Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit

Abstract

Pressure ulcers are a common and highly relevant professional care issues in pediatric intensive care units. The aim of this study was to evaluate the effect of preventive bundle guidelines on nurses' knowledge and compliance regarding pressure ulcer among critically ill children at Pediatric intensive care unit. Research design: A quasi-experimental design was used. Settings: This study was conducted at the pediatric intensive care unit in Benha Specialized Pediatric Hospital. Sample: A Convenient sample of nurses (n=43) and purposive sample of critically ill children (n=70) were included from the above mentioned setting. Those children were divided equally into two groups (study and control). Tools of data collection: Three tools were used namely; a structured interviewing questionnaire format, pressure ulcer preventive bundle compliance checklist and Braden Q Risk Assessment Scale. Results: Most children in the study group were not at risk of pressure ulcer in the first and second week of admission as well as before discharge than children in the control group. Moreover, the results revealed that there was significant improvement in nurses' knowledge regarding pressure ulcer as well as their compliance with preventive bundle guideline after bundle implementation. Conclusion: The implementation of preventive bundle guidelines proved to be effective in improving nurses' knowledge and their compliance, with a positive impact on the incidence of pressure ulcer among critically ill children. Recommendation: Preventive bundle guidelines should be implemented in pediatric intensive care units to reduce the harm associated with hospital-acquired pressure ulcer.

Effect of Educational program on Nurses' Performance Regarding Acquired Skin injuries at Neonatal Intensive Care Units

“…(30) The present study showed improvement in the total scores of the studied nurses' knowledge immediately and three months after attending the educational program in comparison to their knowledge before the educational sessions this improvement in nurses' knowledge was similar to Mohamed et al (2019) who conducted a study at Banha pediatric hospital to assess the effect of guidelines regarding pressure ulcer preventive measures and reported a remarkable improvement in nurses' knowledge after the implemented program in their study. ( 31) Regarding the total scores of nurses' practices about acquired skin injuries in the previously mentioned neonatal intensive care settings, nurses displayed significant progress concerning the overall neonatal skin care and prevention of acquired skin injuries. These results are concurrent with the intended outcome of the educational program which aimed to enhance nurses' performance regarding neonatal skin care.…”