Pressure ulcers and incontinence-associated dermatitis: effectiveness of the Pressure Ulcer Classification education tool on classification by nurses.
BACKGROUND
Previous studies report that pressure ulcer classification and differentiation from incontinence associated dermatitis are difficult. Incorrect classification and differentiation result in incorrect prevention and treatment. Education is important to spread evidence-based insights about this topic and to improve classification skills.


OBJECTIVE
To assess the effectiveness of the Pressure Ulcer Classification (PUCLAS) education tool. PUCLAS was developed by the PUCLAS Workgroup of the European Pressure Ulcer Advisory Panel.


METHODS
Randomised controlled trial.


METHODS
A convenience sample of 1217 Belgian, Dutch, British and Portuguese nurses.


METHODS
Correct classification of pressure ulcer photographs and differentiation from photographs of incontinence-associated dermatitis.


RESULTS
Baseline, 44.5% of the photographs were classified correctly. In the post-test, the results in the intervention group were significantly higher (63.2%) compared with the control group (53.1%; p<0.001). The percentage of correct assessments of incontinence associated dermatitis (IAD) was 70.7% in the intervention group and 35.6% in the control group (p<0.001). The skill to differentiate IAD from pressure ulcers was significantly associated with the experimental intervention (OR 4.07, 95% CI 3.21 to 5.15, p<0.001).


CONCLUSIONS
The PUCLAS tool improved pressure ulcer classification and IAD differentiation significantly.
Beeckman
Dimitri
D
Department of Public Health, Ghent University, Gent, Belgium. dimitri.beeckman@ugent.be
Schoonhoven
Lisette
L
Fletcher
Jacqui
J
Furtado
Katia
K
Heyman
Hilde
H
Paquay
Louis
L
De Bacquer
Dirk
D
Defloor
Tom
T
D000328:Adult; D003872:Dermatitis / Q000145:classification* / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009740:Nursing Staff / Q000193:education*; D003668:Pressure Ulcer / Q000145:classification*; D014549:Urinary Incontinence / Q000150:complications*; D055815:Young Adult