Nurse knowledge, attitudes, and barriers to pressure injuries: A cross-sectional study in an Australian metropolitan teaching hospital

被引：4

作者：

Coventry, Linda ^{[1
,2
,3
]}

Towell-Barnard, Amanda ^{[1
,2
]}

Winderbaum, Joelle ^{[2
]}

Walsh, Nicole ^{[4
]}

Jenkins, Mark ^{[2
]}

Beeckman, Dimitri ^{[5
,6
]}

机构：

[1] Sir Charles Gairdner Hosp, Ctr Nursing Res, Perth 6009, Australia

[2] Edith Cowan Univ, Sch Nursing & Midwifery, Bldg 21,270 Joondalup Dr, Perth 6027, Australia

[3] Edith Cowan Univ, Ctr Res Aged Care, 270 Joondalup Dr, Perth 6027, Australia

[4] Sir Charles Gairdner Hosp, Wound Management, Corp Nursing, Perth 6009, Australia

[5] Univ Ghent, Univ Ctr Nursing & Midwifery, Skin Integr Res Grp SKINT, Ghent, Belgium

[6] Orebro Univ, Fac Med & Hlth, Swedish Ctr Skin & Wound Res, Sch Hlth Sci,Nursing Sci Unit, Orebro, Sweden

来源：

JOURNAL OF TISSUE VIABILITY | 2024年 / 33卷 / 04期

关键词：

Attitude; Cross-sectional studies; Knowledge; Nurses; Pressure injury; Pressure ulcer; Thematic analysis; INTENSIVE-CARE-UNIT; ULCER PREVENTION; PSYCHOMETRIC VALIDATION; REGISTERED NURSES; HEALTH-CARE; PATIENT; MULTICENTER; PREVALENCE; PAIN;

D O I：

10.1016/j.jtv.2024.10.003

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Background: Pressure injuries are associated with significant clinical complications with negative effects on the patient's emotional, psychological, social and physical wellbeing. However, in Australia little is known about the knowledge and attitudes of nurses towards hospital-acquired pressure injuries. Objective: To determine nurse knowledge and attitudes towards hospital-acquired pressure injuries and to identify barriers towards prevention. Methods: A cross-sectional study following the STROBE statement was conducted between May to July in 2017. All nurses at a major metropolitan teaching hospital in Western Australia were invited to participate. Nurse knowledge and attitude to pressure injury were assessed using validated Pressure Ulcer Knowledge Assessment tool, and Attitude towards Pressure Ulcer Prevention tool. An open-ended question asked about the barriers to pressure injury prevention. Quantitative data were analysed using descriptive and inferential statistics and answers for the open-ended question were analysed using thematic analysis. Results: Data from 224 nurses (response rate 19.0 %) were analysed. While nurses displayed a satisfactory attitude towards hospital-acquired pressure injury prevention, most nurses lacked adequate knowledge of the stages, causes and prevention of pressure injuries. Thematic analysis of responses to the open-ended question yielded two main themes: modifiable barriers to pressure injury prevention were lack of knowledge, attitude of pressure injury prevention and the scarcity of resources. Non-modifiable barriers to pressure injury prevention were the nursing environment and patient characteristics. Conclusion: Most nurses have satisfactory attitude towards pressure injury prevention, but inadequate knowledge about pressure injuries. Barriers to pressure injury prevention are attributed to nurse working environments, particularly impeded by staffing, time constraints and resources.

引用

页码：792 / 801

页数：10

共 68 条

[21] Nurses' knowledge to pressure ulcer prevention in public hospitals in Wollega: a cross-sectional study design [J].

Ebi, Werku Etafa ;

Hirko, Getahun Fetensa ;

Mijena, Diriba Ayala .

BMC NURSING, 2019, 18 (1)

[22] A Descriptive, Cross-sectional Study to Assess Pressure Ulcer Knowledge and Pressure Ulcer Prevention Attitudes of Nurses in a Tertiary Health Institution in Nigeria [J].

Esan, Deborah Tolulope ;

Fasoro, Ayodeji Akinwande ;

Ojo, Elizabeth Funmilayo ;

Obialor, Brenda .

OSTOMY WOUND MANAGEMENT, 2018, 64 (06) :24-28

[23] Nurses' attitude and perceived barriers to pressure ulcer prevention [J].

Etafa, Werku ;

Argaw, Zeleke ;

Gemechu, Endalew ;

Melese, Belachew .

BMC NURSING, 2018, 17

[24]

European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance, 2014, Prevention and treatment of pressure ulcers: clinical practice guideline

[25] Pressure ulcers in patients receiving palliative care: A systematic review [J].