applied to prevent surgical wound infection.
post operative wound care practices and the control of infectious disease, 2017
ABSTRACT Background: Postoperative wound healing has been a problem which causes high mortality in the developing world; postoperative wound has been reported to cause devastating consequences and a measurable mortality. The objective of the study was to assess nursing practice on postoperative wound care in surgical wards at tubah district hospital. A cross-sectional design was employed. Data was collected using questionnaires from a total 71 nurses (registered and enrolled) at the tubah district hospital. The study was approved by the ethical committee of the faculty of health science university of Bamenda. Data was analyzed using SPSS version 20. Results were summarized using frequencies, percentages, and presented using figures, tables and text. The result shows that majority of the participants were female 76.5% and 40.8% of the participants aged 25 – 34 years. More than half of the participants were observed to have poor post operative wound care practice 57.7%. Male participants scored higher, and had better practice compared to female however there was no significant difference between the scores (P=0.803). In the preparation phase, hand washing before and after the procedure was observed by less than half of the participants 44.5%. Not all of the participants ensured cleanliness of the environment and patient’s privacy by screening or closing the room. The study findings revealed that nurses use clean gloves when removing the old dressing 70%, while use of sterile gloves during wound dressing was not observed by 48.7% of participants. Good practice was observed in applying dressing solution as prescribed 100% participants, dry sterile dressing applied 72.1%, arrangement of dressing forceps and other items by order to their application using forceps 20%, usage of forceps to dip gauze into antiseptic solution 35% and cleaning of the wound from least contaminated to most contaminated area 24.1%. Post-operative counseling and instructing the patient not to temper with the wound was done by only 35% of the participants. Only few of the participant documented wound changes, reported patient comfort, and recorded date or time after the procedure. Majority of the participants in surgical wards do not follow the postoperative wound care checklist provided by the hospital although they know its importance. Assessment of the wound and documentation continues to be a problem in the nursing profession. Participants were reasonably knowledgeable about the principal of wound dressing; however lack of knowledge on some of the key principles of wound dressing is worth noting. Ministry of health and social welfare should ensure that nurses are more trained at least to undergraduate level of nursing education. This can be achieved by providing more learning opportunities to nurses accompanied by sponsorships from the Ministry of Health and Social Welfare
Background: Negative pressure wound therapy (NPWT) is new strategy for wound management that can be helpful to accelerate wound healing in both acute and chronic wounds. The application of NPWT dressing requires an understanding of how the therapy works and training in the use of device. Staff responsible for dressing changes should have the appropriate knowledge and practice to ensure optimum wound care.The aim of this study:To evaluate effect of educational program on nurses' knowledge and practice regarding negative pressure wound therapy among patients with acute and chronic Wounds.Research design:A quasi-experimental research design was utilized to conduct the current study.Setting: The current study was conducted ingeneral surgery department at zagaziguniversity hospital. Subjects:Purposive sample of 60 nurses were included in this study.Tools of data collection:Two main tools were used;Tool I-A structured interviewing questionnaire: consisted of 2 parts to assess: 1) Demographic characteristics of nurses staff. 2) Nurses' knowledge about NPWT. Tool II-Observational checklist to assess nurses' practice for applying NPWT dressing.Results:Knowledge and practice levelswere found to differ significantly in relation to years of experience. There was a highly statistically significant difference in nurses' practice between pre, post and after 3 monthsfollowingeducational program regarding to NPWT among patients with acute and chronic wounds. There were statistically significant relations between levels of knowledge and practicePre, post and after 3 monthsfollowing educational program.Conclusion:Nurses' knowledge regarding to NPWTamong patients with acute and chronic wounds showed obvious improvement and good practice after educational program.Recommendations:Setup a project that aims to improve nurses' performance by implementing evidence based practice.Provision of guidance to staff nurses' caring for patients who receiving NPWT to correct poor practices in the use of device and understanding of how the therapy works to ensureoptimum wound management.
Open Journal of Nursing, 2019
Background: Postoperative wound healing has been a problem which causes high mortality in the developing world; postoperative wound has been reported to cause devastating consequences and a measurable mortality. There is a limited number of published studies in Tanzania investigating Nursing practice on post-operative wound care in surgical wards at Muhimbili National Hospital, Dares -Salaam, Tanzania. This study assesses nursing practice on postoperative wound care by nurses in surgical wards at Muhimbili National Hospital. Methods: A cross-sectional study of surgical nurses was carried out through the use of randomly selected surgical wards at Muhimbili National Hospital in Tanzania from September 2011 to July 2013. A multistage cluster sampling technique was used to obtain a suitable number of study participants. Data collection was done using a checklist from a convenient sample of 71 nurses in selected surgical wards. Results: The result indicates that a big number of the participants were female (76.5%) and those of the age group 25 to 34 years were 40.8%. Participants exceeding a half of the selected sample reported to have poor post-operative wound care practice (57.7%). In comparison, male participants scored higher, and had better practice than their female counterparts, however, there was no considerable difference in the scores (P = 0.803). During setup and preparation phase, the washing of hands before starting and after the completion of procedure was taken into consideration by less than half of the participants (49.3%). All participants did not ensure the environment is clean and take into account the patient's privacy through the use of screen or even closing the room. The report shows that nurses take into consideration putting on clean gloves dur-How to cite this paper: Mwakanyamale, A
Nurses Practice Concerning Postoperative Clean Wound Dressing
Indian Journal of Public Health Research and Development, 2018
A descriptive study was carried out at the surgical wards of Al-Sadder Teaching Hospital started from 2 th August to 2 th December, 2016.The study aims to asses nurse's practice concerning postoperative wound care, and to identifying the relationship between nurse's practice and their demographic characteristic. A Purposive "non-probability" sample consisting of (25) nurses was selected from Al-Sadder Teaching Hospital. The data were collected through the use of direct observation, which comprised of (19) items as mean of data collection. The data were analyzed through the application of descriptive statistical analysis that include frequency and percentage , the application of inferential statistics that including the mean of score, and Chi-square test. The majority of the nurses were males (60%), with age group (25-29) years old (28%), nursing institute graduate (48%), the majority of nurses have than less (1-5) years of experience (44%). The result indicated that there were no significant associations between the nurse's gender, age, level of education and their practice. There were significant associations between the nurse's years of experience and their practice. The results demonstrated a practice deficit in the most items of post-operative clean wound care for patient in surgical units. Special training sessions should be designed and presented to these nurses, developing assessment sheet for skills and daily nursing note for post-operative wound care.
2020
BackgroundWound infections are a global public health challenge, a major cause of morbidity and mortality in low- and middle-income countries. Poor wound care results delayed wound healing process and wound infections. Improving the knowledge and practice of wound care is paramount to reduce wound infection. However, there is no study done in Ethiopia. This study was aimed to assess the knowledge and practices of nurses who worked at Felege Hiwot Specialized Hospital towards wound healing and care. MethodsA survey was conducted among 180 nurses worked in Felegehiwot specialized hospital during January 1 to 30, 2018. The study participants were selected through simple random sampling technique. Descriptive statistics were used to describe the study participants. Both Bivariable and multivariable ordinal logistic regression was done and proportional odds ratio (POR) with a 95% confidence interval (CI) was reported to show the strength of association. A p-value < 0.05 was used to de...
Significant differences in nurses' knowledge of basic wound management - implications for treatment
Acta dermato-venereologica, 2014
Wounds represent a growing healthcare problem due to an aging population. Nurses play a key role in wound management and their theoretical understanding of basic wound management may be expected to influence the quality of wound therapy fundamentally. In this study, we evaluated the level of knowledge of wound management in 136 Danish nurses working in 3 different settings: advanced wound care clinics, home care and general hospital departments. We found that hospital nurses had less theoretical knowledge than home care nurses and nurses working at advanced wound care clinics. We also found that the length of experience (adjusted for workplace and education) did not have any impact on nurses' knowledge. Nurses' knowledge of clinical investigations was consistently lower than their knowledge of therapy and clinical symptoms. This study provides benchmarking information about the current status of wound management in Denmark and suggests how improvements might be achieved.