Gunningberg L
Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University and Surgical Centre, University Hospital, Uppsala, Sweden.
J Wound Care. 2004 Mar;13(3):85-9. doi: 10.12968/jowc.2004.13.3.26587.
To investigate the effect of an education programme for 20 registered nurses on the following three areas: nurses' knowledge of pressure ulcer risk and prevention; nursing documentation of ulcer prevention; routine use of prevention strategies.
The study had a quasi-experimental design. Data were collected immediately before and after the education programme and at eight-month follow-up. To measure knowledge of pressure ulcer management, a questionnaire was distributed to course participants (n = 19) pre- and post-education. Nursing documentation (n = 138) was audited pre- and post-education. To gain information on the routine use of prevention strategies, head nurses (n = 20) were interviewed and the patients' care environment (n = 21) was observed pre-education, while a nurse questionnaire was completed (n = 15) at the eight-month follow-up.
In relation to pressure ulcer prevention, nurses' knowledge, documentation and ward routines were unsatisfactory before the education programme. However, the eight-month follow-up showed that 11 nurses (55%) had implemented new ward routines. Documentation was still lacking after the programme, although it was more detailed.
The education programme succeeded in encouraging and empowering the nurses to change clinical practice.
调查一项针对20名注册护士的教育项目在以下三个方面的效果：护士对压疮风险及预防的知识；压疮预防的护理记录；预防策略的常规使用。
本研究采用准实验设计。在教育项目前后及八个月随访时立即收集数据。为测量压疮管理知识，在教育前后向课程参与者（n = 19）发放问卷。对护理记录（n = 138）进行教育前后审核。为获取预防策略常规使用的信息，在教育前对护士长（n = 20）进行访谈并观察患者护理环境（n = 21），在八个月随访时完成护士问卷（n = 15）。
在压疮预防方面，教育项目前护士的知识、记录和病房常规情况不尽人意。然而，八个月随访显示11名护士（55%）实施了新的病房常规。项目实施后记录仍有欠缺，尽管更详细了。
该教育项目成功地鼓励并促使护士改变临床实践。
