A systematic review of nurses' practice and related factors toward pressure ulcer prevention

Abstract

In most health care centres, pressure ulcers (PUs) are a common concern. This systematic review aimed to summarise nurses' practice and related factors toward PU prevention. An extensive search was conducted on electronic databases such as Scopus, PubMed, Web of Science, Iranmedex, and Scientific Information Database via keywords extracted from Medical Subject Headings such as "Pressure ulcer", "Pressure sore", "Bedsore", "Practice", and "Nurses" from the earliest to 9 March 2022. The quality of the included studies was assessed using the appraisal tool for cross-sectional studies (AXIS tool). Data extraction and quality assessment of included studies were performed by two researchers independently. A total of 6501 nurses were enrolled in twenty-nine studies. Of the participants, 75.15% were female and 55.64% were single, and 94.57% had a bachelor of science in nursing degree. Mean age and work experience of nurses was 30.69 (SD = 4.73) and 8.61 (SD = 5.44) years, respectively. The mean score of nurses' practices toward the prevention of PUs was 57.58 (SD = 14.62) out of 100. Also, 48.95% of nurses had a desirable practice toward the prevention of PUs. Factors such as knowledge (n = 6), attitude (n = 4), level of education (n = 4), a history of participating in workshops related to the prevention of PUs (n = 3), work experience (n = 2), area of practice (n = 2), self-adequacy (n = 1), follow the literature (n = 1), age (n = 1), and involvement in research (n = 1) had a significant positive relationship with nurses' practice toward PUs prevention. However, the nurses practice of PUs prevention had a significant negative relationship with lack of job satisfaction (n = 1), disproportionate nurse-to-patient ratio (n = 1), and lack of policies and guidelines (n = 1). The level of nurses' practice toward the prevention of PUs was relatively desirable. The result of this study can help improve the practice of nurses toward PUs prevention. Increasing nurses' knowledge and attitude toward PUs prevention can improve their practice. Therefore, it is

A survey of knowledge, attitudes, and practices among paediatric intensive care unit nurses for preventing pressure injuries: An analysis of influencing factors

“…Consistent with the findings of other studies, we discovered a positive relationship between knowledge, attitude, and practice of PI prevention 22 . Enhancing the knowledge and fostering positive attitudes among nurses towards PI prevention can significantly elevate their clinical proficiency.…”

“…Consistent with the findings of other studies, we discovered a positive relationship between knowledge, attitude, and practice of PI prevention. 22 Enhancing the knowledge and fostering positive attitudes among nurses towards PI prevention can significantly elevate their clinical proficiency. In the light of this, it is recommended that policymakers and nursing administrators focus on designing training materials and practical exercises centred around the key factors influencing nursing practice.…”

A systematic review of caregivers' knowledge and related factors towards pressure ulcer prevention

“…A pressure ulcer (PU) is defined as an injury to a point on the skin or its underlying tissue that is usually located on a bone or its protrusion and is caused by pressure or pressure in combination with a cut. [1][2][3][4][5][6][7][8] This complication is a fundamental health concern in people who have problems moving and changing their position in any way and cannot do this easily. For example, in patients with fractures or those who receive palliative care, difficulty in changing positions is seen.…”

A systematic review of nursing students' attitude and related factors towards pressure ulcer prevention

“…1 Although such injuries, known as pressure ulcers (PUs), often occur on a bony prominence, they can also be associated with medical devices. [2][3][4][5][6][7][8][9][10][11] In addition to causing health issues for patients, PUs can cause quality and financial problems for organisations. Expensive care for patients with PUs hinders the recovery process and becomes a complicated issue when combined with infection and pain, and can also increase the duration of hospitalisation.…”

“…These injuries are related to the loss of perfusion in the area following prolonged pressure on the skin 1 . Although such injuries, known as pressure ulcers (PUs), often occur on a bony prominence, they can also be associated with medical devices 2‐11 . In addition to causing health issues for patients, PUs can cause quality and financial problems for organisations.…”