Junior nurses' wound care knowledge and attitude towards wound care and training aspirations: a training needs analysis

Aim/objective: The aim of this study was to undertake a training needs analysis for wound care. Background: Wound care is predominantly within the remit of registered nurses. This study sought to ascertain junior nurses' knowledge, attitudes and training requirements to future-proof their education. 

Methods: A 28-question online survey was developed, pilot tested, amended and disseminated. It covered demographics, confidence, anatomical and physiological knowledge and desire for further training and/or academic qualifications. It was electronically distributed to all junior nurses and nursing associates who have delegated responsibilities for wound care at a large tertiary trust in the north east of England. 

Results: 429 junior nurses and 13 nursing associates responded. Nurses voiced that they lacked knowledge, competence and confidence in delivering pressure ulcer prevention and treatment despite national and local initiatives to reduce incidence. Nurses were able to accurately categorise pressure ulcers but not recognise deep tissue injuries nor maceration to the periwound area. Nurses wanted more ‘wounds essentials’ training, provided online and face to face; they also desired clinically relevant modules leading to a Master's qualification. 

Conclusions: This training needs analysis offers key recommendations for nurse educators looking to enhance their junior nurses' knowledge, confidence and attitudes towards wound care.