What factors influence clinical nurses' self-efficacy after wound care training? A scoping review

Published: 9 September 2024
Abstract Views: 737
PDF: 235
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

The inadequate management of wounds carries significant implications for patients and challenges clinical nurses. Consequently, there is a need for wound care training to enhance self-efficacy. However, despite participation in such training, nurses often need more practical experience and educational background to exhibit higher confidence levels. This results in a deficiency in self-efficacy when performing wound care. This study aims to amalgamate literature discussing the determinants influencing self-efficacy and present strategies for clinical nurses to enhance it after wound care training.
The article search utilized the PRISMA method, with searches conducted in Google Scholar, Proquest, Science Direct, and Pubmed databases. Sixteen articles met the specified inclusion criteria, which required English-language articles published within the last five years (2018-2023) discussing factors affecting clinical nurse self-efficacy after wound training.
Various factors, including competence, social support, and self-motivation, influence wound nurses' self-efficacy. Competence factors encompass structured training and education, while social support involves sharing experiences and engaging in case reflection. Additionally, motivational factors play a significant role, such as reinforcing values and attitudes when facing obstacles and maintaining the belief that nurses can effectively adhere to wound care standards. Enhancing self-efficacy includes improving competencies through standardized wound training, increasing educational opportunities, self-experience, social persuasion support, sharing experiences, high self-motivation, and managing emotions when assessing one's ability to achieve goals successfully.
Professional development programs designed to provide structured training for nurses have enhanced their competencies, social support, and motivation, strengthened holistic wound care clinical skills and improved self-efficacy. Therefore, exploring additional factors that may further contribute to this positive outcome is advisable.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Al-Masslawi D, Fels S, Lea R, Currie LM. Nurse-centred design: homecare nursing workarounds to fit resources and treat wounds. DS 87-3 Proceedings of the 21st International Conference on Engineering Design (ICED 17) Vol 3: Product, Services and Systems Design, Vancouver, Canada, 21-25082017. 2017;181–90.
Ielapi N, Costa D, Peluso A, Nobile C, Venditti V, Bevacqua E, Andreucci M, Bracale UM, Serra R. Wound Care Self-Efficacy Assessment of Italian Registered Nurses and Wound Care Education in Italian Nursing Education System: A Cross-Sectional Study. Nurs Rep. 2022 Sep 18;12(3):674-684. DOI: https://doi.org/10.3390/nursrep12030067
Lommi M, Raffaele B, Tolentino Diaz MY, Montini G, Puleio C, Porcelli B. Nursing outcomes in wound care management: A mixed method study. Nurs Open. 2023 Apr;10(4):2249-2263. DOI: https://doi.org/10.1002/nop2.1477
Alzamani LMHI, Marbun MRY, Purwanti ME, Salsabilla R, Rahmah S. Chronic Ulcers: Recognizing Decubitus Ulcers and Diabetic Ulcers. Syntax Fusion Journal. 2022 Feb 19;2(02):272–86. DOI: https://doi.org/10.54543/fusion.v2i02.153
Martinengo L, Olsson M, Bajpai R, Soljak M, Upton Z, Schmidtchen A, Car J, Järbrink K. Prevalence of chronic wounds in the general population: systematic review and meta-analysis of observational studies. Ann Epidemiol. 2019 Jan;29:8-15. DOI: https://doi.org/10.1016/j.annepidem.2018.10.005
Nagle SM, Stevens KA, Wilbraham SC. Wound Assessment. [Updated 2023 Jun 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482198/
Fukada M. Nursing Competency: Definition, Structure and Development. Yonago Acta Med. 2018 Mar 28;61(1):1-7. DOI: https://doi.org/10.33160/yam.2018.03.001
Sürme Y, Kartın PT, Çürük GN. Knowledge and Practices of Nurses Regarding Wound Healing. J Perianesth Nurs. 2018 Aug;33(4):471-478. DOI: https://doi.org/10.1016/j.jopan.2016.04.143
Dowsett C. Use of TIME to improve community nurses’ wound care knowledge and practice. Wounds UK. 2009 Sep 1;5.
Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1977;84(2):191–215. DOI: https://doi.org/10.1037//0033-295X.84.2.191
Chuang ST, Lo SF, Liao PL, Lin PY, Tsay SF. Knowledge, attitude, perceived barriers of hard-to-healed wound care and the association with confidence: A cross-sectional study among community nurses. J Tissue Viability. 2023 Nov;32(4):487-492. DOI: https://doi.org/10.1016/j.jtv.2023.08.003
Ehmke S, Swan M, Van Gelderen S, Bourdeanu L. Developing nursing students’ self-efficacy during simulated obstetric emergencies. Science Talks. 2023 Mar;5:100121. DOI: https://doi.org/10.1016/j.sctalk.2022.100121
Kielo-Viljamaa E, Suhonen R, Jalonen L, Stolt M. Areas of nursing competence in acute wound care: A focus group study. Collegian. 2022 Feb;29(1):44–53.. DOI: https://doi.org/10.1016/j.colegn.2021.04.003
Dung PT, Trang LT, Tung HH. Nurses’ Knowledge, Practice, and Confidence after the Training Program on Wound Care at the Agriculture General Hospital in Vietnam. Open Journal of Nursing. 2020 Jun 3;10(6):646–56. DOI: https://doi.org/10.4236/ojn.2020.106045
Desta M, Tenaw M, Ayalew E. Level of Knowledge and Wound Care Practice at a Tertiary Referral Hospital in Ethiopia: A Survey in 180 Nurses [Internet]. 2020 [cited 2023 Aug 9]. Available from: https://www.researchsquare.com/article/rs-110089/v1. DOI: https://doi.org/10.21203/rs.3.rs-110089/v1
Welsh L. Wound care evidence, knowledge and education amongst nurses: a semi-systematic literature review. Int Wound J. 2018 Feb;15(1):53-61. DOI: https://doi.org/10.1111/iwj.12822
Mohamed E, Elmoniem AE, Zaki H, Shebl M. Effect of Training Program on Performance of Nurses Caring for Patient with Negative Pressure Wound Therapy. IOSR Journal of Nursing and Health Science (IOSR-JNHS 2019. 2024;8(1):31-35.
Kielo E, Suhonen R, Ylönen M, Viljamaa J, Wahlroos N, Stolt M. A systematic and psychometric review of tests measuring nurses’ wound care knowledge. International Wound Journal. 2020 Oct;17(5):1209–24. DOI: https://doi.org/10.1111/iwj.13417
Yu S, Yao X, Sang Y, Lin Y, Huang Y, Che X, Ding Y. Status of core competencies of wound, ostomy and continence nurses and their influence on career success: a cross-sectional study. BMJ Open. 2022 Nov 23;12(11):e063239. DOI: https://doi.org/10.1136/bmjopen-2022-063239
Gray TA, Rhodes S, Atkinson RA, Rothwell K, Wilson P, Dumville JC, Cullum NA. Opportunities for better value wound care: a multiservice, cross-sectional survey of complex wounds and their care in a UK community population. BMJ Open. 2018 Mar 22;8(3):e019440. DOI: https://doi.org/10.1136/bmjopen-2017-019440
Oh D, Choi YJ. Clinical Nurses' Continuing Education Needs in Acute Burn Care. J Contin Educ Nurs. 2022 Feb;53(2):77-82. DOI: https://doi.org/10.3928/00220124-20220104-08
Hong HS, Issenberg SB, Roh YS. Effects of Standardized Patient-Based Training on Surgical Nurses’ Competencies for Managing Hand Injuries. J Contin Educ Nurs. 2020 Apr;51(4):189–96. DOI: https://doi.org/10.3928/00220124-20200317-09
Lopez-Garrido G. Self-Efficacy: Bandura’s Theory Of Motivation In Psychology [Internet]. 2023 [cited 2023 Aug 9]. Available from: https://www.simplypsychology.org/self-efficacy.html.
Obilor HN, Omolara AB, Ani OB. A survey of nurses’ wound assessment knowledge, attitude and competence in Nigeria. Wound Practice and Research. 2021 Sep 1;29(3). DOI: https://doi.org/10.33235/wpr.29.3.140-147
Gizaw MA, Negawo MK, Bala ET, Daba DB. Knowledge, practice, and associated factors towards postoperative wound care among nurses working in public hospitals in Ethiopia: A multicenter cross-sectional study in low resource setting area. Health Sci Rep. 2022 Jun 3;5(4):e677. DOI: https://doi.org/10.1002/hsr2.677
Tegegne B, Yimam F, Yalew ZM, Wuhib M, Mekonnen L, Yitayew YA, et al. Knowledge and Practice of Wound Care and Associated Factors among Nurses Working in South Wollo Zone Government Hospitals, Ethiopia. Chronic Wound Care Management and Research [Internet]. 2022 Dec 31 [cited 2023 Aug 9]; Available from: https://www.tandfonline.com/doi/abs/10.2147/CWCMR.S366322. DOI: https://doi.org/10.2147/CWCMR.S366322
Wilandika A. Students, Religiosity, And Self-Efficacy of HIV-Risk Behavior: A Study in a Muslim Perspective. Ponorogo: Uwais Inspirasi Indonesia; 2022.
Chao W-Y, Wu Y-L, Liao W-C. Psychometric Properties of the Taiwanese Pressure Ulcer Management Self-Efficacy Scale in Nursing Practice. Healthcare. 2022;10(10):1900. DOI: https://doi.org/10.3390/healthcare10101900

How to Cite

Saniapon, R., Putra, K. R., Lestari Ismail, D. D. S., & Lestari, R. (2024). What factors influence clinical nurses’ self-efficacy after wound care training? A scoping review. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13040