Application of the educational method of realistic simulation in the treatment of pressure injuries

Abstract

Objective: to evaluate the use of realistic simulation as a strategy to promote teaching about pressure injuries. Method: This is a quasi-experimental study. A modified and translated version of the Pieper Pressure Ulcer knowledge test was applied. Kappa statistical analysis was used to assess the professionals’ knowledge in the realistic simulation using the SPSS software. A p-value <0.05 was considered significant. Results: Seventy-seven nursing professionals participated in the realistic simulation, the majority (72.7%) being nursing technicians. Regarding the knowledge of primary and secondary coverage techniques, the Kappa index went from 0.56 (p=0.002) in the pre-test to 0.87 (p=0.001) in the post-test. As for the sterile dressing technique, there was a variation from 0.55 (p=0.002) in the pre-test to 0.91 (p=0.001) in the post-test. Regarding the cleaning of pressure injuries, there was a variation from 0.81 (CI: 0.62-0.84) in the pre-test to 0.91 (0.85-0.97) in the post-test. The knowledge about the use of a sterile spatula to distribute the dressing in the wound increased from an agreement index from regular to good. Conclusion: The introduction of the realistic simulation in the clinical practice has created quality assessment indicators for the prevention and treatment of pressure injuries.

Content Validity and Reliability of the Pressure Ulcer Knowledge Test and the Knowledge Level of Portuguese Nurses at Long-Term Care Units: A Cross-Sectional Survey

“…This indicates that nurses should have consistent knowledge of wounds and wound care to deliver evidence-based care. The literature has shown that nurses' wound care knowledge, such as pressure ulcer knowledge, is limited and that education on wound care is unstructured at the undergraduate level and in continuing education [24,25].…”

Dificuldades e limitações na avaliação de lesão por pressão

“…Estudos demonstram que a estratégia educativa é um meio eficaz para a melhoria do conhecimento sobre LP e a mudança de comportamento dos profissionais na prática de enfermagem, sobretudo em se tratando de um marcador de qualidade do atendimento no qual os enfermeiros desempenham um papel essencial 24,25…”

Knowledge and Attitude of Nursing Interns Toward Pressure Injury Prevention in Saudi Arabia: A Multiregional Cross-Sectional Study

“…Saudi Arabian universities should adopt simulation-based approaches to prepare nursing students and help them acquire the required knowledge and skills regarding pressure injury prevention and management. Adapting such an approach to educating nursing students may be important, as it provides the opportunity to experience a real situation in managing patients with such conditions and helps increase their knowledge and skills regarding pressure injury management and prevention ( Baracho et al, 2020 ; Mazzo et al, 2017 ; Sezgunsay & Basak, 2020 ).…”