Nursing students' skills in applying short-stretch compression bandages using the control of compression bandaging score

Br J Nurs. 2023 Jun 22;32(12):S28-S35. doi: 10.12968/bjon.2023.32.12.S28.

Abstract

Aim: To assess the feasibility using the Control of Compression Bandaging (CCB) score to measure skills development on short-stretch compression therapy during a second-year nursing students' workshop.

Design: A quasi-experimental pilot study with one group.

Method: All students followed a blended learning unit comprising an e-learning unit on leg ulcers and compression therapy including videos, followed by hands-on workshops where they could exercise how to apply short-stretch compression bandages. Clinical nurse specialists in wound care collected pre- and post-workshop measures. Data collection included feasibility, absolute pressure under compression bandages and the CCB score.

Results: Six clinical nurse specialists (CNSs) collected data and 16 students participated in this pilot study. The mean application time was 8.02 minutes (min=2, max=20) pre and 9.25 minutes (min=5, max=17) post workshop. Pressure under compression bandages increased at the forefoot (P=0.01) and the calf muscle base (P=0.03) post workshop. One extreme outlier was observed. In addition, the CCB score increased from 3.57 to 4.47 (P=0.16). Using pressure measuring devices was described as essential by all the CNSs and the CCB score was easy to use.

Conclusion: Using the CCB score and pressure measuring devices were feasible during an undergraduate education session. Recruitment procedure and modality of data collection were satisfactory. This score may be a valuable way to assess students' skills in short-stretch compression therapy. If used for formal assessment, a passing score should be defined.

Keywords: Compression therapy; Education; Nursing; Students; Venous leg ulcer.

MeSH terms

  • Compression Bandages
  • Humans
  • Leg Ulcer* / therapy
  • Pilot Projects
  • Students, Nursing*
  • Varicose Ulcer* / therapy