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Critical care nurses’ knowledge and attitudes toward pressure injury prevention : A pre and post intervention study
Alshahrani, Bassam Middleton, Rebekkah Rolls, Kaye Sim, Jenny
Alshahrani, Bassam
Middleton, Rebekkah
Rolls, Kaye
Sim, Jenny
Abstract
Objective
To explore nurses’ knowledge and attitudes towards pressure injury prevention before and after implementing an educational intervention.
Design/Method
A pre-and post-intervention study. Pre-intervention data collection involved administering an instrument, including demographic information, the Pressure Ulcer Knowledge Assessment Tool version 2, and the Attitudes towards Pressure Ulcer Prevention instruments. Following the analysis of pre-intervention data, an educational intervention was implemented. Post-intervention data were collected using the same instrument.
Setting
Intensive care units at three Saudi Arabian hospitals.
Main outcome measures
Nurses’ knowledge and attitudes towards pressure injury prevention.
Results
The pre-intervention phase included 190 participants, and the post-intervention phase included 195 participants. Participants completed a paper-based survey at two different time points between June 2021 and March 2022. The mean pre-intervention scores for nurses’ knowledge and attitudes towards pressure injury prevention were 43.22% and 74.77%, respectively. Following the educational intervention, the knowledge and attitude scores increased significantly to 51.22% and 79.02%, respectively. Higher knowledge of pressure injury prevention was positively associated with positive attitudes towards prevention practices. Age, clinical nursing experience, and experience in intensive care units were identified as factors correlated with knowledge of pressure injury prevention. A Bachelor’s qualification or higher predicted better knowledge and attitudes towards pressure injury prevention.
Conclusions
Nurses’ knowledge and attitudes towards pressure injury prevention greatly improved following tailored, evidence-based education. The educational intervention featured multiple on-site bedside discussions, case studies, small-group presentations, and the provision of printed resources.
Implications for Clinical Practice
Nurses’ knowledge and attitudes towards pressure injury prevention should be examined, and education provided to ensure evidence-based prevention practices are implemented. Tailored small-group education sessions delivered conveniently could be an effective approach. Efforts should focus on attracting and retaining experienced, highly qualified nurses to ensure the adoption of evidence-based prevention practices.
Keywords
attitudes, critical care, intensive care, knowledge, nurses, pressure injury, pressure ulcer, prevention
Date
2023
Type
Journal article
Journal
Intensive and Critical Care Nursing
Book
Volume
79
Issue
Page Range
1-8
Article Number
Article 103528
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY-NC 4.0
File Access
Open
Notes
© 2023 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).