Jiang Qingli, He Huilin, Jing Ke, Wang Miyan, He Xiaochun, Hu Rong, Yang Yuwei, He Fang
Mianyang Central Hospital, Affiliated with the School of Medicine, University of Electronic Science and Technology of China, Mianyang, China.
NHC Key Laboratory of Nuclear Technology Medical Transformation (Mianyang Central Hospital), Mianyang, China.
J Adv Nurs. 2025 Mar;81(3):1412-1422. doi: 10.1111/jan.16353. Epub 2024 Jul 23.
A skin tear (ST) is a common skin injury that is often misdiagnosed or overlooked. This study examined the current state of nurses' ST knowledge and its influencing factors.
A national cross-sectional survey combined with a quantitative analysis was used to provide evidence of poor ST knowledge among nurses and its influencing factors.
An electronic questionnaire survey was conducted among 1293 nurses from 32 hospitals in 18 provinces across China, including a General Information Questionnaire, ST Knowledge Assessment Instrument (OASES) and a Self-directed Learning Competence Scale for Nurses (SLCS-N).
The mean OASES score was 9.51 ± 3.15, with a score rate of 47.55%. Pearson's correlation analysis showed positive correlations, ranging from none to strong, between every dimension in the OASES and from strong to extremely strong between every dimension in the SLCS-N. Multivariate analysis revealed multiple independent factors influencing ST knowledge, such as hospital tier, specialized nurses in wound/ostomy/incontinence care, participation in training for wound/ostomy/incontinence management, willingness to undergo ST training, self-assessed grade in ST care and the degree of emphasis of managers.
ST knowledge status was generally poor among nurses nationwide. Managers should establish a comprehensive and specialized curriculum-based system, develop evidence-based standardized nursing processes, and provide tailored training programs to address nurses' unique characteristics and individualized needs, thereby enhancing their proficiency in ST-related knowledge and skills.
This study is the first to identify a poor level of ST knowledge among nurses nationwide, particularly in the four dimensions of risk assessment: prevention, treatment, classification, and observation. Based on the findings regarding demographic factors and ST experiences, an integrated management system and educational program should be implemented to improve nurses' awareness and knowledge in this field.
No patient or public contributions.
皮肤撕裂伤（ST）是一种常见的皮肤损伤，常被误诊或忽视。本研究调查了护士对ST的知识现状及其影响因素。
采用全国性横断面调查并结合定量分析，以证明护士对ST的知识掌握不足及其影响因素。
对来自中国18个省份32家医院的1293名护士进行电子问卷调查，问卷包括一般信息问卷、ST知识评估工具（OASES）和护士自我导向学习能力量表（SLCS-N）。
OASES平均得分为9.51±3.15，得分率为47.55%。Pearson相关性分析显示，OASES各维度之间存在从无到强的正相关，SLCS-N各维度之间存在从强到极强的正相关。多因素分析揭示了影响ST知识的多个独立因素，如医院级别、伤口/造口/失禁护理专科护士、参与伤口/造口/失禁管理培训、接受ST培训的意愿、ST护理自我评估等级以及管理者的重视程度。
全国护士的ST知识状况普遍较差。管理者应建立一个全面、基于课程的专业体系，制定循证标准化护理流程，并提供量身定制的培训项目，以满足护士的独特特点和个性化需求，从而提高他们在ST相关知识和技能方面的熟练程度。
本研究首次发现全国护士的ST知识水平较差，尤其是在风险评估的四个维度：预防、治疗、分类和观察方面。基于人口统计学因素和ST经验的研究结果，应实施综合管理系统和教育项目，以提高护士在该领域的意识和知识。
无患者或公众贡献。
