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The study population included 82 nursing professionals randomly assigned to the study group (<jats:italic>n<\/jats:italic>\u2009=\u200941) and the control group (<jats:italic>n<\/jats:italic>\u2009=\u200941). Both groups of nurses underwent a 6\u2010month training in PI care skills and were subsequently evaluated. The main outcome variables were the PI skill operation scores and theoretical scores. Secondary outcome variables included satisfaction and critical thinking abilities. Independent sample t\u2010tests and chi\u2010square tests were used to assess differences between the two groups of nurses. The results showed no statistically significant difference in PI skill operation scores between the two groups of nurses (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). When comparing the PI theoretical scores, the study group scored higher than the control group, and this difference was statistically significant (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). In terms of satisfaction assessment, the study group and the control group showed differences in improving self\u2010directed learning, enhancing communication skills with patients, improving learning outcomes and increasing flexibility in clinical application (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). When comparing critical thinking abilities between the two groups of nurses, there was no statistically significant difference at the beginning of the training, but after 3\u2009months following the training, there was a statistically significant difference between the two groups (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).The results indicated that the DOPS was effective in improving PI theoretical scores, increasing nurse satisfaction with the training and enhancing critical thinking abilities among nurses.<\/jats:p>","DOI":"10.1111\/iwj.14498","type":"journal-article","created":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T02:10:10Z","timestamp":1701742210000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Application of direct observation of operational skills in nursing skill evaluation of pressure injury: A randomized clinical trial"],"prefix":"10.1111","volume":"21","author":[{"given":"Wei\u2010ying","family":"Zhang","sequence":"first","affiliation":[{"name":"Shanghai East Hospital Tongji University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youqing","family":"Peng","sequence":"additional","affiliation":[{"name":"Shanghai East Hospital Tongji University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui\u2010ren","family":"Zhuang","sequence":"additional","affiliation":[{"name":"Shanghai East Hospital Tongji University School of Medicine  Shanghai China"},{"name":"Shanghai East Hospital Ji'an Hospital  Ji'An China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai\u2010ping","family":"Yu","sequence":"additional","affiliation":[{"name":"Shanghai East Hospital Tongji University School of Medicine  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qin","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Nursing, Health School Attached to Shanghai University of Medicine &amp; 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