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

Rawia Abd Elghany Mohamed; Seham Mohamed Abd Elaziz; Hanan Nabawy Elaasar

doi:doi:10.11648/j.ajns.20190805.17

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

Rawia Abd Elghany Mohamed, Seham Mohamed Abd Elaziz, Hanan Nabawy Elaasar

Published in American Journal of Nursing Science (Volume 8, Issue 5)

Received: 17 July 2019 Accepted: 19 August 2019 Published: 25 September 2019

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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.

Published in	American Journal of Nursing Science (Volume 8, Issue 5)
DOI	10.11648/j.ajns.20190805.17
Page(s)	243-254
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Preventive Bundle Guidelines, Pressure Ulcer, Critically Ill Children, Pediatric Intensive Care Unit

References

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APA Style

Rawia Abd Elghany Mohamed, Seham Mohamed Abd Elaziz, Hanan Nabawy Elaasar. (2019). Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit. American Journal of Nursing Science, 8(5), 243-254. https://doi.org/10.11648/j.ajns.20190805.17

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ACS Style

Rawia Abd Elghany Mohamed; Seham Mohamed Abd Elaziz; Hanan Nabawy Elaasar. Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit. Am. J. Nurs. Sci. 2019, 8(5), 243-254. doi: 10.11648/j.ajns.20190805.17

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AMA Style

Rawia Abd Elghany Mohamed, Seham Mohamed Abd Elaziz, Hanan Nabawy Elaasar. Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit. Am J Nurs Sci. 2019;8(5):243-254. doi: 10.11648/j.ajns.20190805.17

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@article{10.11648/j.ajns.20190805.17,
  author = {Rawia Abd Elghany Mohamed and Seham Mohamed Abd Elaziz and Hanan Nabawy Elaasar},
  title = {Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit},
  journal = {American Journal of Nursing Science},
  volume = {8},
  number = {5},
  pages = {243-254},
  doi = {10.11648/j.ajns.20190805.17},
  url = {https://doi.org/10.11648/j.ajns.20190805.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20190805.17},
  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.},
 year = {2019}
}

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TY  - JOUR
T1  - Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit
AU  - Rawia Abd Elghany Mohamed
AU  - Seham Mohamed Abd Elaziz
AU  - Hanan Nabawy Elaasar
Y1  - 2019/09/25
PY  - 2019
N1  - https://doi.org/10.11648/j.ajns.20190805.17
DO  - 10.11648/j.ajns.20190805.17
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 243
EP  - 254
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20190805.17
AB  - 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.
VL  - 8
IS  - 5
ER  -

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Author Information

Rawia Abd Elghany Mohamed

Faculty of Nursing, Benha University, Benha, Egypt
Seham Mohamed Abd Elaziz

Faculty of Nursing, Benha University, Benha, Egypt
Hanan Nabawy Elaasar

Faculty of Nursing, Benha University, Benha, Egypt

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APA Style

Rawia Abd Elghany Mohamed, Seham Mohamed Abd Elaziz, Hanan Nabawy Elaasar. (2019). Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit. American Journal of Nursing Science, 8(5), 243-254. https://doi.org/10.11648/j.ajns.20190805.17

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ACS Style

Rawia Abd Elghany Mohamed; Seham Mohamed Abd Elaziz; Hanan Nabawy Elaasar. Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit. Am. J. Nurs. Sci. 2019, 8(5), 243-254. doi: 10.11648/j.ajns.20190805.17

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AMA Style

Rawia Abd Elghany Mohamed, Seham Mohamed Abd Elaziz, Hanan Nabawy Elaasar. Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit. Am J Nurs Sci. 2019;8(5):243-254. doi: 10.11648/j.ajns.20190805.17

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@article{10.11648/j.ajns.20190805.17,
  author = {Rawia Abd Elghany Mohamed and Seham Mohamed Abd Elaziz and Hanan Nabawy Elaasar},
  title = {Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit},
  journal = {American Journal of Nursing Science},
  volume = {8},
  number = {5},
  pages = {243-254},
  doi = {10.11648/j.ajns.20190805.17},
  url = {https://doi.org/10.11648/j.ajns.20190805.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20190805.17},
  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.},
 year = {2019}
}

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TY  - JOUR
T1  - Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically Ill Children at Pediatric Intensive Care Unit
AU  - Rawia Abd Elghany Mohamed
AU  - Seham Mohamed Abd Elaziz
AU  - Hanan Nabawy Elaasar
Y1  - 2019/09/25
PY  - 2019
N1  - https://doi.org/10.11648/j.ajns.20190805.17
DO  - 10.11648/j.ajns.20190805.17
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 243
EP  - 254
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20190805.17
AB  - 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.
VL  - 8
IS  - 5
ER  -

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