scholarly journals Attitudes of intensive care nurses towards pressure ulcer prevention

2018 ◽  
Vol 6 (3) ◽  
pp. 1 ◽  
Author(s):  
Laila Habiballah

Background: The development of pressure ulcer is a common problem across a full range of healthcare settings, including intensive care units. Nurses’ attitudes towards pressure ulcer prevention have an important influence on their ability to deliver this practice. Aim: To assess nurses’ attitude towards pressure ulcer prevention and to identify any factors that could affect theseattitudes.Methods: A descriptive cross-sectional study was conducted in the ICUs of three conveniently selected hospitals in Jordan. Data were collected from 112 nurses working in intensive care units in three hospitals in Jordan by means of a self-administered questionnaire. An attitudes towards pressure ulcer prevention tool designed by Moore and Price was used to collect the data.Results: Intensive care nurses hold positive attitudes towards pressure ulcer prevention. Both nurses’ experience and previous training on pressure ulcer prevention were the most significant predictors of these attitudes.Conclusions: Positive attitudes should be supported since nurses with a positive attitude will be more willing to implement pressure ulcer prevention measures. Any barriers which exist to prevent nurses who have a positive attitude from delivering the prevention strategies should be investigated.

2015 ◽  
Vol 34 (2) ◽  
pp. 126-132 ◽  
Author(s):  
Patricia Scheans

AbstractThe incidence of pressure ulcers in acutely ill infants and children ranges up to 27 percent in intensive care units, with a range of 16–19 percent in NICUs. Anatomic, physiologic, and developmental factors place ill and preterm newborns at risk for skin breakdown. Two case studies illustrate these factors, and best practices for pressure ulcer prevention are described.


2019 ◽  
Vol 28 (12) ◽  
pp. 795-806 ◽  
Author(s):  
Pinar Avsar ◽  
Declan Patton ◽  
Tom O'Connor ◽  
Zena Moore

Objective: To critically appraise and synthesise existing research literature pertaining to nurses' attitudes towards pressure ulcer (PU) prevention. Method: Using systematic review methodology, published quantitative studies focusing on nurses' attitudes towards PU prevention measured by psychometric tests were included. The search was conducted in May 2019 using PubMed, CINAHL, Scopus, Cochrane and EMBASE databases, and returned 442 records, of which 21 met the inclusion criteria. Data were extracted using a pre-designed extraction tool and all included studies were quality appraised using the checklist. Results: Of the included studies, 20 employed a cross-sectional design and one author employed a validation study. In measuring nurses' attitudes toward PU prevention two distinct instruments were used: the ‘Moore and Price Attitude Scale’ and the ‘Attitude towards Pressure Ulcer Prevention Instrument’. The mean attitude score within the studies was 73% (standard deviation=9.2%). The lowest attitude score was 51%, while the highest score was 89%. The results obtained from the studies indicated that 86% (n=18) yielded positive attitude results. Conclusion: The findings suggest that, overall, nurses are positively disposed towards PU prevention. However, it is important to highlight that the nurses have difficulties translating this positive attitude into actual PU prevention strategies.


2019 ◽  
Author(s):  
Ristina Mirwanti ◽  
Aan Nuraeni ◽  
Ayu Prawesti

Background: Pressure ulcer or pressure injury is one of the complications of immobility patients in the intensive care unit. Nurses play an important role in pressure ulcer prevention. Actual factors like facilitators to preventing pressure ulcers can affect nurses’ behavior to prevent pressure ulcers. Objectives: The objective of this study was to identify nurses’ perceived facilitating factors that affected pressure ulcer prevention in the intensive care unit. Methods: A cross-sectional and quantitative descriptive study design was used to collect data. This study was conducted among nurses working in the intensive care unit in one hospital in West Java. Seventy nurses participated in this study. The facilitator factors questionnaire and information form were used to identify what factors affected pressure ulcer prevention among intensive nurses. Data were analyzed by a computer program using frequency distributive and cross-tabulation. Results: From the total sample size, 68.6% (n=70) were female nurses, while 92.9% (n=70) were civil servant nurses. Only 30% (n=70) were graduated from bachelor degree nursing program, and 77.14%(n=70) said they never attended training about pressure ulcer nor wound care management. All of the respondents claimed that in pressure ulcer prevention, they felt facilitators that made pressure ulcer prevention was easier. Access to pressure ulcer relieving device, equipment, and facilitator (97.14%), good teamwork (75.71%), and knowledge (68.57%) were the most commonly mentioned factors that facilitating pressure ulcer prevention. Otherwise, time and amounts of the staff were perceived facilitators named by 40% and 22.86% respondents, respectively. Only 1.43% of respondents stated that the schedule was a facilitator factor. Conclusion: Considering the results of this study, facilitating factors were important for intensive nurses to prevent patients’ pressure ulcer, and the most commonly named was access to pressure ulcer relieving device, equipment, and facility. To improve the pressure ulcer prevention, the hospital should provide device, equipment, and facility, like pressure distributor; therapeutic linens; protector the skin; and positioner.


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