Assaf Enas A, Alkhresheh Rahaf, Al Sabbah Haleama, Al-Akash Hekmat
College of Nursing, Khamis Mushait, King Khalid University, Khamis Mushait, Saudi Arabia.
Faculty of Nursing, Applied Science Private University, Amman, Jordan.
Front Public Health. 2025 May 14;13:1582074. doi: 10.3389/fpubh.2025.1582074. eCollection 2025.
Pressure injury is a significant global concern, with rising prevalence and substantial direct and indirect costs. A multidisciplinary approach involving nurses and other healthcare team members, particularly physicians, is essential for comprehensively addressing pressure injury (PI) in medical wards. Therefore, this study aims to assess the knowledge, attitudes, and barriers among physicians working in Jordanian general medical wards toward the prevention of pressure injury.
A descriptive correlational cross-sectional design was employed, utilizing a convenience sample of 73 physicians from the three largest governmental hospitals in Jordan, representing the country's most populated regions. A self-administered questionnaire measuring knowledge, attitudes, and barriers was distributed among the study population. Descriptive statistics, including mean (M) and standard deviation (SD), were used to analyze the total scores, while a linear multiple regression model was applied to identify factors influencing knowledge, attitudes, and barriers toward pressure injury prevention in Jordanian medical wards.
The study found that physicians demonstrated good knowledge but exhibited weak attitudes and recognized significant barriers toward pressure injury prevention. Higher income was associated with significant differences in knowledge and attitude scores ( < 0.00 and < 0.05, respectively), while the universal guidelines correlated with significant differences in knowledge scores ( < 0.048). Additionally, recognized barriers showed significant differences among those using guidelines and perceived unproportioned staff ( < 0.041, < 0.03) respectively.
Physicians recognized significant barriers that negatively influenced their attitudes toward implementing preventive measures in medical wards. Strengthening the multidisciplinary team approach in medical wards by clarifying roles and responsibilities could enable physicians to more effectively participate in PI prevention efforts.
压力性损伤是一个重大的全球问题,其患病率不断上升,直接和间接成本巨大。多学科方法,包括护士和其他医疗团队成员,尤其是医生,对于全面解决医疗病房中的压力性损伤(PI)至关重要。因此,本研究旨在评估约旦普通医疗病房工作的医生对预防压力性损伤的知识、态度和障碍。
采用描述性相关性横断面设计,从约旦最大的三家政府医院选取73名医生作为便利样本,这些医院代表了该国人口最多的地区。向研究人群发放一份自我管理的问卷,以测量知识、态度和障碍。描述性统计,包括均值(M)和标准差(SD),用于分析总分,同时应用线性多元回归模型来确定影响约旦医疗病房预防压力性损伤的知识、态度和障碍的因素。
研究发现,医生表现出良好的知识,但态度薄弱,并且认识到预防压力性损伤存在重大障碍。较高收入与知识和态度得分的显著差异相关(分别为<0.00和<0.05),而通用指南与知识得分的显著差异相关(<0.048)。此外,在使用指南的人群和认为人员比例失调的人群中,所认识到的障碍分别存在显著差异(<0.041,<0.03)。
医生认识到重大障碍,这些障碍对他们在医疗病房实施预防措施的态度产生了负面影响。通过明确角色和责任来加强医疗病房的多学科团队方法,可以使医生更有效地参与压力性损伤预防工作。