Nursing Education, Training and Practice in the Prevention of Ulcers in Adults over 60 Years of Age: A Quasi-Experimental Study

Abstract

The purpose of this article is to evaluate the effectiveness of the implementation of the methodology of NANDA NIC NOC Nursing, and the effectiveness of the Norton Scale in the prevention of ulcers in patients 60 years or older admitted by the emergency room area in a hospital in Puerto Rico and suggest the implementation of a protocol of a preventive nature on from the professionals in Nursing with the support of relatives and caregivers. Our research was completed applying a quasi-experimental methodology. The population and the sample are two hospitals (Hospital A-Experimental Group and Hospital B-Control Group). For each hospital a sample of 20 nurses (Total 40) and 40 patients (Total 80) were included, for a general total of 120 participants. The design is quasi-experimental. The analysis was performed with SPSS-version 20 for descriptive and inferential statistics. The GE Nursing staff reflected optimal use of the NANDA NIC NOC and Norton Scale methodology for the prevention of PPU in a 24-hour period in patients admitted to the emergency room. The process of documentation of interventions for skin assessment; postural change, examination and skin hygiene and pressure relief device was evident. No development of pressure ulcers was reported in patients with EG. The GC protocol for Staging Ulcer Management integrates valuable information; however, the results show that it is not consistently used by nursing staff to document interventions with patients admitted to the emergency room. Key-words: Nursing Competencies, Nursing Education; Ulcer Prevention Family; Continuing Education; Nursing Professionals. a Metropolitan University (SUAGM, Puerto Rico-United States). b University of Málaga (Spain). Correspondence: Mary Nelly Soto Malavé, Universidad Metropolitana, PO Box 21150, San Juan, PR 00928 (Puerto Rico). sotom2@suagm.edu. Mary Nelly Soto Malavé, Alfonso García Guerrero, José A. Cervera Marín & Zaida Vega Lugo Peinado, International Journal of Educational Excellence, (2018) Vol. 4, No. 1, 29-62. ISSN 2373-5929 DOI: 10.18562/IJEE.032