Healthcare workers' knowledge, attitudes, practices, and influencing factors in the prevention of medical device-related pressure injuries: A scoping review

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability Pub Date : 2025-04-22 DOI:10.1016/j.jtv.2025.100916

Yanling Hu , Hanmei Peng , Xia Li , Xuemei Guo , Ying-Xin Li , Xi Huang , Ru Yang , Zeyao Shi , Yuan Li

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引用次数: 0

Abstract

Objectives

Medical device-related pressure injuries (MDRPIs) represent a significant iatrogenic complication in healthcare settings. Healthcare workers' competency in device management is crucial for MDRPI prevention, yet evidence regarding their preventive knowledge, attitudes, and practices remains fragmented. This study aims to synthesize evidence on assessment methods, current status, and influencing factors of healthcare workers' knowledge, attitudes, and practices in MDRPI prevention.

Methods

A scoping review was conducted following the Arksey and O'Malley framework. We systematically searched Medline, Embase, Web of Science, Scopus, and CINAHL databases from inception to December 18, 2024. Studies were considered if they examined healthcare workers' knowledge, attitudes, practices, or influencing factors regarding MDRPI prevention. Two independent researchers performed study selection and data extraction, with narrative synthesis of findings.

Results

Analysis of 20 studies across nine countries revealed substantial methodological heterogeneity in assessment approaches. While healthcare workers maintained positive attitudes toward prevention, knowledge assessment identified significant deficits, particularly in MDRPI concepts, staging classification, and preventive measures. Practice implementation varies considerably, with notable gaps in device repositioning, protective dressing application, and prevention strategy documentation. Prevention competencies were significantly influenced by individual factors (e.g., age, education, clinical experience) and institutional characteristics (e.g., hospital grade, department type).

Conclusions

This review identified substantial heterogeneity in assessment methods for MDRPI prevention competencies. While healthcare workers demonstrated positive attitudes, significant knowledge deficits persisted, with practice implementation showing considerable variations. Prevention initiatives should focus on developing standardized assessment tools and implementing targeted educational interventions, while considering both individual and institutional factors that influence prevention competencies.

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卫生保健工作者在预防医疗器械相关压力伤害方面的知识、态度、做法和影响因素：范围综述

目的医疗器械相关压力损伤（mdrpi）是医疗机构中一个重要的医源性并发症。医疗保健工作者在设备管理方面的能力对于预防MDRPI至关重要，但有关他们的预防知识、态度和实践的证据仍然零散。本研究旨在对医护人员预防MDRPI的知识、态度和行为的评估方法、现状及影响因素进行综合研究。方法根据Arksey和O'Malley框架进行范围审查。我们系统地检索了Medline， Embase, Web of Science， Scopus和CINAHL数据库，从成立到2024年12月18日。如果研究调查了卫生保健工作者关于MDRPI预防的知识、态度、做法或影响因素，则考虑研究。两名独立研究人员进行了研究选择和数据提取，并对研究结果进行了叙述性综合。结果对9个国家的20项研究的分析揭示了评估方法的大量方法异质性。虽然卫生保健工作者对预防保持积极的态度，但知识评估发现了重大缺陷，特别是在MDRPI概念、分期分类和预防措施方面。实践实施差异很大，在器械重新定位、防护敷料应用和预防策略文件方面存在明显差距。预防能力受到个人因素（如年龄、教育程度、临床经验）和机构特征（如医院等级、科室类型）的显著影响。结论：本综述确定了MDRPI预防能力评估方法的实质性异质性。虽然卫生保健工作者表现出积极的态度，但显著的知识缺陷仍然存在，实践执行显示出相当大的差异。预防举措应侧重于开发标准化评估工具和实施有针对性的教育干预措施，同时考虑影响预防能力的个人和机构因素。

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来源期刊

Journal of tissue viability DERMATOLOGY-NURSING

CiteScore

3.80

自引率

16.00%

发文量

110

审稿时长

>12 weeks

期刊介绍： The Journal of Tissue Viability is the official publication of the Tissue Viability Society and is a quarterly journal concerned with all aspects of the occurrence and treatment of wounds, ulcers and pressure sores including patient care, pain, nutrition, wound healing, research, prevention, mobility, social problems and management. The Journal particularly encourages papers covering skin and skin wounds but will consider articles that discuss injury in any tissue. Articles that stress the multi-professional nature of tissue viability are especially welcome. We seek to encourage new authors as well as well-established contributors to the field - one aim of the journal is to enable all participants in tissue viability to share information with colleagues.