EFFECT OF OPEN WOUND CARE PROTOCOL ON NURSES’ KNOWLEDGE AND PATIENTS WOUND HEALING

AbouZaid, Manal Tharwat; Mohamed, Labiba Abd El-Kader; Morshed, Mossad Mahmud; Shahin, Eman Saleh; Abo-El-Ata, Amal Bakr

doi:10.21608/pssjn.2020.95717

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	EFFECT OF OPEN WOUND CARE PROTOCOL ON NURSES’ KNOWLEDGE AND PATIENTS WOUND HEALING
Article 3, Volume 7, Issue 2, Winter and Spring 2020, Page 133-146 PDF (896.21 K)
Document Type: Original Article
DOI: 10.21608/pssjn.2020.95717
Authors
Manal Tharwat AbouZaid^* ¹; Labiba Abd El-Kader Mohamed²; Mossad Mahmud Morshed³; Eman Saleh Shahin⁴; Amal Bakr Abo-El-Ata⁴
¹Medical Surgical Nursing, Faculty of Nursing, Ain Shams University
²Medical-Surgical Nursing, Faculty of Nursing, Caire University
³Surgery, Faculty of Medicine - Mansoura University
⁴Medical Surgical Nursing, Faculty Of Nursing – Port Said Universityegypt
Abstract
*Background:Surgical wounds are of the most devastating injuries. They produce a dramatic change in the patient’s life. Nurses are the key persons in directing successful rehabilitation effort to assure patients attain functional capabilities, avoid further disabilities, and prevent complications. Aim:to assess nurses' knowledge regardingopen wound care in the surgical unit, evaluate the effect of a wound care protocol on nurses' knowledge in the surgical unit, and assess patients' wound healing pre- and post-applying wound care protocol in surgical units at Mansoura University and emergency hospitals. Subject and methods: A descriptive exploratory research study were carried out. Study sample:includes two groups first group, consisted of 55nurses from the two hospitals, second group consist 53 adult patients with openwounds, Data* collection was accomplished utilizing three tools; Astructured interview for the nurses, wound care observational checklist,Bates-Jensen, Data was collected from both nurses and patients three times; one time before implementing the wound care protocol, and a second time after its implementationthiredthird time after 12 weeks follow up. The result of this study revealed a statistically significant improvement in nurses' knowledge after implementing wound care protocol (P-value = 0.014 and 0.000 respectively). Additionally, wound degeneration decreased in post-protocol implementation and during follow-up. The wound regeneration significantly improved (P-value = 0.000) after implementing the wound care protocol. Conclusion: the study concluded the presence of an improvement in nurses'knowledge after implementing the wound care protocol. Also, the wound healing improved significantly. Recommendations: nurses’ knowledge about surgical wound care and infection control in general needs to be updated, through in-service training programs. The hospital should have policies regarding infection control measures, to be reviewed periodically.
Keywords
Open Surgical Wounds; Patients; Knowledge; Wound Regeneration; Wound Degeneration; and Assess; Complications; Bates-Jensen


References
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EFFECT OF OPEN WOUND CARE PROTOCOL ON NURSES’ KNOWLEDGE AND PATIENTS WOUND HEALING

Allen D.B., Maguire J.J., Mahdavian M., Wicke C., Marcocci L., and Scheuenstuhl H. (2013). Wound Hypoxia and Acidosis Limit Neutrophil Bacterial Killing Mechanisms. Arch Surg; 132: 991-996

Australian Medicines Handbook (Internet) (2015). Monitoring pressure ulcer healing in persons with disabilities. RehabilNurs; 30(3):92-9.

Bates-Jensen BM. (2011).The pressure sore status tool: a few thousand assessments later. Adv Wound Care. 10:65-73

Bonham M.A. (2014).Report of the task force on the implications for darkly pigmented intact skin in the prevention of pressure ulcers. Adv Wound Care; 8:34-35

Canadian Association of Wound Care (2014): Evaluation of Blunt Suture Needles in Preventing Percutaneous Injuries Among Health-Care Workers during Gynecologic Surgical Procedures, New York City, March 2014-June 2013. MMWR Morb Mortal Wkly Rep; 46(2): 25-9.

Centres for Disease Control and Prevention, CDC (2010). National Nosocomial Infections Surveillance (NNIS) report, data summary from October 2000-April 2001, issued May 2001. Am J Infect Control; 25: 477-487

Chicano S.G., Drolshagen C. (2015). Reducing hospital-acquired pressure ulcers. J Wound Ostomy Continence Nurs 2015; 36:45-50.

Chou & Conifer (2012).Post surgical Infections Associated with Nonsterile Implantable Devices. MMWR Morb Mortal Wkly Rep; 41(15): 263.

Falanga M.S. (2015): Is Eliminating Flash Sterilization Practical? Infect Control Hosp Epidemiol; 14(8): 479-80.

Lazarus W.T., Talbot T.L., Norton J.A. (2016). Preoperative or postoperative doxorubicin hydrochloride (Adriamycin): which is better for wound healing? Surgery 100:9-13 [Pub Med],

Nichols R.L. (2014). The Operating Room. In: Bennett J.V., and Brachman P.S. (Eds.): Hospital Infections. 3rd ed., Boston: Little, Brown and Co. pp. 461-73.

Nichols R.L. (2014). The Operating Room. In: Bennett J.V., and Brachman P.S. (Eds.): Hospital Infections. 3^rd ed., Boston: Little, Brown and Co. pp. 461-73.