[Clinical nurses' knowledge and visual differentiation ability in pressure ulcer classification system and incontinence-associated dermatitis].
OBJECTIVE
This study was done to compare clinical nurses' knowledge and visual differentiation diagnostic ability for the pressure ulcer classification system (PUCS) and incontinence-associated dermatitis (IAD).


METHODS
A convenience sample of 602 nurses took the pressure ulcer classification system and incontinence-associated dermatitis knowledge test (PUCS & IAD KT) and completed the visual differentiation tool (VDT), consisting of 21 photographs with clinical information.


RESULTS
The overall mean score for correct answers was 14.5 (±3.2) in PUCS & IAD KT and 11.15 (±4.9) in PUCS & IAD VDT. Incorrect responses were most common for statements related to stage III, IAD for PUCS & IAD KT, and suspected deep tissue injury (SDTI), unstageable, and stage III for PUCS & IAD VDT. Significant correlations were found between PUCS & IAD KT and VDT (r=.48, p<.001). Factors affecting scores for PUCS & IAD VDT were PUCS & IAD KT, frequency of pressure ulcer, IAD management and participation in wound care education programs.


CONCLUSIONS
Results indicate that nurses have an overall understanding of PUCS & IAD, but low visual differentiation ability regarding stage III, SDTI, and unstageable ulcers. Continuing education is needed to further improve knowledge and visual differentiation ability for PUCS & IAD.
Department of Nursing, Severance Hospital, Seoul, Korea.
Yun Jin
YJ
Lee
Seungmi
S
Park
Jung Yoon
JY
Kim
Chul Gyu
CG
Kim
Sun Kyung
SK
Cha
D000328:Adult; D003872:Dermatitis / Q000145:classification* / Q000150:complications / Q000473:pathology; D004496:Education, Continuing; D004521:Educational Measurement; D005242:Fecal Incontinence / Q000150:complications; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009726:Nurses / Q000523:psychology*; D003668:Pressure Ulcer / Q000145:classification* / Q000473:pathology; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000150:complications
Dermatitis; Knowledge; Nurses; Pressure ulcer