Knowledge, beliefs and use of nursing methods in preventing pressure sores in Dutch hospitals.

Different methods have been developed in the past to prevent patients from developing pressure sores. The consensus guidelines developed in the Netherlands make a distinction between preventive methods useful for all patients, methods useful only in individual cases, and methods which are not useful at all. This study explores the extent of use of the different methods within Dutch hospitals, and the knowledge and beliefs of nurses regarding the usefulness of these methods. A mail questionnaire was sent to a representative sample of nurses working within Dutch hospitals. A total of 373 questionnaires were returned and used for the analyses. The results showed that many methods judged by the consensus report as not useful, or only useful in individual cases, are still being used. Some methods which are judged as useful, like the use of a risk assessment scale, are used on only a few wards. The opinion of nurses regarding the usefulness of the methods differ from the guidelines of the consensus committee. Although there is agreement about most of the useful methods, there is less agreement about the methods which are useful in individual cases or methods which are not useful at all. In particular the use of massage and cream are, in the opinion of the nurses, useful in individual or in all cases.