Mather Carey, Jacques Angela, Prior Sarah J
School of Nursing, College of Health and Medicine, University of Tasmania, Launceston, TAS 7250, Australia.
Institute for Health Research, University of Notre Dame Australia, Fremantle, WA 6959, Australia.
Nurs Rep. 2022 Jun 22;12(3):431-445. doi: 10.3390/nursrep12030042.
Pressure injury prevention is a significant issue as pressure injuries are difficult to heal, painful, and create clinical complications for patients. The aim of this study was to investigate knowledge and attitudes of first-year nursing students to pressure injury prevention, and to explore whether additional educational interventions augmented learning. A previously validated online survey was administered to three cohorts of first-year nursing students in 2016, 2017 (after additional online education), and 2018 (after further simulation education), and a subsequent comparative analysis was undertaken. Overall, the knowledge of students about pressure injury was low with measures to prevent pressure injury or shear achieving the lowest score (<50%). Students aged over 25 years (p < 0.001) and men (p = 0.14) gained higher attitude scores. There were significant differences for mean knowledge scores between the 2016 and 2018 cohorts (p = 0.04), including age group (p = 0.013) and number of clinical training units undertaken (p = 0.23). The 2016 cohort scored consistently lower in the attitude survey than both other cohorts (p < 0.001). Online resources and simulation experiences marginally improved knowledge and improved attitudes towards prevention of pressure injury. Nursing curricula should include targeted education to ensure student nurses are adequately prepared to prevent pressure injury through understanding of aetiology and risk assessment.
压疮预防是一个重要问题，因为压疮难以愈合、疼痛，且会给患者带来临床并发症。本研究的目的是调查一年级护理专业学生对压疮预防的知识和态度，并探讨额外的教育干预措施是否能增强学习效果。2016年、2017年（接受额外在线教育后）和2018年（接受进一步模拟教育后）对三个一年级护理专业学生队列进行了一项先前验证过的在线调查，并进行了后续比较分析。总体而言，学生对压疮的知识水平较低，预防压疮或剪切力的措施得分最低（<50%）。25岁以上的学生（p<0.001）和男性（p = 0.14）的态度得分较高。2016年和2018年队列之间的平均知识得分存在显著差异（p = 0.04），包括年龄组（p = 0.013）和所接受的临床培训单元数量（p = 0.23）。2016年队列在态度调查中的得分始终低于其他两个队列（p<0.001）。在线资源和模拟体验对知识有一定改善，并提高了对预防压疮的态度。护理课程应包括针对性教育，以确保学生护士通过了解病因和风险评估，为预防压疮做好充分准备。
