Attitude and preventive practices of pressure ulcers among orthopedic nurses in a tertiary hospital in Ghana.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2023
2023
Historique:
received:
08
07
2022
accepted:
19
08
2023
medline:
11
9
2023
pubmed:
8
9
2023
entrez:
8
9
2023
Statut:
epublish
Résumé
Pressure ulcers (PUs), which affect millions of people worldwide, are among the five most prevalent hospitalized cases causing adverse impairment. Nevertheless, pressure ulcers are largely preventable, and their management depends on their severity. The authors, therefore, explored the attitude and preventive practices of pressure ulcers among orthopedic nurses in a tertiary hospital in Ghana. An exploratory descriptive qualitative approach was employed for this study to help researchers explore the attitude and practices toward PU (Pressure Ulcer). Purposive sampling approach was employed, and data was analyzed using thematic content analysis. The sample size for this study was 30 which was obtained based on saturation. Participants were engaged in face-to-face interviews which were transcribed verbatim. Two themes and eight subthemes were generated from the analysis of this study. The two themes were preventive practices and attitude towards PU. The study identified that there were no specific protocols illustrated on the wards for managing pressure ulcers. Nevertheless, the study participants were keen on preventing pressure ulcers and hence engaged in practices such as early patients' ambulation, early identification of PU signs, removing creases and crumps from patient beds, nutritional management for PU prevention, and dressing of PU wounds. Practices of pressure ulcer management were highly valued by the orthopedics nurses. Hence, the nurses recommended the need for accepted guidelines on pressure ulcer management to be illustrated in the various orthopedic wards in the country.
Sections du résumé
BACKGROUND
Pressure ulcers (PUs), which affect millions of people worldwide, are among the five most prevalent hospitalized cases causing adverse impairment. Nevertheless, pressure ulcers are largely preventable, and their management depends on their severity. The authors, therefore, explored the attitude and preventive practices of pressure ulcers among orthopedic nurses in a tertiary hospital in Ghana.
METHODS
An exploratory descriptive qualitative approach was employed for this study to help researchers explore the attitude and practices toward PU (Pressure Ulcer). Purposive sampling approach was employed, and data was analyzed using thematic content analysis. The sample size for this study was 30 which was obtained based on saturation. Participants were engaged in face-to-face interviews which were transcribed verbatim.
FINDINGS
Two themes and eight subthemes were generated from the analysis of this study. The two themes were preventive practices and attitude towards PU. The study identified that there were no specific protocols illustrated on the wards for managing pressure ulcers. Nevertheless, the study participants were keen on preventing pressure ulcers and hence engaged in practices such as early patients' ambulation, early identification of PU signs, removing creases and crumps from patient beds, nutritional management for PU prevention, and dressing of PU wounds.
CONCLUSION
Practices of pressure ulcer management were highly valued by the orthopedics nurses. Hence, the nurses recommended the need for accepted guidelines on pressure ulcer management to be illustrated in the various orthopedic wards in the country.
Identifiants
pubmed: 37682963
doi: 10.1371/journal.pone.0290970
pii: PONE-D-22-19280
pmc: PMC10490930
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0290970Informations de copyright
Copyright: © 2023 Appiah et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
BMC Musculoskelet Disord. 2020 May 29;21(1):334
pubmed: 32471497
Nutr Clin Pract. 2022 Jun;37(3):567-582
pubmed: 34462964
Fam Med Community Health. 2019 Mar 8;7(2):e000057
pubmed: 32148704
Br J Nurs. 2012 Jun 28-Jul 11;21(12):S4, S6, S8-10
pubmed: 22875376
Indian J Crit Care Med. 2018 Apr;22(4):283-289
pubmed: 29743767
Adv Wound Care (New Rochelle). 2018 Feb 1;7(2):57-67
pubmed: 29392094
Adv Skin Wound Care. 2015 Apr;28(4):175-88; quiz 189-90
pubmed: 25775201
Pediatr Rep. 2020 Jun 25;12(Suppl 1):8696
pubmed: 32904962
BMC Nurs. 2018 Apr 16;17:14
pubmed: 29686535
Int Wound J. 2021 Apr;18(2):209-220
pubmed: 33236855
Nurs Res Pract. 2014;2014:973602
pubmed: 24707398
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
Qual Health Res. 2017 Mar;27(4):591-608
pubmed: 27670770
Pan Afr Med J. 2020 Jun 04;36:66
pubmed: 32754293
Arch Gerontol Geriatr. 2007;44 Suppl 1:217-23
pubmed: 17317456
J Wound Care. 2019 Nov 02;28(11):710-719
pubmed: 31721669
J Tissue Viability. 2021 Feb;30(1):137-145
pubmed: 33129668
Ann Fam Med. 2017 Jan;15(1):10-13
pubmed: 28376456
Spinal Cord. 2011 May;49(5):643-7
pubmed: 21221118
J Am Acad Dermatol. 2019 Oct;81(4):881-890
pubmed: 30664905
Palliat Med. 2019 Jul;33(7):770-782
pubmed: 31018829