Pengembangan Panduan Pencegahan Ulkus Dekubitus di Ruangan Intensive Care Unit (ICU)
Abstract
This study aims to develop guidelines for decubitus ulcers in the ICU at USU Hospital. This type of research is action research in 1 cycle. The instrument used was a Focus Group Discussion (FGD) guide and a nurse's knowledge questionnaire about decubitus ulcers. Participants in this study were 15 nurses who were selected by purposive sampling. The results showed that the percentage value before the formulation of guidelines for the prevention of decubitus ulcers was 66.67% which stated that the level of knowledge was good and 33.33%, which noted that the level of knowledge was sufficient and the level of expertise lacked as much as 0%. After the formulation of the guidelines, the results were 93.4%, where the nurses' level of knowledge was declared good. The level of expertise of nurses that was reported sufficient was 6.6% and the level of expertise of nurses that was insufficient was 0%. In conclusion, with the implementation of decubitus ulcers guidelines, ICU nurses' knowledge of decubitus ulcers prevention has increased. The components of the decubitus ulcers guide consist of the concept of a decubitus ulcers, scope and Standard Operating Procedure (SOP).
Keywords: Intensive Care Unit (ICU), Decubitus Ulcer Guide, Nurse
References
Charalambous, C., Koulouri, A., Roupa, Z., Vasilopoulos, A., Kyriakou, M., & Vasiliou, M. (2019). Knowledge and Attitudes of Nurses in a Major Public Hospital in Cyprus Towards Pressure Ulcer Prevention. Journal of Tissue Viability, 28(1), 40–45. https://doi.org/10.1016/j.jtv.2018.10.005
De Meyer, D., Verhaeghe, S., Van Hecke, A., & Beeckman, D. (2019). Knowledge of Nurses and Nursing Assistants about Pressure Ulcer Prevention: A Survey in 16 Belgian Hospitals Using the PUKAT 2.0 Tool. Journal of Tissue Viability, 28(2), 59–69. https://doi.org/10.1016/j.jtv.2019.03.002
Ebi, W. E., Hirko, G. F., & Mijena, D. A. (2019). Nurses’ Knowledge to Pressure Ulcer Prevention in Public Hospitals in Wollega: A Cross-Sectional Study Design. BMC Nursing, 18(1), 1–12. https://doi.org/10.1186/s12912-019-0346-y
Guzman, J. L., McClanahan, R., & Vaughn, S. (2018). Development of Guidelines for Pressure Ulcer Prevention. Wounds International, 9(4), 34–38. https://www.woundsme.com/resources/details/development-guidelines-pressure-ulcer-prevention1
Karimian, M., Khalighi, E., Salimi, E., Borji, M., Tarjoman, A., & Mahmoudi, Y. (2020). The Effect of Educational Intervention on the Knowledge and Attitude of Intensive Care Nurses in the Prevention of Pressure Ulcers. International Journal of Risk and Safety in Medicine, 31(2), 89–95. https://doi.org/10.3233/JRS-191038
Khojastehfar, S., Najafi Ghezeljeh, T., & Haghani, S. (2020). Factors Related to Knowledge, Attitude, and Practice of Nurses in Intensive Care Unit in the Area of Pressure Ulcer Prevention: A Multicenter Study. Journal of Tissue Viability, 29(2), 76–81. https://doi.org/10.1016/j.jtv.2020.02.002
Lindhardt, C. L., Beck, S. H., & Ryg, J. (2020). Nursing Care for Older Patients with Pressure Ulcers: A Qualitative Study. Nursing Open, 7(4), 1020–1025. https://doi.org/10.1002/nop2.474
Mervis, J. S., & Phillips, T. J. (2019). Pressure Ulcers: Prevention and Management. Journal of the American Academy of Dermatology, 81(4), 893–902. https://doi.org/10.1016/j.jaad.2018.12.068
Mohamed, R. A. E., Elaziz, S. M. A., & Elaasar, H. N. (2019). Effect of Preventive Bundle Guidelines on Nurses’ Knowledge and Compliance Regarding Pressure Ulcer Among Critically III Children at Pediatric Intensive Care Unit. American Journal of Nursing Science, 8(5), 243. https://doi.org/10.11648/j.ajns.20190805.17
Mohammed, N., Ibrahim, I., Ahmed, S., & Qalawa, A. (2020). Effect of Implementing Standardized Preventive Guidelines for Pressure Ulcer on Nurses’ Performance. 8(2), 163–169. https://doi.org/10.12691/ajnr-8-2-5
National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel & Pan Pacific Pressure Injury Alliance. (2019). Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. internationalguideline.com
Saleh, M. Y. N., Papanikolaou, P., Nassar, O. S., Shahin, A., & Anthony, D. (2019). Nurses’ Knowledge and Practice of Pressure Ulcer Prevention and Treatment: An Observational Study. Journal of Tissue Viability, 28(4), 210–217. https://doi.org/10.1016/j.jtv.2019.10.005
Smith, H. A., Moore, Z., & Tan, M. H. (2019). Cohort Study to Determine the Risk of Pressure Ulcers and Developing a Care Bundle within a Paediatric Intensive Care Unit Setting. Intensive and Critical Care Nursing, 53, 68–72. https://doi.org/10.1016/j.iccn.2019.04.008
