Latent profile analysis of nurses' knowledge, attitudes, and practices regarding pressure injury prevention: a multicenter large-sample study.

IF 3.9 2区医学 Q1 NURSING

BMC Nursing Pub Date : 2025-09-29 DOI:10.1186/s12912-025-03875-3

Caili Li, Xiaoqian Lu, Liyan Zhang, Xiuju Huang, Pinyue Tao, Xiao Pan, Hong Li, Tian Tian, Yanfei Pan, Qini Pan, Dongmei Huang, Dandan Han, Huiqiao Huang

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引用次数: 0

Abstract

Background: This study aimed to analyze latent profiles and characteristics of nurses' knowledge, attitudes, and practices (KAP) regarding pressure injury (PI) prevention, as well as influencing factors across distinct profiles.

Methods: A convenience sampling method was employed to recruit nurses from hospitals at various tiers in Guangxi Zhuang Autonomous Region between July and August 2024. Data were collected using a General Information Questionnaire and a Nurse PI-KAP Questionnaire. Latent profile analysis (LPA) identified distinct PI-KAP profiles, while univariate analysis and multinomial logistic regression determined profile-specific influencing factors.

Results: Among 17,253 enrolled nurses, the total PI-KAP score was 63.44 ± 7.69. Three latent profiles emerged: low-level PI-KAP (12.82%), moderate-level PI-KAP (52.23%), and high-level PI-KAP (34.95%). Multinomial logistic regression revealed that hospital tier, years of experience, education level, professional title, gender, and attitudes toward PI training significantly influenced PI-KAP profiles (p < .05).

Conclusion: Heterogeneity exists in nurses' PI-KAP profiles, with a substantial proportion demonstrating suboptimal competency. Nursing administrators should establish hierarchical training systems tailored to PI-KAP characteristics. Capacity-building strategies include prioritizing training for core nurses, optimizing resource allocation, and establishing tiered hospital assistance mechanisms to enhance team-based PI prevention capabilities.

Clinical trial number: Not applicable.

Abstract Image

查看原文本刊更多论文

护士关于压力伤害预防的知识、态度和实践的潜在分析：一项多中心大样本研究。

背景：本研究旨在分析护士预防压力伤害（PI）的知识、态度和行为（KAP）的潜在特征和特征，以及不同特征的影响因素。方法：采用方便抽样的方法，于2024年7 - 8月在广西壮族自治区各级医院招募护士。数据收集采用一般信息问卷和护士PI-KAP问卷。潜在剖面分析（LPA）确定了不同的PI-KAP剖面，而单变量分析和多项逻辑回归确定了特定剖面的影响因素。结果：17253名入组护士的PI-KAP总分为63.44±7.69分。出现低水平PI-KAP（12.82%）、中等水平PI-KAP（52.23%）和高水平PI-KAP（34.95%）三个潜在特征。多项logistic回归结果显示，医院级别、工作年限、学历、职称、性别和对PI培训的态度对PI- kap有显著影响(p)。结论：护士PI- kap存在异质性，有相当比例的护士表现为次优胜任力。护理管理者应根据PI-KAP的特点建立分层培训体系。能力建设战略包括优先培训核心护士，优化资源分配，建立分级医院援助机制，以增强以团队为基础的PI预防能力。临床试验号：不适用。

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来源期刊

BMC Nursing Nursing-General Nursing

CiteScore

3.90

自引率

6.20%

发文量

317

审稿时长

30 weeks

期刊介绍： BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.