Protective Health Behaviors among Critical Care Nurses Concerning Pressure Ulcer Prevention for Hospitalized Patients at Baghdad Teaching Hospitals
DOI:
https://doi.org/10.54133/ajms.v5i.211Keywords:
Hospitalized patients, Protective health behaviors, Pressure ulcer, PreventionAbstract
Background: Pressure ulcers remain a serious complication for immobile patients and a burden for healthcare professionals. Objectives: To assess health behavior prevention among critical care nurses regarding pressure ulcer prevention for hospitalized patients and to find out the relationship between critical care nurses health behavior prevention and sociodemographic variables. Methods: A cross-sectional design study was carried out in critical care units at three teaching hospitals. The study period extended from November 1, 2022, to January 28, 2023. Non-probability purposive sampling, whose target population was 100 nurses who work in critical care units in Baghdad, Iraq. The data were collected using a self-administered questionnaire. The data was collected from November 10th through December 23rd, 2022. Study instruments consist of two parts. First, the demographic sheet included sociodemographic information about the participants. The second part includes nurses’ attitudes toward the pressure ulcer prevention instrument (APuP). The collected data was analyzed using SPSS version 26. Results: Findings of the current study showed nearly three-quarters (74%) of critical care nurses had positive health behaviors regarding pressure ulcer prevention based on a total mean score of 2.26. Conclusion: This study concluded that the critical care units’ nurses surveyed in this study demonstrate an acceptable level of knowledge regarding pressure ulcer prevention and treatment. Continuing education or in-service training should be provided to enhance critical care units’ nurses’ practices and positive health behaviors about pressure ulcer prevention.
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Munoz N. Pressure injuries among critical care patients. Crit Care Nurs Clin North Am. 2021;32:573-587. doi: 10.1016/j.cnc.2020.08.007. DOI: https://doi.org/10.1016/j.cnc.2020.08.007
Khojastehfar S, Ghezeljeh TN, Haghani S. Factors related to knowledge, attitude, and practice of nurses in intensive care unit in the area of pressure ulcer prevention: A multicenter study. J Tissue Viability. 2020;1;29(2):76-81. doi: 10.1016/j.jtv.2020.02.002. DOI: https://doi.org/10.1016/j.jtv.2020.02.002
Grešš HB, Bérešová, A, Tkáčová Ľ, Magurová D, Lizáková Ľ. Nurses’ knowledge and attitudes towards prevention of pressure ulcers. Int J Environ Res Public Health. 2021;18(4):1705. doi: 10.3390/ijerph18041705. DOI: https://doi.org/10.3390/ijerph18041705
Labeau SO, Afonso E, Benbenishty J, Blackwood B, Boulanger C, Brett SJ, et al. Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study. Intensive Care Med. 2021;47(2):160-169. doi: 10.1007/s00134-020-06234-9. DOI: https://doi.org/10.1007/s00134-020-06327-5
Kim JY, Lee YJ. A study on the nursing knowledge, attitude, and performance towards pressure ulcer prevention among nurses in Korea long‐term care facilities. Int Wound J. 2019;16:29-35. doi: 10.1111/iwj.13021. DOI: https://doi.org/10.1111/iwj.13021
Muhammed EM, Bifftu BB, Temachu YZ, Walle TA. Nurses’ knowledge of pressure ulcer and its associated factors at Hawassa University comprehensive specialized hospital Hawassa, Ethiopia, 2018. BMC Nurs. 2020;19:1-8. doi: 10.1186/s12912-020-00446-6. eCollection 2020. DOI: https://doi.org/10.1186/s12912-020-00446-6
Parisod H, Holopainen A, Kielo-Viljamaa E, Puukka P, Beeckman D, Haavisto E. Attitudes of nursing staff towards pressure ulcer prevention in primary and specialized health care: A correlational cross-sectional study. Int Wound J. 2022;19(2):399-410. doi: 10.1111/iwj.13641. DOI: https://doi.org/10.1111/iwj.13641
Lotfi M, Aghazadeh AM, Asgarpour H, Nobakht A. Iranian nurses' knowledge, attitude and behavior on skin care, prevention and management of pressure injury: A descriptive cross-sectional study. Nursing Open. 2019;6(4):1600-1605. doi: 10.1002/nop2.365. DOI: https://doi.org/10.1002/nop2.365
Ellen S. Slovin's formula sampling techniques. URL: https://sciencing.com/slovins-formula-sampling-techniques-5475547.html. 2012.
Beeckman D, Vanderwee K, Demarre L, Paquay L, Van Hecke A, Defloor T. Pressure ulcers: development and psychometric evaluation of the attitude towards pressure ulcer prevention instrument (APuP). Int J Nurs Stud. 2010;47(11):1432-1441. doi: 10.1016/j.ijnurstu.2010.04.004. DOI: https://doi.org/10.1016/j.ijnurstu.2010.04.004
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(5):316-333. doi: 10.4236/ojn.2022.125022. DOI: https://doi.org/10.4236/ojn.2022.125022
Dlungwane TP. Nurses’ knowledge, attitudes and practices regarding pressure ulcer prevention in the UMgungundlovu district, south Africa. Afr J Nurs Midwif. 2020;22(2):17. DOI: https://doi.org/10.25159/2520-5293/7691
Muhammad D, Ahmad IW, Khan M N, Ali F, Muhammad G. Knowledge, attitude and practices of nurses regarding pressure ulcers prevention at a tertiary care hospital of Peshawar, Khyber Pakhtunkhwa. JKCD. 2017;7(2):50-55.
Senmar M, Abdollahi P, Yousefi F, Moosavi AR, Rafiei H, Amiri M. Attitudes of intensive care unit and cardiac care unit nurses on pressure ulcer prevention. Wounds. 2018; 5(2):6-10.
Habiballah L. Attitudes of intensive care nurses towards pressure ulcer prevention. Clin Nurs Stud. 2018;6(3):1. doi: 10.5430/cns.v6n3p1. DOI: https://doi.org/10.5430/cns.v6n3p1
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;15(1):1-6. doi: 10.1186/s12912-016-0138-6. DOI: https://doi.org/10.1186/s12912-016-0138-6
Usher K,Woods C, Brown J, Power T, Lea J, Hutchinson M, et al. Australian nursing students’ knowledge and attitudes towards pressure injury prevention: A cross-sectional study. Int J Nurs Stud. 2018;81:14-20. doi: 10.1016/j.ijnurstu.2018.01.015. DOI: https://doi.org/10.1016/j.ijnurstu.2018.01.015
Jasim AH, Majeed HM, Mohammed TR. Knowledge and protective health behaviors concerning risk factors for coronary heart disease among Baghdad University students. Medico Legal Update. 2020;20(2):234-239.
Etafa W, Argaw Z, Gemechu E, Melese B. Nurses’ attitude and perceived barriers to pressure ulcer prevention. BMC Nurs. 2018;17(1):14. doi: 10.1186/s12912-018-0282-2. eCollection 2018. DOI: https://doi.org/10.1186/s12912-018-0282-2
Hu L, Sae-Sia W, Kitrungrote L. Intensive care nurses' knowledge, attitude, and practice of pressure injury prevention in China: A cross-sectional study. Risk Manag Health Policy. 2021;14:4257-4267. doi: 10.2147/RMHP.S323839. DOI: https://doi.org/10.2147/RMHP.S323839
Al-Dorzi HM. Prevention of Pressure Injury in the Intensive Care Unit. Saudi Crit Care J. 2019;3(1):24-28. doi: 10.4103/2543-1854.259474. DOI: https://doi.org/10.4103/2543-1854.259474
Yilmazer T, Tüzer H, ErciyasA . Knowledge and attitudes towards prevention of pressure ulcer: Intensive care units sample in Turkey. Turkiye Klinikleri J Nurs Sci. 2019;11(2):140-147. doi: 10.5336/nurses.2018-63157. DOI: https://doi.org/10.5336/nurses.2018-63157
Awad W, Hewi S. Effect of pressure ulcer preventive nursing interventions on knowledge, attitudes and practices of nurses among hospitalized geriatric patients in Alexandria, Egypt. J Nurs Health Sci. 2020; 9(2):1-12. doi: 10.9790/1959-0902060112.
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