Journal of Korean biological nursing science · 2025
[Home health care advanced practice nurses' ability to visually differentiate pressure injuries and incontinence-associated dermatitis in Korea: a cross-sectional study].
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Choi Sun-Young, Park Seungmi
Аннотация
PURPOSE: This descriptive survey aimed to identify factors influencing home health care advanced practice nurses' ability to visually differentiate between pressure injuries (PIs) and incontinence-associated dermatitis (IAD).
METHODS: The study included 157 home health care advanced practice nurses currently employed at medical institutions nationwide. Data were collected from July 20 to November 5, 2024. Instruments consisted of a PI-IAD knowledge assessment tool (19 items) and a PI-IAD visual differentiation evaluation tool (21 images and related information).
RESULTS: Participants achieved an average score of 14.86 ± 2.06 out of 19 on the PI-IAD knowledge scale. The mean score for visual differentiation ability was 13.20 ± 4.15 out of 21. A significant positive correlation was found between PI-IAD knowledge and visual differentiation ability (r = .52, p < .001). Multiple regression analysis identified PI-IAD knowledge, age under 40 years, clinical experience of 10~20, 20~30, or over 30 years, and employment in clinics or general hospitals as significant predictors of visual differentiation ability. These variables explained 39% of the variance (F = 8.81, p < .001).
CONCLUSION: Home health care advanced practice nurses demonstrated difficulty visually distinguishing between pressure injury stages and IAD. Therefore, practice-based educational programs are needed to improve anatomical understanding and visual discrimination skills.
METHODS: The study included 157 home health care advanced practice nurses currently employed at medical institutions nationwide. Data were collected from July 20 to November 5, 2024. Instruments consisted of a PI-IAD knowledge assessment tool (19 items) and a PI-IAD visual differentiation evaluation tool (21 images and related information).
RESULTS: Participants achieved an average score of 14.86 ± 2.06 out of 19 on the PI-IAD knowledge scale. The mean score for visual differentiation ability was 13.20 ± 4.15 out of 21. A significant positive correlation was found between PI-IAD knowledge and visual differentiation ability (r = .52, p < .001). Multiple regression analysis identified PI-IAD knowledge, age under 40 years, clinical experience of 10~20, 20~30, or over 30 years, and employment in clinics or general hospitals as significant predictors of visual differentiation ability. These variables explained 39% of the variance (F = 8.81, p < .001).
CONCLUSION: Home health care advanced practice nurses demonstrated difficulty visually distinguishing between pressure injury stages and IAD. Therefore, practice-based educational programs are needed to improve anatomical understanding and visual discrimination skills.