Effective pressure ulcer measures at hospital as determined from certified wound, ostomy, and continence nurses’ perception of influence on quality control and the incidence of pressure ulcers

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  • 皮膚・排泄ケア認定看護師の病院における褥瘡ケアの質に対する主観的影響力と褥瘡の発生率からみた効果的な褥瘡対策

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<p> With the objective of elucidating the subjective influence of wound, ostomy, and continence nurses(WOCN) on pressure ulcer management systems at their institutions, as well as the structural requirements and effective measures in pressure ulcer management that relate to the incidence of pressure ulcers, a questionnaire survey was conducted at 425 hospitals that provided consent. The final subjects of analysis were 166 hospitals with over 200 beds that replied.<br> As requirements related to “perception of influence” on pressure ulcer management systems, the personal attribute among WOCN of “having 21 years of clinical experience” was strongly related. Involvement of administrators, such as “inter-departmental adjustments by the hospital director”, “WOCN’s superiors were certified as nurse administrators”, and “evaluation of WOCN”, was also related, suggesting its importance. “The ability of WOCN to transmit information” promoted the perception of influence of the WOCN, which in turn was thought to promote the awareness of “medical device-related pressure ulcers” and “cooperation with professional team”.<br> Measures related to incidence were as follows: “awareness of deaths of patients with pressure ulcers among WOCN”, “a sufficient number of WOCN”, “confidence in pressure ulcer care techniques among WOCN”, “recognition of medical device-related pressure ulcers among ward nurses”, and “relationships of trust with practitioners in the community”. Relationships with “involvement of occupational therapists/physical therapists(OT/PT)” were also suggested.<br> These findings indicate that using the perception of influence as a measure of achievements enables assessment of the quality of pressure ulcer management, which is not reflected in the incidence.</p>

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