Authors (including presenting author) :
YU YT(1)
Affiliation :
(1)Medicine and rehabilitation, Tung Wah Eastern Hospital
Introduction :
Medical device-related pressure injuries (MDRPIs) are becoming increasingly common across all healthcare system. In orthopedic unit, the use of medical devices such as braces, casts and anti-embolic stockings is common, which poses chances of developing MDRPIs. Prevention of development and potential complications of MDRPIs is crucial in nursing care.
Objectives :
1)To increase nurse awareness over MDRPI 2)To enhance prevention and management of MDRPI, which in turn reduces the incidence of MDRPI in orthopedic rehabilitation unit. 3)To enhance the quality of nursing care
Methodology :
The program engaged 20 nurses in orthopedic rehabilitation wards between May 13 and May 27, 2024. The training program was delivered by online educational videos and divided into 4 modules: 1) Definition, etiology, prevalence and incidence, health care impact, 2) Risk factors and related assessment, 3) MDRPI assessment and management, 4) Prevention strategies. The effectiveness of the program was evaluated through 10-question quiz measuring knowledge and self-rating competency questionnaire evaluating competency across five domains related to MDRPIs. Both assessments were administered pre- and post-program. Compliance with prevention measures was monitored monthly during ward rounds, focusing on patients utilizing medical devices to ensure appropriate nursing care for MDRPI prevention and management.
Result & Outcome :
From June to December 2024, there was no reported incidents of MDRPI in orthopedic rehabilitation wards. Training for 20 nurses resulted in a significant increase in knowledge, with average pre- and post-test scores rising from 6.65 to 9.15 (Increasing 37.6%), demonstrating the positive impact of the training material. Overall competency scores also improved from 3.04 to 4.33 (Increasing 42.4%), reflecting enhanced skills and confident in staging, risk identification, wound assessment, management, and prevention of MDRPIs. Compliance with prevention measures was satisfactory, reflecting increased nurse vigilance in managing MDRPIs among patients with orthoses. Although the training effectively addressed knowledge gaps, the small sample size necessitates further research with larger cohorts.
