Zanco Journal of Medical Sciences
 
Skip Navigation Links
Home
Available Issues
Search
Editorial Board
Information for Authors
Review Process
Copyright
Links and Contacts
  Zanko J Med Sci:  Apr. 2018; 22 (1): 96-103

Assessment of wound dressing practices among nurses at the emergency hospitals in Erbil city

Hindreen Younis Najm *, Ronak Nhmatala Hussein **

 

* Erbil Directorate of Health, Erbil, Iraq.

** Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
 


Abstract

Background and objective: Wound dressing is one of the major nursing responsibilities. Aseptic technique is mandatory to minimize complications. Effective wound dressing promotes wound healing and leads to early discharge and saving costs. This study aimed to assess wound dressing practices among nurses in Erbil emergency hospitals and determine the relationship between the practices and the sociodemographic characteristics.

Methods: A descriptive study was conducted at three Emergency Hospitals in Erbil city. This study was carried out from November 17th, 2014 to November 17th, 2015 on a non-probability purposive sample of 64 nurses who worked at emergency reception department of three emergency hospitals. The questionnaire was constructed for data collection which consisted of two parts; part I of the questionnaire included demographical characteristics of nurses and part II contained an observational checklist that consists of 24 items of nurses' wound dressing practice. Data were collected through the direct observant approach and analyzed through the application of descriptive analysis measures (frequencies and percentages) and inferential statistical analysis (chi-square and Fisher's exact test).

Results: Majority (65.6%) of nurses’ wound dressing practices were at the medium level of practice and minority (34.4%) were at high level. The highest steps practiced was with irrigation and dressing items (1.61), and lowest with the discard wound dressing supplies items (0.79). There was no significant association between the wound dressing practice and nurses’ chararacteristics of age, gender, educational level, years of experience and training participation (P = 0.51, 0.609, 0.54, 0.21 and 0.78, respectively).

Conclusion: The overall nurses’ wound dressing practice was suboptimal and not impressive and the worse practice with items related to wound dressing infection control practice.

Keywords: Assessment; Wound dressing; Emergency Hospital.


Reference

1. Tissue Viability Specialists (TVS). Clinical Protocol for Wound Management and Wound Management Standards: Clinical Policies and Procedures Group; 2013. Accessed Aug 12, 2015 at: http://www.wirralct.nhs.uk.

2. Atiyah H, Khudhur KH, Hasan S. Evaluation of nurses' practices toward postoperative wound dressing in surgical wards. Iraq Natl J Nursing Specialties 2012; 25(1):29-39.

3. Perry A,Pottor P,OstendorfW.Clinical nursing skills and techniques.8thed.St. Louis; Mosby;2014. Accessed Oct 16, 2014 athttp://www.elsever.com.

4. Steror A, lindauer C, Proehl J, Barnason S, Brim C, Crowley M, et al.Clinical practice guideline. Wound preparation full version. Emergency Nurses Association; 2011. Accessed Sep 14, 2014 at: http://www.ena.org/practiceresearch.

5. Matias E. First Aid Management of Skin Injuries; First Aid Re-Certifications; 2014.Accessed Jun28, 2014 at: http://firstaidrecert.com.

6. Bader R,Kadhim Y. Evaluation of nurses' practices toward orthopedic wound infection. Iraq Natl J Nursing Specialties 2012; 25 S:58-70.

7. Australian Wound Management Association .Pan Pacific Clinical Practice Guideline for the Prevention and Management of Pressure Injury, Abridged Version, AWMA; Cambridge Publishing, Osborne Park 2012 (27).

8. Sardina D. Is your wound cleansing Practice up to date; Best practices. Wound Care Advisor 2013(2):3.

9. Pamela L. Taylor. Clinical nursing skills, 3rd edition, Wolters Kluwer, Lippincott Williams and Wilkins, Philadelphia; 2012. P. 60-6.

10. Word health organization (WHO). Practical Guidelines for Infection Control in Health Care Facilities; New Delhi: SEARO Regional Publication No. 41 WPRO Regional Publication. 2004

11. Ben Saoud I, Elsour I, Elbargathi A, Elmarak A, Ali E. Knowledge Attitudes and Practices of Health Care Workers in Benghazi, Libya towards Post Exposure Prophylaxis for HIV.Ibnosina J Med BS 2013; 5(6):318-23.

12. Sickder H. Nurse’s knowledge and practice regarding prevention of surgical site infection in Bangladesh, MSc. Thesis. SongklaUniversity, College of Nursing. Bangladesh; 2010. available at: http://kb.psu.ac.th.

13. KizzaI B, Muliira JK. Nurses’ knowledge and practices related to pain assessment in critically ill adultpatients.International Nursing Review. International Council of Nurses. Research Gate; 2015. Available at: https://www.researchgate.net.

14. Famakinwa T, Bello B, Oyeniran Y, Okhiah O, Nwadike R . Knowledge and practice of post-operative wound infection prevention among nurses in the surgical unit of a teaching hospital in Nigeria. International Journal of Basic, Applied and Innovative Research IJBAIR 2014, 3(1):23-8.

15. Perry AG, Potter PA, Ostendorf W. Clinical Nursing Skills and Techniques8: Clinical Nursing Skills and Techniques. Elsevier Health Sciences 2006:1264.

16. Nonino EA, Anselmi ML, Dalmas JC. Quality assessment of the wound dressing procedure in patients at a university hospital. Rev Lat Am Enfermagem 2008; 16(1):57-63.

17. Saskatoon health region. Wound irrigation and packing, Policies and Procedures, Saskatoon City Hospital Royal University Hospital, nursing, 2013. Accessed July 3, 2015 at: https://www.saskatoonhealthregion.ca.

18. Labrague LJ, Arteche DL, Yboa BC, Pacolor NF. Operating Room Nurses’ Knowledge and Practice of Sterile Technique. J Nurs Care 2012; 1:4.

19. John M. Wound dressing practices, Nurs India J 2002; (93):8.