Injury Prevention Knowledge Research Articles

Australian Nurses' Knowledge of Pressure Injury Prevention and Management: A Cross-sectional Survey.

PURPOSE:The aim of this study was to assess nurses' knowledge of pressure injuries in order to gather benchmark data, identify knowledge gaps, and based on results, implement educational strategies to improve practice.DESIGN:Cross-sectional survey.SUBJECTS AND SETTING:The study setting was a large Australian tertiary general hospital employing approximately 2500 nurses in both full-time and part-time roles. A proportional sample (25%) stratified by experience, preparation, and facility-generated categories (nursing grade) was generated. The sample included nursing students and nursing assistants. Three hundred six participants completing the survey.INSTRUMENT:The Pieper-Zulkowski Pressure Ulcer Knowledge Test (PZPUKT) version 2, comprising 72 statements, with 3 subscales (prevention/risk, staging, and wound description) was used to measure pressure injury knowledge. Item responses are “True,” “False,” and “Don't know.” For the purpose of analyses, correct responses were scored 1, and incorrect or “don't know” responses were scored 0. Generally accepted ranges of scoring for the original PZPUKT specify less than 70% as unsatisfactory, 70% to 79.9% as satisfactory, 80% to 89.9% as good, and 90% and greater as very good knowledge of pressure injury prevention.METHODS:The survey was advertised throughout the hospital by strategically placed posters, computer screen savers within the hospital, and e-mails. Respondents completed paper-based questionnaires and data were manually entered online. Data were collected between September 2015 and October 2016. Descriptive and nonparametric inferential statistical tests (Mann-Whitney U, Kruskal-Wallis H) were used to analyze within sample differences in scores.RESULTS:The overall mean knowledge score was 65%; approximately two-thirds of the sample (68%) scored 60% and greater, reflecting an unsatisfactory knowledge level of pressure injury prevention according to the original PZPUKT scores. The lowest mean scores were found in the “wound description” subscale. Participants who sought pressure injury information via the Internet or had read pressure injury guidelines scored significantly higher than those who did not (P = .001 and P < .001, respectively). Seventeen items were answered incorrectly by over half of participants, identifying important knowledge deficits, particularly within the wound description subscale.CONCLUSIONS:When compared with results from studies using the PZPUKT, we contend that a cutoff score of 60% and greater (instead of ≥70%) should be used to indicate an overall satisfactory score. Our results identified deficits in pressure injury knowledge related to seating support and seated individuals and wound dressings as areas where nurses would benefit from focused education strategies.

Rock climbers knowledge, attitudes, and practices of injury prevention when travelling in India.

Rock climbers knowledge, attitudes, and practices of injury prevention when travelling in India.

Formative research to underpin a text messaging home safety intervention for young mothers

Objective:Unintentional injury is the leading cause of death for infants and young children in the USA, and the children of young mothers are at an even higher risk. Mobile health (mHealth) interventions have been successful in promoting behaviour change for many health conditions. This study assessed interest in mSafety, a text and video messaging mHealth intervention targeting injury prevention knowledge, behaviour and self-efficacy in young mothers.Design:Interviews with young mothers were conducted using a semi-structured interview guide.Setting:Interviews took place at a health clinic for teenage mothers and their children and at a local public charter high school which serves pregnant teenagers and young mothers.Method:A trained research assistant conducted semi-structured interviews with 20 young mothers (ages 15–20). Participants were asked both closed and open-ended questions to elicit opinions about their willingness to utilise mSafety.Results:The results of the interviews were positive. Participants were most interested in learning about the prevention of falls and poisonings, as well as safe sleep. Many emphasised that the language of the messages should be simple and that videos could be included to demonstrate methods of injury prevention. Most interviewees were willing to participate in a ‘virtual home safety visit’ in which participants text home photos to an expert to evaluate home safety practices.Conclusion:The concept of an mHealth intervention that would provide young mothers with the tools to prevent injuries among their children received positive feedback.

The real situation of practice and knowledge of injury prevention among students of secondary schools in Dong Hung District, Thai Binh Province in 2015

Objective: The study was conducted to evaluate the knowledge and practice about injury prevention of thestudents in 4 secondary schools in Dong Hung District, Thai Binh Province in 2015Methodology: Descriptive 1008 secondary school studentsResults: There was low proportion of school students did not know the ways of preventing traffic accidentswhen walking (4.9%) and cycling (2.4%). Most of these children were able be prevent falls: did not go running,chasing spot slippery moss accounted for 67.9%; followed by not climbing on high trees, accounting for 62.9%;did not play near the plant under construction accounting for 59.4%; non-slip climbing stairs, railingsaccounting for 59.4%. Only 4.8% of students did not know the measures to prevent food poisoning. 4.4% ofstudents did not know the measures to prevent drowning. The percentage of students with improper behavior inpreventing traffic accidents was quite high: waving hand when you want to across the road (representing64.1%); with 23.2% of students cycling line 2, line 3 in the last 1 month; 9.1% of students did not wear ahelmet while sitting on a motorcycle. 34.5% of students still ran, chased each other in areas with slippery moss;19.2% of students were climbing high gates, tall trees; 12.7% of students climbed chairs, swung doors in thelast 1 month. In the last 1 month 38.9% of students still ate food of unknown origins; 10.9% of students left foodmixed with other chemicals; 8.7% of students used food, drinks that changed color and expiredConclusion: Highly rate of students do not have the knowledge and skills to practice injury prevention. It isnecessary to promote the propagation, education and training of these skills so that children developcomprehensively both physically and mentally

Relationship between Pressure Injury Prevention Knowledge and Practice for Nursing Homes Care Workers

Relationship between Pressure Injury Prevention Knowledge and Practice for Nursing Homes Care Workers

Health promotion approach to reduce unintentional home injuries of young children in rural villages in the North Central Province of Sri Lanka

Background: South East Asian region reports a higher risk for deaths from injuries and in Sri Lanka 16% child mortality is due to injuries. Objectives: To describe the types and extent of unintentional home injuries among children below 5 years of age, to evaluate the knowledge, attitudes and current practices of primary caregivers on reducing unintentional home injuries in two villages and to assess the effectiveness of a health promotion approach in rural villages in the North Central Province of Sri Lanka. Method: A quasi experimental study was carried by selecting 2 rural villages. Baseline measures were gathered in experimental and control areas using a questionnaire, a history record index and a practice checklist. A health promotion intervention was administered in the experimental study area. The intervention was developed consulting the community and targeted identifying determinants of unintentional home injuries and improving knowledge, changing attitudes, obtaining family support and improving skills on identifying risks for home injuries. The health promotion intervention was delivered through lectures and activities. Post evaluation assessment was on change in practices which was the primary outcome, and the change in knowledge and attitudes were secondary outcomes. Results: Injury prevalence was 31% (CI 20.5- 43.1), burns (36.4%) being the most common. The difference between pre and post scores of mean practice was significantly higher (p=0.001) in the intervention group which showed knowledge improvement and a positive change in attitudes. Conclusions : Nearly one third of caregivers reported a home injury and the health promotion intervention was effective in improving injury prevention practices, knowledge and attitudes. Sri Lanka Journal of Child Health , 2018; 47(1): 33-39

Australian nursing students’ knowledge and attitudes towards pressure injury prevention: A cross-sectional study

AimThe aim of this study was to assess student nurses’ knowledge of and attitudes towards pressure injury prevention evidence-based guidelines. BackgroundPressure injuries are a substantial problem in many healthcare settings causing major harm to patients, and generating major economic costs for health service providers. Nurses have a crucial role in the prevention of pressure injuries across all health care settings. DesignA multi-centered, cross-sectional study was conducted using a paper-based questionnaire with undergraduate nursing students enrolled in seven universities with campuses across five Australian states (Queensland, New South Wales, Western Australia, Victoria and Tasmania). MethodsData were collected from nursing students using two validated instruments (Pressure Ulcer Knowledge Assessment Instrument and Attitude Toward Pressure Ulcer Prevention Instrument), to measure students’ pressure injury prevention knowledge and attitudes. ResultsStudents reported relatively low pressure injury prevention knowledge scores (51%), and high attitude scores (78%). Critical issues in this study were nursing students’ lack of knowledge about preventative strategies to reduce the amount and duration of pressure/shear, and lower confidence in their capability to prevent pressure injury. Level of education and exposure to working in a greater number of different clinical units were significantly related to pressure injury prevention knowledge and attitude scores. ConclusionThe study findings highlight the need to implement a comprehensive approach to increasing Australian nursing students’ pressure injury prevention and management knowledge, as well as ensuring that these students have adequate experiences in clinical units, with a high focus on pressure injury prevention to raise their personal capability.

Risk factors for burn injuries and fire safety awareness among patients hospitalized at a public hospital in Nairobi, Kenya: A case control study

IntroductionBurn injuries are some of the most physically and psychologically devastating forms of trauma and most common injuries affecting children, especially in the home environment. They are more prevalent and are a public health problem in developing countries mainly because of poor socio-economic conditions. Effective prevention programs should be guided by the results of well-designed studies aimed at investigating risk factors for burns. Study objectiveTo establish the risk factors for burn injuries among patients hospitalized at the Kenyatta National Hospital (KNH). MethodologyThis was an age and gender matched case-control study comprising 202 patients admitted with burns (cases) and 202 non-surgical patients (controls) admitted into the pediatric and medical wards. The study site was KNH, a 1800-bed national referral and teaching hospital in Kenya. Data analytical methodsSPSS version 17 was used for data analysis, with descriptive statistics used for demographic data, whereas in the analysis for risk factors chi square test and odds ratio (OR) were used to determine the relationship between the predictive (risk factors) and outcome variables (burn injury). Logistic regression was used to determine the strength of association between risk factors and burn injury. ResultsThe risk factors found to be significant for burn injuries were: low level of education (p=0.043), use of kerosene as fuel for cooking (OR=2.027; 95% CI: 1.361–3.019, p=0.000) and lack of knowledge of burn injury prevention and fire safety (OR=4.009; CI: 2.603–6.172, p=0.000). ConclusionLow level of education, use of kerosene for cooking and lack of knowledge of burn injury prevention and fire safety were identified as risk factors for burn injury among patients hospitalized at KNH. These risk factors should be addressed in burn injury prevention programs for Kenya.

Using participatory action research for injury prevention in child development centers, Suratthani province

This study investigated the effects of using participatory action research (PAR) in the prevention of injury to children in 14 child development centers (CDCs) under local administrative organizations in one district in Suratthani province, Thailand. In total, 98 stakeholder representatives participated in the study, consisting of 7 managers or representatives of the CDCs, 14 caregivers, 7 local health officials and 70 children's parents. They participated in all stages of the study—problem identification, setting the objectives and goals of the study, planning the study, development of research tools, data collection, risk analysis, risk management, monitoring, evaluation, and revision. The physical environments that were in non-compliance with safety standards were identified after a walk-through survey with the participants using an approved checklist. The number of injuries to children was collected before and after the risk management. The participants' knowledge and awareness of child injury prevention were collected using questionnaires. Optimal solutions for injury prevention were obtained through several focus group discussions between the participants within each CDC and among the CDCs. Active participation of the stakeholders resulted in significantly more knowledge and awareness relating to child injury prevention. The environments of CDCs in compliance with safety standards were significantly increased. The number of injuries to the children decreased. The participatory action model in this research was developed through collaboration between the 14 CDCs. The executives of local administrative organizations and local health officials can take the model used in this study and apply it to injury prevention in other CDCs which have a similar environment across the province.

Improving sports injury prevention knowledge

Improving sports injury prevention knowledge

Assessment of the status of injury knowledge prevention and management at various levels of sports persons

In the present scenario of sports injury has been identified as major adolescent health problem. The purpose of this study was to investigate the current level of knowledge of sports injury prevention and management and its present status among different level of sportspersons. For accomplish the study a total 100 sportspersons were randomly selected as sample. The age of the sample were ranged from 17 to 35. To assess the knowledge of sports injury prevention and management a self-structured knowledge questionnaire was used which consists of 25 questions related to injury prevention, injury type, injury management, dressing and extremity fixation, hot and cold padding, CPR, traumatic bleeding management, and shock management respectively. For analysis demographic information mean, standard deviation, were used as descriptive statistics, percentage & percentile method were used to access the status of injury knowledge. The SPSS version 21 was used to perform the statistical equations.

The translation of sports injury prevention and safety promotion knowledge: insights from key intermediary organisations

BackgroundA recognised research-to-practice gap exists in the health research field of sports injury prevention and safety promotion. There is a need for improved insight into increasing the relevancy, accessibility and legitimacy of injury prevention and safety promotion research knowledge for sport settings. The role of key organisations as intermediaries in the process of health knowledge translation for sports settings remains under-explored, and this paper aims to determine, and describe, the processes of knowledge translation undertaken by a set of key organisations in developing and distributing injury prevention and safety promotion resources.MethodsThe National Guidance for Australian Football Partnerships and Safety (NoGAPS) project provided the context for this study. Representatives from five key NoGAPS organisations participated in individual face-to-face interviews about organisational processes of knowledge translation. A qualitative descriptive methodology was used to analyse participants’ descriptions of knowledge translation activities undertaken at their respective organisations.ResultsSeveral themes emerged around health knowledge translation processes and considerations, including (1) identifying a need for knowledge translation, (2) developing and disseminating resources, and (3) barriers and enablers to knowledge translation.ConclusionsThis study provides insight into the processes that key organisations employ when developing and disseminating injury prevention and safety promotion resources within sport settings. The relevancy, accessibility and legitimacy of health research knowledge is foregrounded, with a view to increasing the influence of research on the development of health-related resources suitable for community sport settings.

THE TRANSLATION OF SPORTS INJURY PREVENTION AND SAFETY PROMOTION KNOWLEDGE: INSIGHTS FROM KEY ORGANISATIONS

BackgroundA recognised research-to-practice gap exists in the field of sports injury prevention and safety promotion. The role of key organisations in increasing the relevancy, accessibility, and legitimacy of injury prevention...

IS AWARENESS OF PREVENTIVE TRAINING ASSOCIATED WITH DECREASED RISK OF INJURY?

BackgroundLittle is known about the prevalence proportion of sports injuries in Denmark. In addition, the beliefs amongst athletes regarding injury-preventive training regimes and the association with injury risk are lacking.ObjectiveTo...

Playing-Related Health Problems Among Instrumental Music Students at a University in Malaysia.

Musicians from a wide range of backgrounds experience playing-related health problems including musculoskeletal disorders, hearing loss, and performance anxiety. Few studies have focused specifically on the health concerns of musicians in Malaysia. This study aimed to investigate playing-related health problems among student musicians at a university in Malaysia as well as their knowledge and awareness of playing-related health problems. Instrumental music students enrolled in undergraduate and post-graduate university music courses (n=98) participated in a self-report online survey which addressed aspects such as educational background, playing experience, knowledge and awareness of musicians' health issues, history of physical problems, lifestyle factors, and prevention and management strategies. Of the total participants, 28.9% reported that they were currently experiencing playing-related pain in a body part, and 46.4% had experienced playing-related pain at some time. More than half (56.7%) felt that they have not received enough information or advice on playing-related health during their current studies. Musicians who experienced playing-related pain, tension, and discomfort reported the main problem sites to be the fingers and hands, arms, neck, and shoulders. The study results demonstrate that Malaysian university music students are affected by similar types of playing-related physical problems as their counterparts around the world. A greater awareness and knowledge of injury prevention and management strategies is needed so that these music students can sustain healthy playing careers.

Physical activity levels and injury prevention knowledge and practice of a cohort of carpentry students

Physical activity levels and injury prevention knowledge and practice of a cohort of carpentry students

Parent Health Literacy, Depression, and Risk for Pediatric Injury.

Population-wide research on the impact of parent health literacy to children's health outcomes is limited. We assessed the relationship of low parent health literacy to a range of pediatric health risks within a large cohort of primary care patients. Data were from 17 845 English- and Spanish-speaking parents of children aged ≤7 years presenting for well-child care. We used a 3-item screener to measure health literacy. Outcomes included secondhand smoke exposure, asthma treatment nonadherence, parent depression, child-rearing practices, injury prevention, and parent first-aid knowledge. We summarized study variables with descriptive statistics and then performed multivariable logistic regression to identify associations between low parent literacy and our dependent measures. Mean child age was 4.8 years (SD 3.7); 36.5% of parent respondents had low health literacy. In models adjusted for child gender, race/ethnicity, insurance, age, and parent language preference, low parent health literacy was related to a range of pediatric health risks, including parent depression (adjusted odds ratio [AOR] 1.32; 95% confidence interval 1.18-1.48), firearm access (AOR 1.68; 1.49-1.89), not having a working smoke detector (AOR 3.54; 2.74-4.58), and lack of first-aid knowledge about choking (AOR 1.67; 1.44-1.93) and burns (AOR 1.45; 1.29-1.63). Children of parents with low health literacy were also more likely to watch >2 hours of television per day (AOR 1.27; 1.17-1.36). Low parent health literacy is independently and significantly related to parent depression, child television viewing, and at-risk family behaviors associated with child injury. Use of low-literacy approaches to health-behavior interventions may be essential to address common child morbidities.

Community Psychology and Public Policy: Research, Advocacy and Training in International Contexts

Community Psychology and Public Policy: Research, Advocacy and Training in International Contexts

Multicenter assessment of burn team injury prevention knowledge.

Engaging burn professionals to utilize "teachable moments" and provide accurate fire safety and burn prevention (FSBP) education is essential in reducing injury incidence. Minimal data is available regarding burn clinicians' evidence-based FSBP knowledge. A committee of prevention professionals developed, pilot-tested, and distributed a 52-question online survey assessing six major categories: demographical information (n = 7); FSBP knowledge (n = 24); home FSBP practices (n = 6); burn center FSBP education (n = 7); self-assessed competence and confidence in providing FSBP education (n = 2); and improving ABA reach (n = 6). Responses with <50% completion of FSBP knowledge section were excluded. Total group's (TG) mean FSBP score of 61.5% was used to define and compare underperformers (UP). After excluding 36 incomplete responses, test scores ranged: TG (n = 427) 21-88% and UP (n = 183) 21-58%. Ten FSBP knowledge questions covering seven topics were incorrectly answered by >50% of TG. ANOVA showed self-reported competence and confidence in providing FSBP education were not good predictors of FSBP scores, but staff with <2 years experience scored lower. Over 90% of TG wants FSBP fact sheets for patient education. Burn professionals have a responsibility to educate patients, families, and communities on FSBP. Team members report competence and confidence in their ability to provide FSBP education. However, this multicenter survey demonstrates the need for professional training on best practices in injury prevention, specifically targeting knowledge gaps on: smoke alarms, fire-safe cigarettes, children's sleepwear, burn/fire epidemiology, fireworks, bathing/scald injuries, and residential sprinklers. Based on these findings, FSBP educational materials will be created.

Contributing factors, prevention, and management of playing-related musculoskeletal disorders among flute players internationally.

Major studies have shown that flutists report playing-related pain in the neck, middle/upper back, shoulders, wrists, and hands. The current survey was designed to establish the injury concerns of flute players and teachers of all backgrounds, as well as their knowledge and awareness of injury prevention and management. Questions addressed a range of issues including education, history of injuries, preventative and management strategies, lifestyle factors, and teaching methods. At the time of the survey, 26.7% of all respondents were suffering from flute playing-related discomfort or pain; 49.7% had experienced flute playing-related discomfort or pain that was severe enough to distract while performing; and 25.8% had taken an extended period of time off playing because of discomfort or pain. Consistent with earlier studies, the most common pain sites were the fingers, hands, arms, neck, middle/upper back, and shoulders. Further research is needed to establish possible links between sex, instrument types, and ergonomic set up. Further investigation is recommended to ascertain whether certain types of physical training, education, and practice approaches may be more suitable than current methods. A longitudinal study researching the relationship between early education, playing position, ergonomic set-up, and prevalence of injury is recommended.