(CR-026) Nurses’ attitudes towards pressure ulcer prevention and the development of educational approaches to meet attitudinal needs.
Co-Author(s):
Zena Moore, PhD – Professor, School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences; Tom O'Connor, PhD – Professor, School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences
<b>Introduction</b>: <p class="Pa0" style="text-align: justify; line-height: 150%;"><span lang="EN-IE" style="font-family: 'Calibri',sans-serif; color: black;">To critically appraise and synthesise existing research literature pertaining to nurses’ attitudes towards pressure ulcer (PU) prevention and to identify gaps that can be addressed through educational interventions for nurses.</span></p><br/><br/><b>Methods</b>: <span lang="EN-IE" style="font-size: 11.0pt; line-height: 107%; font-family: 'Calibri',sans-serif; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; color: black; mso-ansi-language: EN-IE; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">Using systematic review methodology, published quantitative studies focusing on nurses’ attitudes towards PU prevention measured by psychometric tests were included. The search was conducted using PubMed, CINAHL, Scopus, Cochrane and EMBASE databases, and returned 442 records, of which 21 met the inclusion criteria. Data were extracted using a pre-designed extraction tool and all included studies were quality appraised using the checklist. </span><br/><br/><b>Results</b>: <span lang="EN-IE" style="font-size: 11.0pt; line-height: 107%; font-family: 'Calibri',sans-serif; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; color: black; mso-ansi-language: EN-IE; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">Of the included studies, 20 employed a cross-sectional design and one employed a validation study. In measuring nurses’ attitudes toward PU prevention two distinct instruments were used: the ‘Moore and Price Attitude Scale’ and the ‘Attitude towards Pressure Ulcer Prevention Instrument’. The mean attitude score within the studies was 73% (standard deviation=9.2%). The lowest attitude score was 51%, while the highest score was 89%. The results obtained from the studies indicated that 86% (n=18) yielded positive attitude results. </span><br/><br/><b>Discussion</b>: <span lang="EN-IE" style="font-size: 11.0pt; line-height: 107%; font-family: 'Calibri',sans-serif; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; color: black; mso-ansi-language: EN-IE; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">The findings suggest that, overall, nurses are positively disposed towards PU prevention. However, it is important to highlight that the nurses have difficulties translating this positive attitude into actual PU prevention strategies. This is where new educational approaches have to be developed to assist nurses in making this transition into practice. </span><br/><br/><b>Trademarked Items</b>: <br/><br/><b>References</b>: 1. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: clinical practice guideline. Haesler E (ed.), Cambridge Media, 2014
2. National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: clinical practice guideline. National Pressure Ulcer Advisory Panel, 2009
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