Actitud hacia la prevención de lesiones por presión en estudiantes de enfermeríacuestionario APuP

  1. Cristina Pérez-López 1
  2. Mª Dolores López-Franco 1
  3. Inés María Comino-Sanz 1
  4. Pedro L Pancorbo-Hidalgo 1
  1. 1 Universidad de Jaén
    info

    Universidad de Jaén

    Jaén, España

    ROR https://ror.org/0122p5f64

Journal:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Year of publication: 2021

Volume: 32

Issue: 1

Pages: 43-50

Type: Article

DOI: 10.4321/S1134-928X2021000100010 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

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Abstract

ABSTRACT Objectives: To explore the attitude towards pressure injury prevention of nursing students. Secondary objectives: a) To establish the psychometric properties of the questionnaire of Attitudes towards the prevention of pressure ulcer (APuP) -Spanish version- in student population, and b) To identify the educational factors associated with the attitude. Methods: A cross-sectional observational and validation study was carried out with students of the four years of the Bachelor in Nursing in the University of Jaén (Spain) using an online survey. Rasch analysis was used to establish the psychometric properties of the questionnaire. Also, the score of attitude and its association with educational variables were analysed. The standardised median difference (Cohen's d) was used to estimate the effect size. Results: A total of 188 valid questionnaires were analysed. The average score obtained in the APuP questionnaire was 22.60 (44.23% of the maximum). The questionnaire has a good overall internal consistency (α=0.74) and the item fit indices were good. It was found a less positive attitude in students who had done clinical placements (p<0.0001) and those in higher years (p<0.0001). There is an inverse correlation between the attitude score and the knowledge score (r= -0.46). Conclusions: The questionnaire of attitudes towards prevention of pressure ulcers (APuP) Spanish version is a valid and reliable instrument to use in nursing students. The attitude towards prevention is not positive in these students and there is some evidence for a possible effect of clinical placements and increased knowledge over a less favourable attitude.

Bibliographic References

  • García-Fernández, FP,Soldevilla Agreda, JJ,Verdú, J,Pancorbo-Hidalgo, PL. (2014). A new theoretical model for the development of pressure ulcers and other dependence-related lesions. J Nurs Scholarsh. 46. 28-38
  • National Pressure Ulcer Advisory Panel (NPUAP). Change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury.
  • Pancorbo-Hidalgo, PL,García-Fernández, FP,Pérez-López, C,Soldevilla-Ágreda, JJ. (2019). Prevalencia de lesiones por presión y otras lesiones cutáneas relacionadas con la dependencia en población adulta en hospitales españoles: resultados del 5º Estudio Nacional de 2017. Gerokomos. 30. 76-86
  • Pancorbo-Hidalgo, PL,Torra-Bou, JE,García-Fernández, FP,Soldevilla-Ágreda, JJ. (2018). Prevalence of pressure injuries and other dependence-related skin lesions among pediatrics patients in hospitals in Spain. EWMA J. 19. 29-37
  • Demarré, L,Vanderwee, K,Defloor, T,Verhaeghe, S,Schoonhoven, L,Beeckman, D. (2011). Pressure ulcers: knowledge and attitude of nurses and nursing assistants in Belgian nursing homes. J Clin Nurs. 21. 1425
  • Jackson, D,Hutchinson, M,Barnason, S,Li, W,Mannix, J,Neville, S. (2016). Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 24. 902
  • Jackson, D,Durrant, L,Bishop, E,Walthall, H,Betteridge, R,Gardner, S. (2017). Health service provision and the use of pressure redistributing devices: mixed methods study of community dwelling individuals with pressure injuries. Contemp Nurse. 53. 378
  • Kisacik, ÖG,Sönmez, M. (2020). Pressure ulcers prevention: Turkish nursing students’ knowledge and attitudes and influencing factors. J Tissue Viability. 29. 24-31
  • Blanco-Zapata, RM,López-García, E,Quesada-Ramos, C. (2017). Guía de Actuación para la Prevención y Cuidados de las Úlceras por Presión. Osakidetza.
  • Beeckman, D,Vanderwee, K,Demarre, L,Paquay, L,Hecke, A van,Defloor, T. (2010). Pressure ulcer prevention: development and psychometric validation of a knowledge assessment instrument. Int J Nurs Stud. 47. 399-410
  • Garrigues, LJ,Cartwright, JC,Bliss, DZ. (2017). Attitudes of nursing students about pressure injury prevention. J Wound Ostomy Continence Nurs. 44. 123
  • Mallah, Z,Nassar, N,Kurdahi Badr, L. (2015). The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: controlled before and after study. Appl Nurs Res. 28. 106
  • Moore, Z. (2004). Pressure ulcer prevention: nurses’ knowledge, attitudes and behavior. J Wound Care. 13. 330
  • López-Franco, MD,Pancorbo-Hidalgo, PL. (2019). Instrumentos de medición de los conocimientos sobre prevención de úlceras por presión: revisión de la literatura. Gerokomos. 30. 98-106
  • Pieper, B,Mott, M. (1995). Nurses' knowledge of pressure ulcer prevention, staging, and description. Adv Wound Care. 8. 34-40
  • Pieper, B,Zulkowski, K. (2014). The Pieper-Zulkowski pressure ulcer knowledge test. Adv Skin Wound Care. 27. 413
  • Manderlier, B,Damme, N van,Vanderwee, K,Verhaeghe, S,Hecke, A van,Beeckman, D. (2017). Development and psychometric validation of PUKAT 20, a knowledge assessment tool for pressure ulcer prevention. Int Wound J. 14. 1041
  • López-Franco, MD,Parra-Anguita, L,Comino-Sanz, IM,Pancorbo-Hidalgo, PL. (2020). Development and Psychometric Properties of the Pressure Injury Prevention Knowledge Questionnaire in Spanish Nurses. Int J Environ Res Public Health. 17.
  • López-Franco, MD,Parra-Anguita, L,Pancorbo-Hidalgo, PL. (2019). Instrumentos de medición de las actitudes y las barreras para la prevención de lesiones por presión: revisión de la bibliografía. Gerokomos. 30. 217
  • Moore, Z,Price, P. (2004). Nurses' attitudes, behaviours and perceived barriers towards pressure ulcer prevention. J Clin Nurs. 13. 942
  • Beeckman, D,Defloor, T,Demarre, L,Hecke, A van,Vanderwee, K. (2010). Pressure ulcers: development and psychometric evaluation of the attitude towards pressure ulcer prevention instrument (APuP). Int J Nurs Stud. 47. 1432
  • Beeckman, D,Defloor, T,Schoonhoven, L,Vanderwee, K. (2011). Knowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals. Worldviews Evid Based Nurs. 8. 166
  • Florin, J,Baath, C,Gunningberg, L,Martensson, G. (2016). Attitudes towards pressure ulcer prevention: a psychometric evaluation of the Swedish version of the APuP instrument. Int Wound J. 13. 655
  • Cullen Gill, E,Moore, Z. (2013). An exploration of fourth-year undergraduate nurses’ knowledge of and attitude towards pressure ulcer prevention. J Wound Care. 22. 618
  • Simonetti, V,Comparcini, D,Flacco, ME,Giovanni, P di,Cicolini, G. (2015). Nursing students’ knowledge and attitude on pressure ulcer prevention evidence based guidelines: a multicenter cross sectional study. Nurse Educ Today. 35. 573
  • Usher, K,Woods, C,Brown, J,Power, T,Lea, J,Hutchinson, M. (2018). Australian nursing students’ knowledge and attitudes towards pressure injury prevention: a cross-sectional study. Int J Nurs Stud. 81. 14-20
  • Gunningberg, L,Mårtensson, G,Mamhidir, AG,Florin, J,Muntlin Athlin, Å,Bååth, C. (2013). Pressure ulcer knowledge of registered nurses, assistant nurses and student nurses: a descriptive, comparative multicentre study in Sweden. Int Wound J. 12. 462
  • Rafiei, H,Mehralian, H,Abdar, M,Madadkar, T. (2015). Pressure ulcers: how much do nursing students really know?. Br J Nurs. 24. 12
  • Pérez-López, C,López-Franco, MD,Comino-Sanz, IM,Pancorbo-Hidalgo, PL. (2020). Validación del cuestionario de conocimientos sobre prevención de lesiones por presión en estudiantes de Enfermería: Análisis Rasch. Enferm Clin.
  • López-Franco, MD. (2020). La prevención de lesiones por presión: conocimientos, actitudes y barreras de los profesionales de enfermería. Universidad de Jaén. Jaén.
  • Embretson, SE,Reise, SP. (2013). Item response theory for psychologists. 1. Psychology Press. Mahwah.
  • Rasch, G. (1981). Probabilistic models for some intelligence and attainment tests. The University of Chicago Press. Chicago.
  • Andrich, DA. (1978). Rating formulation for ordered response categories. Psychometrika. 43. 561
  • Linacre, JM. (2018). User's guide to Winstep. Ministeps Rasch-Model Computer Programs: Program Manual.
  • Campo-Arias, A,Oviedo, HC. (2008). Propiedades Psicométricas de una Escala: la Consistencia Interna. Rev Salud Pública. 10. 831
  • Meyer, JP. (2014). Applied measurement with jMetrik. 1. Routledge. New York.
  • Álvarez-García, C,Álvarez-Nieto, C,Pancorbo-Hidalgo, PL,Sanz-Martos, S,López-Medina, IM. (2018). Student nurses’ knowledge and skills of children’s environmental health: Instrument development and psychometric analysis using item response theory. Nurse Educ Today. 69. 113
  • Kielo, E,Salminen, L,Stolt, M. (2018). Graduating student nurses’ and student podiatrists’ wound care competence - An integrative literature review. Nurse Educ Pract. 29. 1-7
Data source: Dialnet