Knowledge, Attitudes and Practices Regarding Pressure Injury (PI) Prevention Among Nurses in the Intensive Care Unit (ICU) and Medical Ward at Sultan Ahmad Shah Medical Centre @IIUM (SASMEC @IIUM), Kuantan, Pahang, Malaysia
DOI:
https://doi.org/10.31436/ijcs.v8i1.418Keywords:
Knowledge, Attitude, Practice, Pressure injury, Prevention, NursesAbstract
Background: This study investigates the knowledge, attitudes, and practices (KAP) related to pressure injury (PI) prevention among nurses working in the Intensive Care Unit (ICU) and medical ward at SASMEC@IIUM.
Methods: A total of 120 staff nurses (60 from each ward) participated in this cross-sectional study. We used a validated questionnaire that was translated for accessibility. The Cronbach’s alpha values for knowledge, attitude, and practice of PI prevention were 0.68, 0.78, and 0.88, respectively. The questionnaire was distributed via WhatsApp, and data were collected using an online Google Form. Statistical analysis was performed using SPSS version 27.
Results: The findings indicate that staff nurses in both the ICU and medical wards exhibited a high level of knowledge and positive attitudes toward PI prevention, with mean scores (standard deviation) of 26.53 (10.35) for knowledge and 45.21 (6.65) for attitude. Furthermore, the participants demonstrated good practices regarding PI prevention, with a mean score (standard deviation) of 25.57 (2.25). The study revealed no significant association between the KAP of PI prevention and the nursing department. However, a significant association was found between gender and the frequency of reading articles, which influenced nurses' attitudes toward PI prevention.
Conclusion: This study highlights considerable knowledge gaps among nurses regarding PI prevention, despite their positive attitudes and commendable practices. These findings emphasize the urgent need for targeted educational initiatives to enhance knowledge, especially in non-critical care settings. Integrating evidence-based guidelines with customized training programs could further improve patient care outcomes.
References
National Pressure Injury Advisory Panel (NPIAP), European Pressure Ulcer Advisory Panel (EPUAP). Prevention and treatment of pressure ulcers/injuries?: Clinical practice Guideline?: the international guideline [Internet]. European Pressure Ulcer Advisory Panel?; National Pressure Injury Advisory Panel?; Pan Pacific Pressure Injury Alliance; 2019 [cited 2024 May 15]. Available from: https://internationalguideline.com/2019
Tesfa Mengist S, Abebe Geletie H, Zewudie BT, Mewahegn AA, Terefe TF, Tsegaye Amlak B, et al. Pressure ulcer prevention knowledge, practices, and their associated factors among nurses in Gurage Zone Hospitals, South Ethiopia, 2021. SAGE Open Med. 2022;10.
Polancich S, Patrician P, Miltner R, Meese K, Armstrong A, Layton S, et al. Reducing hospital acquired pressure injury in a learning health center: Making the case for quality. Learn Health Syst. 2023 Jul 1;7(3).
Shahadan SZ, Tuan Noor Aziefah TA, Mohamad Firdaus MI. Pressure Ulcers in Medical and Surgical Wards: The Prevalence and Contributing Factors of a Single-Centre Study. Journal of Islamic, Social, Economics and Development. 2024;(9):128–1755.
Chaboyer WP, Thalib L, Harbeck EL, Coyer FM, Blot S, Bull CF, et al. Incidence and Prevalence of Pressure Injuries in Adult Intensive Care Patients: A Systematic Review and Meta-Analysis. Crit Care Med. 2018 Nov 1;46(11):E1074–81.
Kirman CN. Pressure Injuries (Pressure Ulcers) and Wound Care Guidelines WOCN Guidelines [Internet]. 2024 [cited 2024 Nov 22]. Available from: https://emedicine.medscape.com/article/190115-guidelines?form=fpf
Roussou E, Fasoi G, Stavropoulou A, Kelesi M, Vasilopoulos G, Gerogianni G, et al. Quality of life of patients with pressure ulcers: A systematic review. Med Pharm Rep. 2023;96(2):123–30.
Gou L, Zhang Z, Yongde A. Risk factors for medical device-related pressure injury in ICU patients: A systematic review and meta-analysis. PLoS One. 2023 Jun 1;18(6 June).
Alshahrani B, Sim J, Middleton R. Nursing interventions for pressure injury prevention among critically ill patients: A systematic review. Vol. 30, Journal of Clinical Nursing. John Wiley and Sons Inc; 2021. p. 2151–68.
Halász BG, Bérešová A, Tká?ová L, Magurová D, Lizáková L. Nurses’ knowledge and attitudes towards prevention of pressure ulcers. Int J Environ Res Public Health. 2021 Feb 2;18(4):1–9.
Kaddourah B, Abu-Shaheen AK, Al-Tannir M. Knowledge and attitudes of health professionals towards pressure ulcers at a rehabilitation hospital: A cross-sectional study. BMC Nurs. 2016 Mar 5;15(1).
Niyongabo E, Gasaba E, Niyonsenga P, Ndayizeye M, Ninezereza JB, Nsabimana D, et al. Nurses’ Knowledge, Attitudes and Practice regarding Pressure Ulcers Prevention and Treatment. Open J Nurs. 2022;12(05):316–33.
Sham F, Izni D, Sharif B, Binti Moksin N, Selamat H. Knowledge, Practice and Perceived Barrier of Pressure Ulcer Prevention Among Nurses in a Public Hospital in Selangor. Malaysian Journal of Public Health Medicine 2020, Special. (1):325–35.
Manderlier B, Van Damme N, Vanderwee K, Verhaeghe S, Van Hecke A, Beeckman D. Development and psychometric validation of PUKAT 2·0, a knowledge assessment tool for pressure ulcer prevention. Int Wound J. 2017 Dec 1;14(6):1041–51.
Beeckman D, Defloor T, Demarré L, Van Hecke A, Vanderwee K. Pressure ulcers: Development and psychometric evaluation of the Attitude towards Pressure ulcer Prevention instrument (APuP). Int J Nurs Stud. 2010 Nov;47(11):1432–41.
Ghafoor N, Munir R, Niazi IMK, Azhar F. Knowledge and Practices of Student Nurses towards Prevention and Management of Pressure ulcers in Allied Hospitals of Rawalpindi Medical University. Journal of Rawalpindi Medical College. 2021 Sep 30;25(3):323–7.
Azhar SW, Ahmad Sharoni SK, Fauzi R, Isa R, Akma Shohor N, Seman N. Knowledge, Attitude and Perceived Barrier towards Pressure Ulcer Prevention among Critical Care Unit Nurses in Klang Valley Public Hospitals. Malaysian Journal of Medicine and Health Sciences. 2022 Jun 1;18(8):59–65.
Tayyib N, Coyer F. Effectiveness of Pressure Ulcer Prevention Strategies for Adult Patients in Intensive Care Units: A Systematic Review. Vol. 13, Worldviews on Evidence-Based Nursing. Blackwell Publishing Ltd; 2016. p. 432–44.
Abrahams FR, Daniels ER, Niikondo HN, Amakali K, Daniels E. Students’ knowledge, attitude and practices towards pressure ulcer prevention and management. Health SA [Internet]. 2023 Jan 26;(28):2180. Available from: https://doi.org/10.4102/hsag.
Aydogan S, Caliskan N. A Descriptive Study of Turkish Intensive Care Nurses’ Pressure Ulcer Prevention Knowledge, Attitudes, and Perceived Barriers to Care. Wound Manag Prev. 2019;65(2):39–47.
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