Background: Pressure ulcers (PU) remain a serious complication of immobile patients and a burden for healthcare professionals. The incidence and prevalence remain alarming. Knowledge and attitudes of nurses play a fundamental role in prevention. The aim of the study is to assess knowledge and attitude towards pressure ulcer prevention in Palestinian hospital. Methodology: A quantitative cross-sectional study was conducted at four hospitals in Jenin and Nablus for one month from 1-4-2023 to 1-5-2023, a sample size was 150 participants, who met inclusion and exclusion criteria, and data was collected in three sections: first section was nurse’s demographic characteristics, second section was PressureUlcer Prevention Knowledge Assessment Instrument (PUPKAI), and third section was Attitude towards Pressure Ulcer Prevention Instrument (APUP). Result: The main result of our study shows that the level of nurse’s knowledge regarding PrUs preventive measures at Palestinian hospitals is low, and the level of nurse’s attitude regarding PrUs preventive measures at Palestinian Hospitals is high, and there is no significant relationship between knowledge and attitude regarding PrUs preventive measure among nurse’s at the Palestinian Hospitals. Conclusion: Results showed insufficiencies in the knowledge and attitudes of nurses towards PU prevention. Therefore, it is essential to focus on general education and continuing education and practice of nurses. Further development of educational programs and frequent measurement of these two parameters can lead to a significant improvement in the quality of care provided.
References
[1]
Defloor, T., Bacquer, D.D. and Grypdonck, M.H.F. (2005) The Effect of Various Combinations of Turning and Pressure Reducing Devices on the Incidence of Pressure Ulcers. International Journal of Nursing Studies, 42, 37-46. https://doi.org/10.1016/j.ijnurstu.2004.05.013
[2]
Moore, Z., Cowman, S. and Conroy, R.M. (2011) A Randomized Controlled Clinical Trial of Repositioning, Using the 30° Tilt, for the Prevention of Pressure Ulcers. Journal of Clinical Nursing, 20, 2633-2644. https://doi.org/10.1111/j.1365-2702.2011.03736.x
[3]
Scott, J.R., Gibran, N.S., Engrav, L.H., Mack, C.D. and Rivara, F.P. (2006) Incidence and Characteristics of Hospitalized Patients with Pressure Ulcers: State of Washington, 1987 to 2000. Plastic and Reconstructive Surgery, 117, 630-634. https://doi.org/10.1097/01.prs.0000197210.94131.39
[4]
Vanderwee, K., Grypdonck, M.H.F., De Bacquer, D. and Defloor, T. (2006) Effectiveness of Turning with Unequal Time Intervals on the Incidence of Pressure Ulcer Lesions. Journal of Advanced Nursing, 57, 59-68. https://doi.org/10.1111/j.1365-2648.2006.04060.x
[5]
Allman, R.M., Goode, P.S., Burst, N., Bartolucci, A.A. and Thomas, D.R. (1999) Pressure Ulcers, Hospital Complication, and Disease Severity: Impact on Hospital Costs and Length of Stay. Advances in Wound Care, 12, 22-30.
[6]
Demarré, L., Van Lancker, A., Van Hecke, A., Verhaeghe, S., Grypdonck, M., Lemey, J., et al. (2015) The Cost of Prevention and Treatment of Pressure Ulcers: A Systematic Review. International Journal of Nursing Studies, 52, 1754-1774. https://doi.org/10.1016/j.ijnurstu.2015.06.006
[7]
Gažiová, M. (2013) Jednotný postup proti dekubitom. Sestra, 2013, 12-14.
[8]
EPUAP/NPIAP/PPPIA, European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance (2019) Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. In: Heasler, E., Ed., The International Guideline, EPUAP/NPIAP/PPPIA.
[9]
Jiang, L., Li, L. and Lommel, L. (2020) Nurses’ Knowledge, Attitudes, and Behaviours Related to Pressure Injury Prevention: A Large-Scale Cross-Sectional Survey in Mainland China. Journal of Clinical Nursing, 29, 3311-3324. https://doi.org/10.1111/jocn.15358
[10]
Aydın, A.K., Karadağ, A., Gül, Ş., Avşar, P. and Baykara, Z.G. (2019) Nurses’ Knowledge and Practices Related to Pressure Injury. Journal of Wound, Ostomy & Continence Nursing, 46, 117-123. https://doi.org/10.1097/won.0000000000000517
[11]
Beeckman, D., Defloor, T., Demarré, L., Van Hecke, A. and Vanderwee, K. (2010) Pressure Ulcers: Development and Psychometric Evaluation of the Attitude towards Pressure Ulcer Prevention Instrument (APuP). International Journal of Nursing Studies, 47, 1432-1441. https://doi.org/10.1016/j.ijnurstu.2010.04.004
[12]
Burston, A., Miles, S.J. and Fulbrook, P. (2022) Patient and Carer Experience of Living with a Pressure Injury: A Meta-Synthesis of Qualitative Studies. Journal of Clinical Nursing, 32, 3233-3247. https://doi.org/10.1111/jocn.16431
[13]
Batiha, A. (2018) Critical Care Nurses’ Knowledge, Attitudes, and Perceived Barriers towards Pressure Injuries Prevention. International Journal of Advanced Nursing Studies, 7, 117-122. https://doi.org/10.14419/ijans.v7i2.22716
[14]
Duimel-Peeters, I.G., Hulsenboom, M.A., Berger, M.P., Snoeckx, L.H. and Halfens, R.J. (2006) Massage to Prevent Pressure Ulcers: Knowledge, Beliefs and Practice. A Cross-Sectional Study among Nurses in the Netherlands in 1991 and 2003. Journal of Clinical Nursing, 15, 428-435. https://doi.org/10.1111/j.1365-2702.2006.01376.x
[15]
Lewis, M., Pearson, A. and Ward, C. (2003) Pressure Ulcer Prevention and Treatment: Transforming Research Findings into Consensus Based Clinical Guidelines. International Journal of Nursing Practice, 9, 92-102. https://doi.org/10.1046/j.1322-7114.2002.00405.x
[16]
Pieper, B., Sugrue, M., Weiland, M., Sprague, K. and Heiman, C. (1998) Risk Factors, Prevention Methods, and Wound Care for Patients with Pressure Ulcers. Clinical Nurse Specialist, 12, 7-12. https://doi.org/10.1097/00002800-199801000-00005
[17]
Kottner, J., Halfens, R. and Dassen, T. (2009) An Interrater Reliability Study of the Assessment of Pressure Ulcer Risk Using the Braden Scale and the Classification of Pressure Ulcers in a Home Care Setting. International Journal of Nursing Studies, 46, 1307-1312. https://doi.org/10.1016/j.ijnurstu.2009.03.014
[18]
McInerney, J.A. (2008) Reducing Hospital-Acquired Pressure Ulcer Prevalence through a Focused Prevention Program. Advances in Skin & Wound Care, 21, 75-78. https://doi.org/10.1097/01.asw.0000305410.58350.34
[19]
Demarré, L., Vanderwee, K., Defloor, T., Verhaeghe, S., Schoonhoven, L. and Beeckman, D. (2011) Pressure Ulcers: Knowledge and Attitude of Nurses and Nursing Assistants in Belgian Nursing Homes. Journal of Clinical Nursing, 21, 1425-1434. https://doi.org/10.1111/j.1365-2702.2011.03878.x
[20]
Pancorbo-Hidalgo, P.L., García-Fernández, F.P., López-Medina, I.M. and López-Ortega, J. (2007) Pressure Ulcer Care in Spain: Nurses’ Knowledge and Clinical Practice. Journal of Advanced Nursing, 58, 327-338. https://doi.org/10.1111/j.1365-2648.2007.04236.x
[21]
Kontrová, L’., Záˇceková, M. and Hulková, V. (2005) Štandardy v Ošetrovatel’stve; Vydavatel’stvo Osveta.
[22]
Qaddumi, J.A.S. and Almahmoud, O. (2019) Pressure Ulcers Prevalence and Potential Risk Factors among Intensive Care Unit Patients in Governmental Hospitals in Palestine: A Cross-Sectional Study. The Open Public Health Journal, 12, 121-126. https://doi.org/10.2174/1874944501912010121
[23]
Charalambous, C., Koulouri, A., Roupa, Z., Vasilopoulos, A., Kyriakou, M. and Vasiliou, M. (2019) Knowledge and Attitudes of Nurses in a Major Public Hospital in Cyprus Towards Pressure Ulcer Prevention. Journal of Tissue Viability, 28, 40-45. https://doi.org/10.1016/j.jtv.2018.10.005
[24]
Tirgari, B., Mirshekari, L. and Forouzi, M.A. (2018) Pressure Injury Prevention: Knowledge and Attitudes of Iranian Intensive Care Nurses. Advances in Skin & Wound Care, 31, 1-8. https://doi.org/10.1097/01.asw.0000530848.50085.ef
[25]
Barakat-Johnson, M., Barnett, C., Wand, T. and White, K. (2018) Knowledge and Attitudes of Nurses toward Pressure Injury Prevention. Journal of Wound, Ostomy & Continence Nursing, 45, 233-237. https://doi.org/10.1097/won.0000000000000430
[26]
Beeckman, D., Defloor, T., Schoonhoven, L. and Vanderwee, K. (2011) Knowledge and Attitudes of Nurses on Pressure Ulcer Prevention: A Cross-Sectional Multicenter Study in Belgian Hospitals. Worldviews on Evidence-Based Nursing, 8, 166-176. https://doi.org/10.1111/j.1741-6787.2011.00217.x
[27]
Smith, D. and Waugh, S. (2009) Research Study: An Assessment of Registered Nurses’ Knowledge of Pressure Ulcers Prevention and Treatment. Kansas State Nurses Association, 84, 3-5.
[28]
Liu, L.Q., Kelly, J., Di Cesare, M., Allan, H.T. and Traynor, M. (2023) The Knowledge and Attitudes Regarding Pressure Ulcer Prevention among Healthcare Support Workers in the UK: A Cross-Sectional Study. Journal of Tissue Viability, 32, 130-135. https://doi.org/10.1016/j.jtv.2022.11.004
[29]
Aydogan, S. and Caliskan, N. (2019) A Descriptive Study of Turkish Intensive Care Nurses’ Pressure Ulcer Prevention Knowledge, Attitudes, and Perceived Barriers to Care. Wound Management & Prevention, 65, 39-47. https://doi.org/10.25270/wmp.2019.2.3947
[30]
Yilmazer, T., Tüzer, H. and Erciyas, A. (2019) Knowledge and Attitudes towards Prevention of Pressure Ulcer: Intensive Care Units Sample in Turkey. Turkiye Klinikleri Journal of Nursing Sciences, 11, 140-147. https://doi.org/10.5336/nurses.2018-63157