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KMID : 0806120130430040526
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대한간호학회지
2013 Volume.43 No. 4 p.526 ~ p.535
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Clinical Nurses’ Knowledge and Visual Differentiation Ability in Pressure Ulcer Classification System and Incontinence-associated Dermatitis
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Lee Yun-Jin
Park Seung-Mi
Kim Jung-Yoon
Kim Chul-Gyu
Cha Sung-Kyung
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Abstract
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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 (±3.2) in PUCS & IAD KT and 11.15 (±4.9) 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.
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KEYWORD
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Pressure ulcer, Nurses, Knowledge, Dermatitis
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