Abstract

This study investigates the knowledge and practices of student nurses regarding the management of pressure ulcers in bedridden patients at Mount Mary Hospital, Buea, Cameroon. Pressure ulcers, or bedsores, are a significant concern in healthcare, especially for patients with limited mobility. Effective prevention and management of pressure ulcers require proper training and practical skills in wound care, patient repositioning, and skin integrity monitoring. This research aims to assess the level of knowledge student nurses have about pressure ulcer management, the methods they employ in caring for bedridden patients, and any gaps in their skills or understanding that may impact patient outcomes.

A cross-sectional study design was employed, targeting a sample of 100 student nurses at Mount Mary Hospital. Data collection involved the use of structured questionnaires and observational checklists focusing on knowledge of pressure ulcer stages, risk factors, prevention strategies, and treatment practices. Semi-structured interviews were also conducted with a subset of participants to gain qualitative insights into their clinical experiences and challenges in managing pressure ulcers. Analysis considered factors such as academic level, clinical exposure, and frequency of interaction with bedridden patients.

Findings reveal that 70% of the respondents have a moderate understanding of pressure ulcer risk factors, with 55% able to identify the stages of ulcer development accurately. However, only 40% reported regular use of preventive practices such as frequent repositioning of patients or use of pressure-relieving devices. The study also found that students often rely on limited practical skills due to minimal clinical exposure, which affects their ability to implement comprehensive care plans. Challenges noted include inadequate supervision, lack of access to specialized wound care supplies, and time constraints due to heavy workloads.

The study concludes that while student nurses possess basic knowledge about pressure ulcer management, there are notable gaps in practice, largely due to limited clinical experience and resources. Addressing these gaps will require targeted educational programs focused on pressure ulcer management, increased clinical practice opportunities, and access to appropriate wound care tools. Regular workshops, supervised practical sessions, and integration of pressure ulcer care into the nursing curriculum could significantly improve student nurses’ proficiency in managing pressure ulcers, ultimately benefiting patient care quality.

Keywords: Pressure ulcers, student nurses, knowledge, practices, bedridden patients, Mount Mary Hospital, Cameroon.