Intensive Care Nurses' Perceptions, Knowledge, and Attitudes Toward Pressure Injury Prevention in Prone Position Patients: A Multicenter Cross-Sectional Study in Shanghai, China.

IF 2 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Risk Management and Healthcare Policy Pub Date : 2025-09-09 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S532825
Wanwan Fang, Wenyan Pan, Xiao Liu, Jingyi Li, Qi Zhang, Wei Qin
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Abstract

Background: Pressure injury (PI) is a major concern in ICUs, where multiple risk factors contribute to its development. ICU nurses are vital in PI prevention, a key element of patient safety and care quality.

Aim: Explore ICU nurses' perceptions of PI prevention in prone-positioned patients across nine major hospitals in Shanghai, China, and to evaluate their knowledge and attitudes toward PI prevention.

Design: A multicenter cross-sectional study.

Methods: Convenience sampling recruited 252 ICU nurses from nine hospitals in Shanghai between July 31 and August 25, 2024. Participants completed a questionnaire assessing their perceptions of PI prevention in prone-positioned patients. Their knowledge and attitudes were evaluated using the Pressure Ulcer Knowledge Assessment Tool version 2.0 (PUKAT 2.0) and the Attitudes toward Pressure Ulcer Prevention instrument (APuP). Statistical analyses included Pearson correlation, t-tests, ANOVA, and multivariate regression.

Results: ICU nurses showed a positive perception of PI prevention in prone-positioned patients. The mean knowledge score was 8.45 ± 2.55 (40.24%, ≥60% satisfactory), while the mean attitude score was 39.39 ± 4.88 (75.75%, ≥75% satisfactory). Knowledge and attitudes were significantly positively correlated (r = 0.215; p < 0.05). Demographic factors such as gender, age, and ICU experience significantly influenced knowledge and attitudes (all p < 0.05). Nurses with a master's degree and those who had been primary nurses for prone-ventilated patients had higher knowledge scores. Additionally, nurses with 6-15 years of experience showed more favorable attitudes toward PI prevention.

Conclusion: Although ICU nurses had a positive perception of PI prevention in prone-positioned patients, their knowledge was insufficient, and their attitudes were moderate. To address these gaps, healthcare administrators should implement targeted strategies and update evidence-based protocols for PI prevention in prone-ventilated patients. Improving nurses' knowledge and fostering a proactive attitude can enhance clinical practices and patient outcomes.

重症监护护士对俯卧位患者压力损伤预防的认知、知识和态度:中国上海的一项多中心横断面研究。
背景:压伤(PI)是重症监护病房的主要问题,多种危险因素导致其发展。ICU护士在PI预防中至关重要,这是患者安全和护理质量的关键因素。目的:探讨上海九家大医院ICU护士对俯卧位患者预防PI的认知,并评价其预防PI的知识和态度。设计:多中心横断面研究。方法:方便抽样于2024年7月31日至8月25日在上海市9家医院抽取252名ICU护士。参与者完成了一份问卷,评估他们对俯卧位患者预防PI的看法。采用压疮知识评估工具2.0版(PUKAT 2.0)和压疮预防态度量表(APuP)对其知识和态度进行评估。统计分析包括Pearson相关、t检验、方差分析和多元回归。结果:ICU护士对俯卧位患者的PI预防持积极态度。知识平均得分为8.45 ± 2.55分(40.24%,满意≥60%),态度平均得分为39.39 ± 4.88分(75.75%,满意≥75%)。知识与态度呈显著正相关(r = 0.215;p )结论:ICU护士对俯卧位患者的PI预防认知虽积极,但知识不足,态度偏中。为了解决这些差距,医疗保健管理人员应该实施有针对性的策略,并更新以证据为基础的方案,以预防易通气患者的PI。提高护士的知识和培养积极主动的态度可以提高临床实践和患者的结果。
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来源期刊
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
期刊介绍: Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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