+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Exploring the Effect of Educating Certified Nursing Assistants on Pressure Ulcer Knowledge and Incidence in a Nursing Home Setting

Exploring the Effect of Educating Certified Nursing Assistants on Pressure Ulcer Knowledge and Incidence in a Nursing Home Setting

Ostomy/Wound Management 62(9): 42-50

The certified nursing assistant (CNA) is the caregiver who frequently identifies the first signs and symptoms of pressure ulcers (PUs) in the long-term care setting. A quality improvement effort was implemented to explore the effect of a 1-hour CNA education program about early identification, treatment, and prevention of PUs on PU knowledge, PU incidence, and PU prevention interventions, including skin checks. All 33 CNAs employed in a care facility for residents 55+ years old were invited to participate. CNA demographic and PU education variables were obtained. PU knowledge was assessed using the Pressure Ulcer Toolkit questionnaire before, immediately after, and 3 months following the educational intervention about PU prevention. PU incidence data were abstracted from monthly quality assurance reports for the 3 months pre-intervention and 3 months post intervention. Patient medical records were mined for data on turning/repositioning, skin checks, and informing care staff of suspicious areas of skin for the 3 months pre- and post educational intervention. Data for percent of short-stay residents (< 90 days) with PUs were collected via the quarterly Medicare Nursing Home Compare Quality Measures report for this facility before and 3 months after the educational intervention. Pre-intervention and post-intervention PU incidence was statistically analyzed using the t-test. The CNA demographic survey was administered using an anonymous pencil-and-paper format and hand-tabulated by the primary investigator. Of the 31 CNAs surveyed (mean age 32 years [range 18-65], mean years of experience 7.7 years [SD = 8.1, range 0.5-40], 26 (84%) reported they received training regarding PU prevention in the classroom during their initial CNA training, and 81% received on-the-job training at some point in their careers regarding PU prevention. The Quality Indicator report showed a reduction from 5 PUs to 0 (12.3%) in the 3 months pre-intervention to 0% in the 3 months post-intervention. CNA reporting of skin breakdown increased by 68% from 8 reports to 17. CNA training regarding PU identification and prevention measures did not significantly improve knowledge scores, but the rate of PU development was significantly lower and the number of documented skin assessments and PU interventions higher after the education program. Additional studies to evaluate the effect of CNA education on the rate of PU development in nursing homes are warranted.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 057839164

Download citation: RISBibTeXText

PMID: 27668479

Related references

Work autonomy of certified nursing assistants in long-term care facilities: discrepant perceptions between nursing supervisors and certified nursing assistants. Journal of the American Medical Directors Association 12(7): 524-534, 2011

Association between the Nursing Home Minimum Data Set for Vision and Vision-Targeted Health-Related Quality of Life in Nursing Home Residents As Assessed by Certified Nursing Assistants. Journal of Optometry 2(3): 148-154, 2009

Prognosis of the need for nurses, nursing assistants and nursing home assistants up to 1992: social administration expects a tenfold increase in nursing home assistants. Sygeplejersken 81(37): 14-16, 1981

Educating nursing assistants to communicate more effectively with nursing home residents with dementia. Gerontologist 39(5): 546-558, 1999

Nursing home practices following resident death: the experience of Certified Nursing Assistants. Geriatric Nursing 36(2): 120-125, 2016

Certified nursing assistants' explanatory models of nursing home resident depression. Western Journal of Nursing Research 30(6): 653-672, 2008

Teaching communication skills to nursing home certified nursing assistants. Geriatric Nursing 24(3): 178-181, 2003

Certified Nursing Assistants' Understanding of Nursing Home Residents' Pain. Journal of Gerontological Nursing 44(4): 29-36, 2018

Iowa certified nursing assistants study: self-reported ratings of the nursing home work environment. Research in Gerontological Nursing 1(2): 87-96, 2008

Educating certified nursing assistants educational offerings on the run and more. Journal for Nurses in Professional Development 30(6): 296-302, 2016

The introduction of a nursing guideline on depression at psychogeriatric nursing home wards: effects on certified nurse assistants. International Journal of Nursing Studies 48(6): 710-719, 2011

Perceived barriers to infection prevention and control for nursing home certified nursing assistants: a qualitative study. Geriatric Nursing 36(5): 355-360, 2017

Pilot Testing a Coaching Intervention to Improve Certified Nursing Assistants' Dressing of Nursing Home Residents. Research in Gerontological Nursing 10(6): 267-276, 2018

Certified nursing assistants' perceptions of nursing home patient safety culture: is there a relationship to clinical outcomes?. Journal of the American Medical Directors Association 10(1): 11-20, 2009

The pain experience of cognitively impaired nursing home residents: perceptions of family members and certified nursing assistants. Pain Management Nursing 5(3): 118-125, 2004