Home⇛Asia Pacific Journal of Allied Health Sciences⇛vol. 6 no. 2 (2023)

Gap Analysis in the Implementation of Standards of Care for Pressure Ulcers Prevention Utilizing Braden Scale

Nor-Ain S. Panondi | Maria Jocelyn B. Natividad

Discipline: healthcare science (non-specific)

 

Abstract:

Despite the advances in nursing care, pressure ulcer remains one of the major concerns among health care facilities in Saudi Arabia. This study investigated the barriers and challenges in the implementation of standards of care for pressure ulcer (PU) using Braden Scale. Convergent parallel mixed-method research was utilized to specifically assessed the nurses’ knowledge, practices and attitude in risk assessment and management of pressure ulcer; and lastly determined the challenges and barriers in the implementation of care. Purposive sampling was used to recruit 108 participants for quantitative and 5 informants for the qualitative data. Preventing Ulcers in the Hospital using Braden Scale was the main instrument in quantitative part while interviews were conducted to gather qualitative data. Descriptive statistics were used to analyze the quantitative data, while thematic analysis was utilized for the qualitative. Results reveal that nurses are knowledgeable on Braden scale, and they apply it in clinical practice. While they perceived that heavy workload, understaffing, shortage of resources and uncooperative patients and family members are the barriers and challenges that they experienced the most in the implementation of risk assessment and management of pressure ulcer. It was supported by the emerging themes: awareness on risk assessment and pressure ulcer management, cooperative efforts among health care providers, patient involvement in pressure ulcer prevention and barrier to prevention and management. Regardless of how nurses exert effort, there are still barriers and challenges that hinder prevention and management like patient cooperation, disease condition, scarcity of resources, and understaffing.



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