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3TMR Integrative Nursing  2020, Vol. 4 Issue (2): 38-44    DOI: 10.12032/TMRIN20190605
Review     
The competence of nursing students to prevent pressure injury - a scoping review
Si-Qi Xiong1, Ming Sang1, Yan-Qiu Huang1, Hui-Ping Wang1, Chang-De Jin2,*()
1Department of Graduate, Tianjin University of Traditional Chinese Medicine, Tianjin, China
2Department of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
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Highlights

Review the existing literatures to understand the competency of nursing students to prevent the pressure injury. Three main themes were summarized and discussed: “Knowledge and Attitude”, “Preparation” and “Educational situation and needs”.

Abstract

Objective: The purpose of the present study is to review the existing literatures to understand the competency of nursing students to prevent the pressure injury. Methods: Arksey and O'Malley’s scoping review framework have been applied to understand the competency of nursing students on pressure injury prevention. A variety of databases have been searched in this study, including PubMed, EMBASE, Web of Science, Cochrane Library, CNKI, Wanfang databases. Results: A total of 17 articles were selected and three main themes were summarized: “Knowledge and Attitude”, “Preparation” and “Educational situation and needs”. Conclusion: Although the attitudes towards pressure injuries were positive, the knowledge of nursing students on preventing pressure injury was insufficient and their consciousness was weak. The controversy of the readiness of nursing students to prevent pressure injuries has existed for a long time. Nursing students were severely lacking in pressure sore education courses and needed better education methods and more clinical practice opportunities.



Key wordsPressure injury      Nursing student      Competency      Scoping review     
Published: 24 April 2020
Corresponding Authors: Chang-De Jin   
E-mail: jcd1886@sina.cn
Cite this article:

Si-Qi Xiong, Ming Sang, Yan-Qiu Huang, Hui-Ping Wang, Chang-De Jin. The competence of nursing students to prevent pressure injury - a scoping review. 3TMR Integrative Nursing, 2020, 4(2): 38-44. doi: 10.12032/TMRIN20190605

URL:

https://www.tmrjournals.com/in/EN/10.12032/TMRIN20190605     OR     https://www.tmrjournals.com/in/EN/Y2020/V4/I2/38

Figure 1: Articles selection process
Authors/Year Country Design/instrument Methods Sample
Snarska, et al. 2005 Poland Cross-sectional study Questionnaire: Self-made questionnaire 50 third-grade nursing students
Beeckman, et al. 2008 Belgium Repeated measurement intervention study Pressure injury Classification Questionnaire (PUCLAS2) + e-learning program 212 nurses + 214 graduating class nurses
Beeckman, et al. 2010a Belgium and the Netherlands Psychological measurement instrument verification research Pressure injury Prevention Attitude Questionnaire (APuP) 258 nurses + 291 nursing students
Beeckman, et al. 2010b Belgium and the Netherlands Psychological measurement instrument verification research Pressure injury Prevention Knowledge Questionnaire (PUKAT) 608 nurses and nursing students
Carvalho Moura & Larcher Caliri 2013 Brazil Qualitative study Scenario simulation, focus group, semi-structured interview 29 graduating class nurses
Deng, et al
2013
China Cross-sectional study Self-made pressure injury prevention knowledge questionnaire 100 intern nurses
Gunningberg, et al. 2013 Sweden Descriptive, multicenter comparative study Pressure injury Prevention Knowledge Questionnaire (PUKAT) 415 RNs, ANs and SNs
Cullen Gill, et al. 2013 Ireland Cross-sectional study Pressure injury Prevention Attitude Questionnaire (APuP) + Pressure injury Prevention Knowledge Questionnaire (PUKAT) 60 senior nurses
Ousey, et al.
2013
United Kingdom Qualitative study General information + 10 related open questions 217 graduating class nurses
Jan Florin, et al. 2014 Sweden Psychological measurement instrument verification research Pressure injury Prevention Attitude Questionnaire (APuP) 415 RNs, ANs and SNs
Valentina Simonetti, et al. 2015 Italy Multicenter cross-sectional study Pressure injury Prevention Attitude Questionnaire (APuP) + Pressure injury Prevention Knowledge Questionnaire (PUKAT) 742 nursing students
Hossein Rafiei, et al.
2015
Ireland Cross-sectional study Pieper's Pressure injury Knowledge Test Questionnaire (PPUKT) 133 nursing students
Jiao, et al.
2017
China Cross-sectional descriptive study Self-made pressure injury prevention ability questionnaire 234 nursing students +246 clinical nurses
Alison, et al.
2017
United States Observational study of mixed methods Content analysis, students record their “dangerous behaviors” found in simulated wards, and two researchers analyzed their records. 93 medical students and 51 nursing students
Layla, et al.
2017
United States Qualitative study Semi-structured in-depth interview 16 nursing students in the pre-graduate course
Kim Usher, et al. 2018 Australia Multicenter cross-sectional study Pressure injury Prevention Attitude Questionnaire (APuP) + Pressure injury Prevention Knowledge Questionnaire (PUKAT) 2,949 nursing students and nurses
Emilia Kielo, et al. 2018 Turkey Integration review Content Analysis 12 related literatures
Table 1 Basic information for inclusion in the study
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doi: 10.12968/jowc.2004.13.7.26634 pmid: 15977767
2.   Bredesen I M, Bj?ro K, Gunningberg L, et al. The prevalence, pre-vention and multilevel variance of pressure ulcers in Norwegian hospitals: a cross-sectional study. Inter J Nurs Studies 2015, 52: 149-156.
doi: 10.1016/j.ijnurstu.2014.07.005 pmid: 25443301
3.   Claudia G, Brown JM, E Andrea N, et al. Impact of pressure ulcers on quality of life in older patients: a systematic review. J the American Geriatrics Society 2010, 57: 1175-1183.
doi: 10.1111/j.1532-5415.2009.02307.x pmid: 19486198
4.   Dealey C, Posnett J, Walker A. The cost of pressure ulcers in the United Kingdom. J Wound Care 2012, 21: 261-262.
doi: 10.12968/jowc.2012.21.6.261 pmid: 22886290
5.   Severens JL HJ MD. The Cost of Illness of Pressure Ulcers in the Netherlands. Adv in Skin & Wound Care 2002, 15: 72-77.
doi: 10.1097/00129334-200203000-00008 pmid: 11984050
6.   Gerry B, Carol D, John P. The cost of pressure ulcers in the UK. Age & Ageing 2004, 33: 230-235.
doi: 10.1093/ageing/afh086 pmid: 15082426
7.   Blackwood B, Albarran JW, Latour JM. Research priorities of adult intensive care nurses in 20 European countries: a Delphi study. J Adv Nurs 2011, 67: 550-562.
doi: 10.1111/j.1365-2648.2010.05512.x pmid: 21091912
8.   Usher K, Woods C, Parmenter G, et al. Self-reported confidence in patient safety knowledge among Australian undergraduate nursing students: A multisite cross-sectional survey study. Inter J Nurs Stud 2017, 71: 89.
doi: 10.1016/j.ijnurstu.2017.03.006
9.   Khalil H, Peters M, Godfrey CM, et al. An Evidence-Based Approach to Scoping Reviews. Worldviews Evid Based Nurs 2016, 13: 118-123.
doi: 10.1111/wvn.12144 pmid: 26821833
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doi: 10.1080/1364557032000119616
11.   Rafiei H, Mehralian H, Abdar M E, et al. Pressure ulcers: how much do nursing students really know? British J Nurs 2015, 24 Suppl 6: S12-S17.
doi: 10.12968/bjon.2015.24.Sup6.S12 pmid: 25815995
12.   Beeckman D, Vanderwee K, Demarré L, et al. Pressure ulcer prevention: Development and psychometric validation of a knowledge assessment instrument. Int J Nurs Stud 2010, 47: 399-410.
doi: 10.1016/j.ijnurstu.2009.08.010 pmid: 19781701
13.   Usher K, Woods C, Brown J, et al. Australian nursing students’ knowledge and attitudes towards pressure injury prevention: A cross-sectional study. Inter J Nurs Stud 2018, 81: 14-20.
doi: 10.1016/j.ijnurstu.2018.01.015
14.   Simonetti V, Comparcini D, Flacco ME, et al. Nursing students' knowledge and attitude on pressure ulcer prevention evidence-based guidelines: A multicenter cross-sectional study. Nurse Edu Today 2015, 35: 573-579.
15.   Gill EC, Moore Z. An exploration of fourth-year undergraduate nurses' knowledge of and attitude towards pressure ulcer prevention. J Wound Care 2013, 22: 618-619.
doi: 10.12968/jowc.2013.22.11.618 pmid: 24225602
16.   Lena G, Gunilla MR, Anna-Greta M, et al. Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: a descriptive, comparative multicentre study in Sweden. Int Wound J 2015, 12: 462-468.
doi: 10.1111/iwj.12138 pmid: 23919728
17.   Florin J, B??th C, Gunningberg L, et al. Attitudes towards pressure ulcer prevention: a psychometric evaluation of the Swedish version of the APuP instrument. Int Wound J 2016, 13: 655-662.
doi: 10.1111/iwj.12338 pmid: 25124833
18.   Deng KQ, He SR, Yang F. Cognitive survey of nursing students on pressure ulcer related knowledge and clinical practice. J Yangtze Univ (since) 2013, 10: 48-49.
19.   J L O K S. Final year student nurses' experiences of wound care: an evaluation. Br J Community Nurs 2013, Suppl: S7-S8, S10, S12.
doi: 10.12968/bjcn.2013.18.sup3.s7 pmid: 23682497
20.   Clay AS, Chudgar SM, Turner KM, et al. How Prepared Are Medical and Nursing Students to Identify Common Hazards in the Intensive Care Unit? Ann Am Thorac Soc 2017, 14: 543.
doi: 10.1513/AnnalsATS.201610-773OC pmid: 28157394
21.   Jiao FT, Yan XC, Wang CY. Comparative study on the prevention ability of pressure ulcer between nursing students and clinical nurses. China's health industry 2017, 35: 5-6.
22.   H. CMEC. Simulation for the development of clinical competence in risk assessment for pressure ulcer. Acta Paul 2013, 26: 369-375.
23.   Beeckman D, Schoonhoven LH, Van-Maele G, et al. Pressure ulcers: e-learning to improve classification by nurses and nursing students. J Clin Nurs 2010, 17: 1697-1707.
doi: 10.1111/j.1365-2702.2007.02200.x pmid: 18592624
24.   Garrigues LJ, Cartwright JC, Bliss DZ. Attitudes of Nursing Students About Pressure Injury Prevention. J Wound Ostomy Continence Nurs 2017, 44: 123-128.
doi: 10.1097/WON.0000000000000302 pmid: 28060031
25.   He HY, Yang CQ, Lan GP. Analysis of Factors Affecting the Clinical Internship Effect of Nursing Students and Countermeasures. Nurs Res 2002, 16: 237-238.
26.   Liu M, Yuan HB, Chen WJ, et al. Translation, modification and validation of the Chinese version of a knowledge assessment instrument regarding pressure ulcer prevention. Nurs Res (English) 2016.
27.   Zena M, Patricia P. Nurses' attitudes, behaviours and perceived barriers towards pressure ulcer prevention. J Clin Nurs 2010, 13: 942-951.
doi: 10.1111/j.1365-2702.2004.00972.x pmid: 15533100