Is caring for pressure ulcers in the intensive care unit in Spain still a challenge? A qualitative study on nurses’ perceptions

Acosta-Hernández, Claudia; Fernández-Castillo, Rafael-Jesús; Montes-Vázquez, Manuel; González-Caro, María-Dolores

doi:10.1016/j.jtv.2022.12.002

Cited by 7 publications

(6 citation statements)

References 39 publications

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“…This study ndings align with research conducted in Iran, with perception results of 49.3% (49). However, this study showed a lower magnitude of good patient perception towards nursing care compared to studies done in Spain (94%) (50), Indonesia (82.19%)(51), and Pakistan (57%) (52). The lower result of this study might be due to differences in the instrument used to measure perception, sociodemographic characteristics of study participants, sample size differences, and study subjects (48, 49, 51, 52).…”

Section: Study Findingscontrasting

confidence: 89%

Exploring Patients' Perceptions of Nursing Care and Factors Influencing Satisfaction in Adult Inpatient Departments: A Nursing Perspective, 2023

Berhie,

Yegziabherfenta,

Zewdu

et al. 2024

Preprint

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Background:Patients' perceptions of nursing care reflect their emotions regarding the care they have received, providing essential and holistic information on the overall quality of nursing care. There has been no study conducted in Ethiopia that explores patients' perceptions of nursing care. Methods:An institution-based cross-sectional study design was employed, with data collection conducted from March 20, 2023, to April 27, 2023. Participants were selected using a systematic random sampling procedure. EpiData version 4.6 was used for data entry, and SPSS version 25 was utilized for analysis, employing both descriptive and inferential statistics. Binary logistic regression was used to assess the association between dependent and independent variables. Results:The study included a total of 602 admitted patients. Of these, 50% had a good perception of nursing care. Good perceptions of nursing care were significantly associated with previous hospitalization history (AOR = 0.42; 95% CI: 0.29-0.63), admission to medical wards (AOR = 0.43; 95% CI: 0.27-0.69), and stays of less than seven days in the hospital (AOR = 1.50; 95% CI: 1.03-2.20). Conclusion:This study found a significant association between patients' perceptions of nursing care and prior hospitalization history, admission wards, and the length of hospital stay. Additionally, one in two patients had a poor perception of nursing care. Hence, hospitals should implement methods to improve patients' perceptions of nursing care and frequently evaluate nursing care practices.

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Section: Study Findingscontrasting

confidence: 89%

Exploring Patients' Perceptions of Nursing Care and Factors Influencing Satisfaction in Adult Inpatient Departments: A Nursing Perspective, 2023

Berhie,

Yegziabherfenta,

Zewdu

et al. 2024

Preprint

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“…In support of this study, previous research claims that the recruitment of staff, as well as improving the provision of resources, would be a significant step in reducing the incidences of PU (Acosta‐Hernández et al., 2023 ; Casal‐Guisande et al., 2020 ; Cho et al., 2020 ), yet making this a reality is difficult in resource‐limited settings (Oleribe et al., 2019 ; Yaya et al., 2020 ). Many developing countries, including Namibia, rely heavily on donations from well‐to‐do countries in the West (Yaya et al., 2020 ), thus addressing issues such as staff shortages is a challenge given the state's inadequate funding of the public health sector.…”

Section: Discussionsupporting

confidence: 57%

“…In support of this study, previous research claims that the recruitment of staff, as well as improving the provision of resources, would be a significant step in reducing the incidences of PU (Acosta-Hernández et al, 2023;Casal-Guisande et al, 2020;Cho et al, 2020), yet making this a reality is difficult in resource-limited settings (Oleribe et al, 2019;Yaya et al, 2020) Halasa-Rappel et al, 2021;Nyarko, 2023). Therefore, further research is thus needed to examine the impact of relying on donor funding in Namibia in relation to addressing lack of both physical and human resources.…”

Section: Discussionmentioning

confidence: 70%

“…Previous studies have also pointed out that shortage of staff and resources is a hindrance to implementing effective care practices for preventing pressure ulcers (Acosta-Hernández et al, 2023;Ebi et al, 2019). Staff shortages could lead to stress, nurses not prioritizing PU prevention and medication errors during busy shifts (Harrington, Dellefield, et al, 2020;Harrington, Ross, et al, 2020;Kim et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

“…This study identified that limited resources and a shortage of staff, specifically nurses and health assistants who are involved in the turning of patients, are other factors influencing the nurses' implementation of PURAS. Previous studies have also pointed out that shortage of staff and resources is a hindrance to implementing effective care practices for preventing pressure ulcers (Acosta‐Hernández et al., 2023 ; Ebi et al., 2019 ). Staff shortages could lead to stress, nurses not prioritizing PU prevention and medication errors during busy shifts (Harrington, Dellefield, et al., 2020 ; Harrington, Ross, et al., 2020 ; Kim et al., 2022 ).…”

Section: Discussionmentioning

confidence: 99%

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Nurses' barriers to the pressure ulcer risk assessment scales implementation: A phenomenological study

Tomas,

Mandume

2024

Nursing Open

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AimThe aim of the study was to explore nurses' barriers to the pressure ulcer risk assessment scales implementation.DesignA qualitative descriptive phenomenological study.MethodsThe research participants comprised of 10 nurses at various medical and surgical departments in a teaching hospital northeast of Namibia. Data were collected between August and September 2022 through in‐depth, semi‐structured face‐to‐face individual interviews and analysed using Colaizzi's 7‐step method.ResultsThe interviews with nurses, led to two major themes being discovered: (1) factors hindering the effective prevention of pressure ulcers; (2) suggestions for improvements in the utilization of risk assessment scales. The participants noted that they had inadequate knowledge of the formal risk assessment scales; there were inadequate resources and insufficient staff; there were no policies or guidelines regarding the management of pressure ulcers, all of which influenced their utilization of pressure risk assessment scales. Education and training, the provision of equipment, the hiring of new staff and the formulation of policies/guidelines would thus improve the nurses’ utilization of the scales.ConclusionThe findings of this study have uncovered three primary factors that have a detrimental impact on the utilization of risk assessment scales by nurses, that is their lack knowledge on pressure ulcer risk assessment scales; a shortage of staff and equipment; and an absence of policies/guidelines. The findings from this study provide valuable implications for guiding quality improvement initiatives aimed at enhancing the standard of care in Namibia and other resource‐limited settings.

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Implementation of a risk-stratified intervention bundle to prevent pressure injury in intensive care: A before–after study

Cobos-Vargas,

Fulbrook,

Lovegrove

et al. 2024

Australian Critical Care

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Is caring for pressure ulcers in the intensive care unit in Spain still a challenge? A qualitative study on nurses’ perceptions

Cited by 7 publications

References 39 publications

Exploring Patients' Perceptions of Nursing Care and Factors Influencing Satisfaction in Adult Inpatient Departments: A Nursing Perspective, 2023

Exploring Patients' Perceptions of Nursing Care and Factors Influencing Satisfaction in Adult Inpatient Departments: A Nursing Perspective, 2023

Nurses' barriers to the pressure ulcer risk assessment scales implementation: A phenomenological study

Implementation of a risk-stratified intervention bundle to prevent pressure injury in intensive care: A before–after study

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