Coventry Linda, Towell-Barnard Amanda, Winderbaum Joelle, Walsh Nicole, Jenkins Mark, Beeckman Dimitri
Centre for Nursing Research, Sir Charles Gairdner Hospital, Nedlands, Perth, 6009, Australia; School of Nursing and Midwifery, Building 21, Edith Cowan University, 270 Joondalup Drive, Joondalup, Perth, 6027, Australia; Centre for Research in Aged Care Edith Cowan University, 270 Joondalup Drive, Joondalup, Perth, 6027, Australia.
Centre for Nursing Research, Sir Charles Gairdner Hospital, Nedlands, Perth, 6009, Australia; School of Nursing and Midwifery, Building 21, Edith Cowan University, 270 Joondalup Drive, Joondalup, Perth, 6027, Australia.
J Tissue Viability. 2024 Nov;33(4):792-801. doi: 10.1016/j.jtv.2024.10.003. Epub 2024 Oct 5.
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.
To determine nurse knowledge and attitudes towards hospital-acquired pressure injuries and to identify barriers towards prevention.
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.
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.
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.
压力性损伤与严重的临床并发症相关，会对患者的情绪、心理、社交和身体健康产生负面影响。然而，在澳大利亚，对于护士对医院获得性压力性损伤的知识和态度知之甚少。
确定护士对医院获得性压力性损伤的知识和态度，并找出预防的障碍。
2017年5月至7月期间，按照STROBE声明进行了一项横断面研究。邀请了西澳大利亚一家大型都市教学医院的所有护士参与。使用经过验证的压力性溃疡知识评估工具和压力性溃疡预防态度工具评估护士对压力性损伤的知识和态度。一个开放式问题询问了压力性损伤预防的障碍。定量数据使用描述性和推断性统计进行分析，开放式问题的答案使用主题分析进行分析。
分析了224名护士的数据（回复率19.0%）。虽然护士对医院获得性压力性损伤预防表现出令人满意的态度，但大多数护士对压力性损伤的阶段、原因和预防缺乏足够的知识。对开放式问题回答的主题分析产生了两个主要主题：压力性损伤预防的可改变障碍是知识缺乏、压力性损伤预防态度和资源稀缺。压力性损伤预防的不可改变障碍是护理环境和患者特征。
大多数护士对压力性损伤预防态度令人满意，但对压力性损伤的知识不足。压力性损伤预防的障碍归因于护士的工作环境，特别是受到人员配备、时间限制和资源的阻碍。
