Abstract
Background: Pressure injuries in nursing homes remain a consistent problem. Unfortunately, despite the variety of pressure injury education offered in nursing homes, the knowledge learned cannot be applied in practice, and as a result, the prevalence and incidence of such injuries are consistently high. This study aimed to address those gaps by analyzing the nursing competency for pressure injury management and implementing pressure injury education programs in nursing homes. Methods: Two phases were conducted based on the action cycle in the knowledge to action model. During the first phase, a framework was constructed by analyzing nursing experience. The second phase consisted of the implementation and monitoring of the program to evaluate the effects of the framework. Results: The main results for nursing competencies for pressure injury management in nursing homes are integrated thinking, understanding in an environmental context, interpersonal relationships for efficient decision making, and meeting any challenges to professional development. The results concerning the program’s effects showed significant differences in the participants’ knowledge, attitude, stage discrimination ability, and clinical management judgment ability. Conclusion: The educational framework and program derived from this study are expected to improve nurses’ pressure injury management competency in nursing homes and to contribute to effective pressure injury management and quality of life for residents in nursing homes.
Highlights
Received: 18 December 2021Due to the rapidly increasing number of aging societies worldwide, the population of older adults is expected to increase by 1 million every year [1]
The knowledge to action (KTA) model was used to develop interventions to reduce the gap between knowledge and performance to improve performance in nursing homes for pressure injury management (Table 1)
In this study, a pressure injury management practice education program that considered the environmental dimension of nursing homes and that focused on improving the nursing competency of nurses working in such facilities was constructed and developed
Summary
Due to the rapidly increasing number of aging societies worldwide, the population of older adults is expected to increase by 1 million every year [1]. As the demand for nursing care has increased, nursing homes that care for the elderly have increased [3]. Interest in the quality of nursing care for the elderly in nursing homes is increasing, implying that the nurses working at these facilities need to improve their ability to care for them [4,5,6]. The cause of pressure injuries in older adults is due to the lack of their selfnursing ability due to cognitive decline, loss of mobility, and loss of consciousness [3]. The elderly present the most extrinsic factors for pressure injuries, such as limited mobility and reduced ability to perform daily activities [7].
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