Aydogan Sinan, Caliskan Nurcan
Mehmet Akif Ersoy University Faculty of Health Sciences, Nursing Department, Burdur, Turkey.
Wound Manag Prev. 2019 Feb;65(2):39-47.
Nurses should be highly knowledgeable about and have a positive attitude toward pressure ulcer (PU) prevention.
This descriptive study was conducted among intensive care unit (ICU) nurses in 6 hospitals in Turkey to identify their PU prevention knowledge, attitudes, and perceptions of barriers to care.
The study was conducted between January 1, 2017, and April 30, 2017, using supervised self-reporting, among nurses working in the ICUs of 3 education and research hospitals, 2 university hospitals, and a private hospital in Ankara, Turkey. Three (3) data collection instruments were used: a participant sociodemographic data collection form, the Pressure Ulcer Prevention Knowledge Assessment Instrument (range 0-26, where higher scores indicate more knowledge), and the Attitude Towards Pressure Ulcer Prevention Instrument (range 13-52; a higher score implies a more positive attitude). Frequencies, t tests, analysis of variance, Pearson correlation analysis, and multiple regression analysis were used to analyze the data.
Participants (N = 390) were mostly women (339; 86.9%) who had a bachelor's degree (283; 72.6%). The mean knowledge score was 11.54 ± 2.91, and the mean attitude score was 42.96 ± 4.06. The most commonly cited barriers to PU prevention were insufficient staff levels (85.6%) and pressure redistribution materials and equipment (82.6%). Regression analysis of attitude scores showed the following variables affected nurses' attitude toward PU prevention: self-sufficiency in PU risk assessment (β = 0.28), willingness to learn more about preventing PU (β = -0.15), gender (β = -0.15), and knowledge score (β = 0.14).
ICU nurses were found to have a low levels of knowledge but positive attitudes toward PU prevention. Policies and procedures should be developed to increase ICU nurse knowledge levels and remove barriers to optimal PU prevention practices.
护士应具备丰富的压力性损伤（PU）预防知识，并对其持积极态度。
本描述性研究在土耳其6家医院的重症监护病房（ICU）护士中开展，以确定她们的PU预防知识、态度以及对护理障碍的认知。
研究于2017年1月1日至2017年4月30日期间进行，采用监督下的自我报告方式，研究对象为土耳其安卡拉3家教育和研究医院、2家大学医院以及1家私立医院ICU的护士。使用了三种数据收集工具：参与者社会人口统计学数据收集表、压力性损伤预防知识评估工具（范围为0 - 26分，分数越高表明知识越丰富）以及对压力性损伤预防的态度工具（范围为13 - 52分；分数越高意味着态度越积极）。采用频率分析、t检验、方差分析、Pearson相关分析和多元回归分析对数据进行分析。
参与者（N = 390）大多为女性（339人；86.9%），拥有本科学历（283人；72.6%）。知识平均得分是11.54 ± 2.91，态度平均得分是42.96 ± 4.06。PU预防最常被提及的障碍是人员配备不足（85.6%）以及压力再分布材料和设备（82.6%）。态度得分的回归分析表明，以下变量影响护士对PU预防的态度：PU风险评估的自我效能感（β = 0.28）、愿意更多了解PU预防的程度（β = -0.15）、性别（β = -0.15）以及知识得分（β = 0.14）。
发现ICU护士对PU预防的知识水平较低，但态度积极。应制定政策和程序以提高ICU护士的知识水平，并消除最佳PU预防实践的障碍。
