Department of Nursing, The University of Suwon, Hwaseong 18323, Korea.
Gifted Education Center, Korea University, Seoul 02841, Korea.
Int J Environ Res Public Health. 2022 Jan 27;19(3):1400. doi: 10.3390/ijerph19031400.
Pressure injuries in nursing homes remain a consistent problem. Unfortunately, despite the variety of pressure injury education offered in nursing homes, the knowledge learned cannot be applied in practice, and as a result, the prevalence and incidence of such injuries are consistently high. This study aimed to address those gaps by analyzing the nursing competency for pressure injury management and implementing pressure injury education programs in nursing homes.
Two phases were conducted based on the action cycle in the knowledge to action model. During the first phase, a framework was constructed by analyzing nursing experience. The second phase consisted of the implementation and monitoring of the program to evaluate the effects of the framework.
The main results for nursing competencies for pressure injury management in nursing homes are integrated thinking, understanding in an environmental context, interpersonal relationships for efficient decision making, and meeting any challenges to professional development. The results concerning the program's effects showed significant differences in the participants' knowledge, attitude, stage discrimination ability, and clinical management judgment ability.
The educational framework and program derived from this study are expected to improve nurses' pressure injury management competency in nursing homes and to contribute to effective pressure injury management and quality of life for residents in nursing homes.
养老院中的压力性损伤仍然是一个持续存在的问题。不幸的是，尽管养老院提供了各种压力性损伤教育，但所学到的知识无法在实践中应用，因此，此类损伤的患病率和发生率始终居高不下。本研究旨在通过分析养老院的护理压力性损伤管理能力，并实施压力性损伤教育计划来解决这些差距。
根据知识转化为行动模型中的行动周期，分两个阶段进行。第一阶段通过分析护理经验构建框架。第二阶段包括方案的实施和监测，以评估框架的效果。
养老院护理压力性损伤管理的护理能力的主要结果是综合思维、在环境背景下的理解、人际沟通以实现高效决策，以及应对专业发展的挑战。关于方案效果的结果显示，参与者在知识、态度、阶段识别能力和临床管理判断能力方面存在显著差异。
本研究得出的教育框架和方案有望提高养老院护士的压力性损伤管理能力，有助于对养老院居民进行有效的压力性损伤管理和提高生活质量。
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