Identification of Staff RN's Ability to Assess Community Acquired Pressure Ulcers Among Ethnically Diverse Patients: Hispanics and African-American Utilizing Simulation
Repository Posting Date2012-01-11T11:09:50Z
Author DetailsKatherine Ricossa, RN, MS
(41st Biennial Convention) Background and Significance: In the United States, regulatory agencies are required to be notified when a patient exhibits a stage 2 pressure ulcer. Without initial identification of this community acquired pressure ulcer upon admission, it will be considered hospital acquired. Therefore, the�hospital will then need to assume care and cost to manage and treat this pressure ulcer. Method: The method a randomized, cross over trial was conducted. A convenience sample of 72 RNs participated in this study. A baseline, each RN performed an admission assessment on 2 simulated patients with dark pigmented skin with pressure ulcers on bony prominences and devices. After that education was conducted, another assessment occurred using the�opposite mannequin.�The number of pressure ulcers was to be identified for baseline and after the treatment (education). Results: Paired T Tests compared results from morning to afternoon. Also, there was a comparison between Hispanic and African American mannequins.�The number of pressure ulcers identified between the AM and PM session improved slightly. However, the�paired t-test indicates that results were�statistically significant between comparisons. Implications: -Providing education for assessing ethnically diverse patient population with medical devices should be part of initial and ongoing training for all staff nurses. -A follow up study should be conducted several months after the initial study. -This small study demonstrated that further research needs to be conducted where there are patient populations that are not culturally diverse. -The ethnic diversity of our nurses reflects our patient population, thus assessment of dark pigmentation did not make a difference. -Device use is very high within the hospital system and nurses must assess underneath each device to prevent�potential harm.