The Role of Nurses in Preventing and Managing Pressure Ulcers in Long-Term Care Facilities
DOI:
https://doi.org/10.69980/ajpr.v28i5.566Keywords:
.Abstract
Background: Pressure ulcers, or bedsores, are a significant concern in long-term care facilities (LTCFs), where residents often experience prolonged immobility and other risk factors. Nurses play a pivotal role in preventing and managing these ulcers, yet challenges such as staffing shortages and limited resources hinder optimal care. This study examines the knowledge, practices, and challenges faced by nurses in LTCFs regarding pressure ulcer prevention and management.
Methods: A descriptive, cross-sectional study was conducted across three LTCFs, involving 150 nurses and 100 residents. Data were collected over three months using nurse surveys, resident medical record reviews, semi-structured interviews with nurses, and direct observations of care practices. Quantitative data were analyzed using descriptive statistics, while qualitative data underwent thematic analysis to identify key themes.
Results: The majority of nurses (90%) were familiar with the Braden Scale, and 93% conducted regular skin assessments. However, only 78% were aware of the latest evidence-based practices. Among residents, 45% had pressure ulcers, with Stage II ulcers being the most common (40%). Repositioning (98%) and pressure-relieving devices (92%) were widely used and deemed effective, but challenges included insufficient staffing (80%), lack of advanced training (60%), and limited access to resources (50%).
Conclusion: While nurses demonstrate strong foundational knowledge and employ effective interventions, systemic barriers such as staffing shortages and gaps in advanced training impede optimal pressure ulcer care. Addressing these challenges through enhanced education, resource allocation, and institutional support is critical to improving outcomes for LTCF residents.
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