At NYU Langone Health in New York, Barbara Delmore, PhD, RN, CWCN, MAPWCA, IIWCC-NYU, is Senior Nurse Scientist, Center for Innovations in the Advancement of Care and Clinical Assistant Professor, Hansjörg Wyss Department of Plastic Surgery; Daniel J. Smith, MA, is Data Analyst/Research Coordinator, Center for Innovations in the Advancement of Care; and Elizabeth Savage, MSN, APRN, ACNS-BC, CWON, IIWCC-NYU, is Program Manager, Wound & Ostomy Program. Elizabeth A. Ayello, PhD, RN, MS, BSN, CWON, ETN, MAPWCA, FAAN, is Co-Editor-in-Chief, Advances in Skin & Wound Care, and Faculty, Excelsior College, School of Nursing, New York, New York.
Adv Skin Wound Care. 2020 May;33(5):252-259. doi: 10.1097/01.ASW.0000658580.19702.11.
To assess pressure injury knowledge of Skin Care Council nursing members using the Pieper-Zulkowski Pressure Ulcer Knowledge Test (PZ-PUKT), to design an educational intervention informed by the results of the baseline assessment, and to evaluate the effect of the intervention.
This was a single-group pretest-posttest project conducted in an urban, academic, tertiary medical center from January to August 2017. Participants were measured on the pretest, received the intervention, and then were reevaluated on the posttest 3 months later. Pretest results informed the design of the intervention, which was a 1-day interactive, targeted educational program referred to as the "Skin Care Council Boot Camp." Paired-samples t tests were conducted to examine differences between pretest and posttest scores on the PZ-PUKT overall and in each test section.
Seventy-seven participants enrolled in the project and completed the pretest. Of those, 58 (75.3%) were retained through the intervention and the posttest evaluation. Participants had a mean pretest score of 78.9 and a mean posttest score of 85.3. There were significant mean differences among pretest and posttest PZ-PUKT scores: 6.4 (t = 9.419, P < .001) overall; 4.6 (t = 5.356, P < .001) in the Prevention/Risk category; 4.1 (t = 3.668, P < .001) in the Staging category; and 10.5 (t = 7.938, P < .001) in the Wound Description category.
By testing pressure injury knowledge before developing a program, investigators created a tailored, education program that addressed knowledge gaps. Posttest results provided insight into the program's success and opportunities for future improvement.
使用 Pieper-Zulkowski 压疮知识测试（PZ-PUKT）评估皮肤护理委员会护理成员的压疮知识，根据基线评估的结果设计教育干预措施，并评估干预措施的效果。
这是一项于 2017 年 1 月至 8 月在城市学术性三级医疗中心进行的单组前后测试项目。参与者在预测试中进行测量，接受干预措施，然后在 3 个月后的后测试中重新评估。预测试结果为干预措施的设计提供了信息，干预措施是为期 1 天的互动、有针对性的教育计划，称为“皮肤护理委员会训练营”。采用配对样本 t 检验来检验 PZ-PUKT 总分和各测试部分的预测试和后测试分数之间的差异。
77 名参与者参加了该项目并完成了预测试。其中，58 名（75.3%）通过干预措施和后测试评估保留下来。参与者的预测试平均得分为 78.9，后测试平均得分为 85.3。PZ-PUKT 总分、预防/风险类别、分期类别和伤口描述类别中的预测试和后测试分数之间存在显著的平均差异：总分 6.4（t = 9.419，P <.001）；预防/风险类别 4.6（t = 5.356，P <.001）；分期类别 4.1（t = 3.668，P <.001）；伤口描述类别 10.5（t = 7.938，P <.001）。
通过在制定方案之前测试压疮知识，研究人员创建了一个量身定制的教育计划，解决了知识差距。后测试结果提供了有关计划成功的信息，并为未来的改进提供了机会。
