Källman Ulrika, Suserud Björn-Ove
Dermatology Department, South Alvsborg Hospital, Borås, Sweden.
Scand J Caring Sci. 2009 Jun;23(2):334-41. doi: 10.1111/j.1471-6712.2008.00627.x.
The aim of this study was to investigate (i) attitudes among Registered Nurses (RNs) and Nursing Assistants (NAs) regarding pressure ulcer prevention, (ii) knowledge among RNs and NAs of pressure ulcer prevention and treatment, (iii) practice of risk assessment and documentation regarding pressure ulcers among RNs and NAs and (iv) to identify perceived possibilities and barriers in pressure ulcer prevention and treatment. In this cross-sectional study, a total of 230 questionnaires were distributed to an equal number of RNs and NAs in both municipality as well as hospital care settings. The response rate was 67% (n = 154). In general, all respondents displayed good knowledge on prevention and treatment of pressure ulcers and demonstrated a positive attitude towards this area of care. However, answers provided to some questions indicate that recent research findings and guidelines have not succeeded in reaching out to these occupational groups. Furthermore, only 37% (n = 55) of the participants said that they have an agreed strategy for the prevention of pressure ulcers in their unit. These shortcomings may affect the quality of care provided to the patient and lead to pressure ulcers developing as a consequence. Today, evidence-based methods for risk assessment are available but are not adopted and used in practice. The study highlights the need to further reduce the gap between research and practice.
（i）注册护士（RN）和护理助理（NA）对压疮预防的态度；（ii）RN和NA对压疮预防和治疗的知识；（iii）RN和NA在压疮风险评估和记录方面的实践情况；以及（iv）确定在压疮预防和治疗中可感知的可能性和障碍。在这项横断面研究中，总共向市政和医院护理环境中的同等数量的RN和NA发放了230份问卷。回复率为67%（n = 154）。总体而言，所有受访者对压疮的预防和治疗表现出良好的知识，并对这一护理领域表现出积极的态度。然而，对一些问题的回答表明，最近的研究结果和指南未能传达给这些职业群体。此外，只有37%（n = 55）的参与者表示他们所在科室有预防压疮的商定策略。这些不足可能会影响为患者提供的护理质量，并导致压疮的发生。如今，有基于证据的风险评估方法，但在实践中未被采用和使用。该研究强调需要进一步缩小研究与实践之间的差距。
