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Title: Pressure ulcer prevalence in critically ill patients : a descriptive comparative study of the impact of nursing care and hospitals' facilities on pressure ulcer prevalence in Jordanian intensive care units
Author: Awamleh, Rana Abdalfattah Kasim
ISNI:       0000 0004 2743 3439
Awarding Body: University of Sheffield
Current Institution: University of Sheffield
Date of Award: 2012
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Background: Pressure ulcers remain a serious problem in intensive care units in Jordan. There is very limited literature about this topic and the relationship between pressure ulcer prevalence, the quality of care and the availability of hospitals' facilities. Therefore, this study will investigate the pressure ulcer prevalence rates in Jordan and examine whether they are related to poor nursing care or the quality and availability of the hospitals' facilities. Aims and Objectives: This study aimed to investigate and compare pressure ulcer period prevalence within and between government and private Jordanian hospitals, measure the patients' dependency levels, assess the nurses' knowledge regarding pressure ulcer prevention measures, and evaluate the availability of the hospitals' facilities and caring strategies towards pressure ulcers. Design and methods: A quantitative approach was adopted using a descriptive cross-sectional comparison design and a prospective cross-sectional comparison design. A convenience sample of 637 critically ill patients and 115 registered nurses in the ICUs was used. The data were collected in six Jordanian hospitals within 5 months using several questionnaires and patient observation. Data analysis included a variety of non-parametric tests and aimed to test the proposed hypotheses and interpret the findings. Findings: The overall pressure ulcer prevalence was 13%. Pressure ulcer prevalence was higher in government than in private hospitals, and there was no significant difference between the two hospitals regarding the patients' dependency levels. Furthermore, the nurses' knowledge was better in private hospitals than in government hospitals, particularly regarding the non-useful measures. In addition, private hospitals were better and more advanced than government hospitals in terms of the availability and applicability of most pressure ulcer management facilities and strategies. In conclusion, there was a relationship between pressure ulcer prevalence and nurses' knowledge and the availability of hospitals' facilities and caring strategies. Key words: pressure ulcers, prevalence, nurses' knowledge, health care facilities, quality of care, quality indicators, nurses, causes, assessment, prevention, treatment, critically ill patients, intensive care units.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available