Assessing Nursing Practices Regarding Standard Approaches on Post-Operative Wound Care Dressing
Background and Objective: Post-operative delay wound dressing causes a wound contamination or delay wound healing process. Wound leakage and smell produce acute wounds changed into chronic wound conditions. This study assessed the nursing practices regarding standard approaches used for post-operative wound dressing and its care.
Materials and Methods: A cross-sectional observational study designed with study population n = 150 in female nurses of two intensive care units and three surgical wards units: I-II-III. Data was collectedusing an adopted, observation checklist. Reliability tested by Cronbach alpha, 0.92. The mean scorewas categorized following rules, less than (1.5) was considered low (L), from (1.5-2.5) considered moderate (M), and greater than (>2.5) was considered high (H).
Results: The results indicated that 55.3% of nurses had 32 – 38 of age and 48.7% were BS nursing education. According to the mean score majority of nurses had medium (M) and low (L) wound dressing practices observed. Plaster not present (52%) during dressing. 73.3% of nurses had not ensured privacy. The commonpractices were found, no handwashing before and after wound dressing.
Conclusion: The majority of the nurses were not following the standardized wound dressing checklist. According to the study, findings recommended the education sessions, seminars, frequent departmental observation, and psychomotor simulation practices that need to be discussed with clinical professionals.
2. BaMohammed A, Mohidin S, George B, Al-Aidarous S. An Observational Study on Wound Dressing Performance among Nurses in Adult Units.
3. Beitz JM, Van Rijswijk L. A cross-sectional study to validate wound care algorithms for use by registered nurses. Ostomy/wound management. 2010 Apr 1;56(4):46.
4. Boga SM. Nursing Practices in the Prevention of Post-Operative Wound Infection in Accordance with Evidence-Based Approach. International Journal of Caring Sciences. 2019 May 1;12(2):1228.
5. Ding S, Lin F, Marshall AP, Gillespie BM. Nurses' practice in preventing postoperative wound infections: an observational study. Journal of wound care. 2017 Jan 2;26(1):28-37.
6. Harper. (2020). Collin dictionary. Com. Retrieved from [February 18, 2020].
7. Hegarty J, Howson V, Wills T, Creedon SA, Mc Cluskey P, Lane A, Connolly A, Walshe N, Noonan B, Guidera F, Gallagher AG. Acute surgical wound‐dressing procedure: Description of the steps involved in the development and validation of an observational metric. International wound journal. 2019 Jun;16(3):641-8.
8. Lindholm C, Searle R. Wound management for the 21st century: combining effectiveness and efficiency. International wound journal. 2016 Jul;13:5-15.
9. Lindsay E, Renyi R, Wilkie P, Valle F, White W, Maida V, Edwards H, Foster D. Patient-centred care: a call to action for wound management. Journal of wound care. 2017 Nov 2;26(11):662-77.
10. Malik AZ. Surgical site infections after elective surgery in Pakistan: Surgipak Study. Journal of Rawalpindi Medical College. 2015 Dec 30;19(3):209-14.
11. Mccluskey P, Mccarthy G. NURSES'KNOWLEDGE AND COMPETENCE IN WOUND MANAGEMENT. Wounds UK. 2012 Jun 1;8(2).
12. Mwakanyamale AA. Nursing practice on post operative wound care in surgical wards at Muhimbili Nationa Hospital, Dar-es-salaam, Tanzania (Doctoral dissertation, Muhimbili University of Health and Allied Sciences.).
13. Pickering D, Marsden J. Techniques for aseptic dressing and procedures. Community eye health. 2015;28(89):17.
14. Sattar F, Sattar Z, Mohsin Zaman SA. Frequency of post-operative surgical site infections in a Tertiary care hospital in Abbottabad, Pakistan. Cureus. 2019 Mar;11(3).
15. Ubbink DT, Brölmann FE, Go PM, Vermeulen H. Evidence-based care of acute wounds: a perspective. Advances in wound care. 2015 May 1;4(5):286-94.
16. Welsh L. Wound care evidence, knowledge and education amongst nurses: a semi‐systematic literature review. International wound journal. 2018 Feb;15(1):53-61.
Copyright (c) 2020 Pakistan Journal Of Neurological Surgery
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.