Evidence-Based Practice for Pressure Ulcer Prevention Among Perioperative Nurses

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Pranee Thepchai
Kanittha Naka
Ratjai Vachprasit


This descriptive study aimed to examine level of evidence-based nursing practice to prevent pressure ulcers during surgery of perioperative nurses, as well as to identify the incidence of pressure ulcers in patients undergoing surgery at a tertiary care hospital in the south of Thailand. Data were collected from 110 patients and 41 perioperative nurses. The instruments of the study included observation form and the self-report questionnaire regarding evidence-based nursing practices to prevent pressure ulcers during surgery
of perioperative nurses, and pressure ulcer assessment form. The scale-level content validity index (SCVI) of these instruments was 1. The reliability of the observation form, the self-report questionnaire regarding evidence-based nursing practices to prevent pressure ulcers, and pressure ulcer assessment form was .87, .87 and 1, respectively. Data were analyzed using descriptive statistics.
The results showed that the level of evidence-based nursing practice to prevent pressure ulcers during surgery of perioperative nurses was at a good level. However, the incidence of pressure ulcers immediately after surgery was 3.6%. There was no increase in incidence of pressure ulcers within 24 hours after surgery.
These findings indicated that although nursing practice for preventing pressure ulcers in patients undergoing surgery is at a good level, an incidence of pressure ulcers could be occurred. Therefore, further studies to find out best practices for pressure ulcer prevention among patients undergoing surgery are required.


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Thepchai, P., Naka, K., & Vachprasit, R. (2018). Evidence-Based Practice for Pressure Ulcer Prevention Among Perioperative Nurses. Songklanagarind Journal of Nursing, 38(3), 38–51. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/148293
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