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Clinical Nurses¡¯ Knowledge and Visual Differentiation Ability in Pressure Ulcer Classification System and Incontinence-associated Dermatitis

Journal of Korean Academy of Nursing 2013³â 43±Ç 4È£ p.526 ~ 535
KMID : 0806120130430040526
ÀÌÀ±Áø ( Lee Yun-Jin ) - ¼¼ºê¶õ½ºº´¿ø °£È£±¹

¹Ú½Â¹Ì ( Park Seung-Mi ) - È£¼­´ëÇб³ °£È£Çаú
±èÁ¤À± ( Kim Jung-Yoon ) - ºÐ´ç¼­¿ï´ëÇб³º´¿ø ¼ºÇü¿Ü°ú
±èö±Ô ( Kim Chul-Gyu ) - Ã»ÁÖ´ëÇб³ °£È£Çаú
Â÷¼±°æ ( Cha Sung-Kyung ) - Ã»ÁÖ´ëÇб³ °£È£Çаú

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 (¡¾3.2) in PUCS & IAD KT and 11.15 (¡¾4.9) 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.
KeyWords

Pressure ulcer, Nurses, Knowledge, Dermatitis
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