Factors Affecting Attitudes and Preventive Practice of Pressure Ulcer among Nurses

Abstract

Purpose: The purpose of this study was to investigate attitudes and preventive practice of pressure ulcer among hosptital nurses and identify factors affecting their preventive practice of pressure ulcer. Methods: Data were collected at April, 2011 in a university hospital in Korea. A total of 140 hospital nurses completed a questionnaire including attitudes and preventive practice of pressure ulcer. Data were analyzed with descriptive statistics, Spearmans rho, and stepwise multiple regression via SPSS/WIN 20.0. Results: Levels of attitudes and preventive practice of pressure ulcer were average 3.65 out of 5 and 2.19 out of 3 respectively. There was significant difference in preventive practice of pressure ulcer by area of practice (x 2 = 43.35, p<.001), frequency of pressure ulcer care (x 2 =10.72, p = .013), and experience of wound care education (Ζ=4.73, p = .030). The attitudes toward pressure ulcer prevention were positive correlated to preventive practice among nurses (rho=.190, p =.049). Area of practice, attitude toward pressure ulcer prevention and experience of wound care education explained 48% of variance in preventive practice of pressure ulcer. Conclusion: For improving quality of care, it is important to provide educations to change nurses attitudes toward preventive practice of pressure ulcer.

A study on the nursing knowledge, attitude, and performance towards pressure ulcer prevention among nurses in Korea long‐term care facilities

“…Kaddourah and colleagues' study also showed that more than 73% of 105 nurse participants had sufficient knowledge. The analysis results of this study may have been similar to an existing study in Korea, 18 in that nurses were found to be inadequate in knowledge on PU classification, assessment of PU risk, and preventive strategy to reduce pressure and shearing from the level of PU prevention and need to be properly educated to enrich their insufficient knowledge. Based on her findings, the researcher suggests that nurses need to have education that can help complement their insufficiency in such knowledge.…”

Performance and Influencing Factors of Evidence‐Based Pressure Ulcer Care Among Acute Care Hospital Nurses

“…In the present study, PU care performance was significantly affected by interest in PU care, receiving PU education in the last one year, evidence guiding PU care, and knowledge of PU. Similarly, previous studies have indicated that PU care performance is significantly affected by educational experience (Kwon, ; Park, Cha, et al., ; Park, Yang, et al., ) and knowledge of PUs (Lee et al., ; Yang & Moon, ). However, the multivariate analysis revealed that educational experience and knowledge is less influential compared with an individual's interest in PU care.…”

“…Thus, the hospital‐level environment and related factors affecting the application of those guidelines must be considered during the development of new ones. Many studies have examined PU knowledge and care among nurses who work at long‐term care, small‐ to medium‐sized, and general hospitals (Cho et al., ; Jin, ; Lee & Yang, ; Nam, ; Park, Yang, & Choi, ; Park, Cha, & Kim, ; Seo, ; Yang & Moon, ). The instruments that were used in those studies were either developed by Kim (), based on the Agency for Health Care Policy and Research's () prevention and intervention guidelines, or a translation of the instrument that was developed by Moore & Price ().…”

“…Those instruments do not accurately reflect overall in‐hospital nursing care for PU, as they are simplified and superficial with only 20–30 nursing activities that are focused on PU assessment and prevention but not therapeutic interventions. Moreover, existing research has focused on individual‐level factors, such as nurses’ knowledge, recognition of importance, and attitudes toward PU care (Lee & Yang, ; Park, Cha, et al., ; Park, Yang, et al., ), which excludes the influence of institutional systems on nursing performance.…”

Effects of Attitude, Barriers/Facilitators, and Visual Differentiation on Oral Mucosa Pressure Ulcer Prevention Performance Intention

“…The intentions were determined by three factors, including attitude, subjective norm, and perceived behavioral control [ 17 ]. Having a positive attitude can increase the likelihood of behavioral change [ 18 ], and is positively related to performance [ 19 ]. Therefore, negative attitudes toward PU prevention may negatively affect preventive care performance [ 20 ].…”