Effect of a Nurse-led Training Programme on Pressure Ulcer Prevention and Treatment Among Nurses in Two Teaching Hospitals in Ogun State
ABSTRACT
Pressure ulcer refers to lesion on the skin due to persistent pressure, friction or moisture leading to skin and tissue destruction. It is associated with rise in treatment cost, lengthy hospital stay and inadequate patients’ satisfaction. Despite advancement in pressure ulcer prevention and treatment strategies, knowledge and practice concerning pressure ulcer prevention and treatment among nurses has been poor. This study aimed to evaluate the effect of a nurse-led training programme on pressure ulcer prevention and treatment among nurses.
Quasi-experimental design was adopted. The population were 60 nurses working in medical and surgical unit of Olabisi Onabanjo University Teaching Hospital, Sagamu and 48 nurses working in the medical and surgical unit of Babcock University Teaching Hospital, Ilishan remo. Sample size was determined using Leslie Kish formula and convenient sampling was adopted to select 20 nurses from Olabisi Onabanjo University, Sagamu and 20 nurses from Babcock University Teaching Hospital, Ilishan remo which formed the experimental and control group respectively. A developed questionnaire and checklist was used to collect data on knowledge and practice concerning pressure ulcer prevention and treatment among nurses pre and post-intervention. Face and content validity of the instruments was ascertained by presenting it to experts in the field. Reliability of the questionnaire was determined using split-half method and Cronbach’s alpha reliability coefficient was 0.8. The training modules and checklist were also pre-tested and found suitable for the study. Data were processed using statistical package for social sciences (SPSS) version 21. Two research questions were answered using descriptive statistics of mean and standard deviation. Two hypotheses were tested using inferential statistics of student t-test at 0.05 level of significance.
(a) There is no difference in pre-intervention mean knowledge score concerning pressure ulcer prevention and treatment among nurses in the experimental (mean = 0.652) and control group (mean = 0.621).
(b) There is no difference in pre-intervention mean practice score concerning pressure ulcer prevention and treatment among nurses in the experimental (mean = 0.407) and control group (mean = 0.407).
(c) There is a significant difference in effect of a nurse-led training programme on knowledge concerning pressure ulcer prevention and treatment among nurses in the experimental and control group (p = 0.000).
(d) There is a significant difference in effect of a nurse-led training programme on practice concerning pressure ulcer prevention and treatment among nurses in the experimental and control group (p = 0.000).
The study concluded that nurses’ knowledge and practice concerning pressure ulcer can be improved as participants in the experimental group showed improved knowledge and practice concerning pressure ulcer prevention and treatment. The study recommended that hospitals should regularly expose nurses to training programmes on pressure ulcer prevention and treatment to improve the quality of nursing care.
Keywords: Effect, Nurse-led training programme, Knowledge, Practice, Pressure ulcer.
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