Effect of Preventive Bundle Care on Nurses' Knowledge, Compliance and Patients' Outcome Regarding Pressure Ulcer in the Intensive Care Unit

Abstract

Contents: The critical care services had the highest pressure-ulcer rates. Bundle care incorporates those best practices that, if done in combination, are likely to lead to better outcomes.
Aim: Evaluate the effect of preventive bundle care on nurses' knowledge, compliance, and patients' outcome regarding pressure ulcers in the intensive care unit.

Methods: Quasi-experimental design was used to achieve the aim of this study. The study was conducted at the intensive care unit at Benha Teaching Hospital. All available nurses (30) and a purposive sample of adult patients (85) were recruited in this study. Three tools were used; an interview questionnaire sheet for nurses to assess nurses' knowledge regarding pressure ulcer prevention, the pressure-ulcer prevention bundle compliance checklist which is used for assessing nurses' compliance, and patients' assessment records.

Results: The study revealed that (36.7%) of nurses were in the age category (20-<25 years old), (90%) females, and (46.7%) had experienced more than seven years. Regarding total nurses' knowledge level and compliance pre/post-intervention, there was a highly statistically significant difference (p=0.000). Concerning patients' outcomes, there are statistically significant differences between the control and study groups observed at (P<0.05).

Conclusion: there was a statistically significant improvement in nurses' knowledge and their compliance after implementing bundle care. Also, there were statistically significant improvements in patients' risk, including reducing the incidence of risk of pressure ulcers in the study group than patients in the control group. The study recommends preventive pressure ulcer bundle guidelines should be revised and be available in adult intensive care units in both Arabic and English language. Also, it is essential to provide continuous education and training sessions for nurses about pressure ulcer prevention by applying preventive bundle guidelines to improve their compliance.