Abstract

Background and purpose: Wound care can vary among all health care providers, which is why it is important to limit practice variations by using clinical decision-making support tools. Education for wound care is very limited among health care providers, and the purpose of the paper is to examine if confidence and perceptions among nurses increases when using a clinical decision support tool for wound care management.

Methods: The clinical decision-making tool, recognized as the TIME CDST, focuses on tissue, inflammation/infection, moisture balance and edges of the wound to properly manage wound care patients. An education session was recorded for day shift nurses prior to the implementation of using the tool, and then was utilized for a period of 6 weeks in a critical access hospital. The perceptions and confidence levels among the nurses were measured using a Likert-style questionnaire prior to the education session and after completing the 6-week implementation period.

Conclusion: The 5-point Likert style questionnaire was self-reported as (1 = strongly disagree, 2 = disagree, 3 = agree nor disagree, 4 = agree, 5 = strongly agree) on statements regarding confidence and perceptions of various components of wound care. Overall, there were improved responses on the post survey related to tissue identifiability, type of wound, and appropriate dressing selection after using the TIME CDST model. Although the sample size was small, an average of 21.5% increase was noted in the nurse's responses on confidence and knowledge after the 6 weeks of implementation.

Author Details

Author: Candice Schnoor, DNP-S, BSN, RN, FNP-S; Co Author: Dr. Valerie Anderson, DNP, MSN-Ed, APRN, FNP-C

Sigma Membership

Tau

Lead Author Affiliation

Nebraska Methodist College, Omaha, Nebraska, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

Qualitative Research

Keywords:

Wound Care, Perceptions, Confidence, Clinical Decision-Making Tools, Wound Care Education, Wound Care Management, Would Care Support

Advisor

Anderson, Valerie

Degree

DNP

Degree Grantor

Nebraska Methodist College

Degree Year

2022

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Full Text of Presentation

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