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Journals / Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi / 2026 / Cilt: 6 Sayı: 1

Investigation of Pediatric Nurses’ Knowledge Regarding Pressure Ulcers and The Factors Affecting Their Knowledge

Sıla Yılmaz(FENERBAHCE UNIVERSITY, FACULTY OF HEALTH SCIENCES, DEPARTMENT OF NURSING)0009-0002-4603-9878
Seray Denizli(FENERBAHCE UNIVERSITY, FACULTY OF HEALTH SCIENCES, DEPARTMENT OF NURSING)0009-0004-2213-1316
Sude Sena Leventoğlu(FENERBAHCE UNIVERSITY, FACULTY OF HEALTH SCIENCES, DEPARTMENT OF NURSING)0009-0007-8174-8406
Nurten Kayıkcı(FENERBAHCE UNIVERSITY, FACULTY OF HEALTH SCIENCES, DEPARTMENT OF NURSING)0009-0006-6581-623X
Yağmur Şancı(FENERBAHCE UNIVERSITY, FACULTY OF HEALTH SCIENCES, DEPARTMENT OF NURSING)0000-0002-7272-1005
Pages
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Publication Date
2026-10-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The findings indicate insufficient knowledge among pediatric nurses, particularly in classification and specific patient groups.

📌 3 Key Takeaways

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Objective & Hypothesis:Pressure ulcers are a common care problem in pediatric patients, and their prevention depends largely on healthcare professionals’ knowledge and experience.
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Key Findings & Data:The sample consisted of 109 pediatric nurses working in Turkey, selected through simple random sampling.
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Conclusion & Impact:The findings indicate insufficient knowledge among pediatric nurses, particularly in classification and specific patient groups.
🔬Design:Survey & Empirical Study
📍Scope:2024 Verileri
⚙️Variables:Basınç ülseri · bilgi düzeyi · çocuk hemşireliği

Abstract

Pressure ulcers are a common care problem in pediatric patients, and their prevention depends largely on healthcare professionals’ knowledge and experience. This study aimed to evaluate pediatric nurses’ knowledge levels regarding pressure ulcers and identify influencing factors. A descriptive, cross-sectional design was used. The sample consisted of 109 pediatric nurses working in Turkey, selected through simple random sampling. Data were collected between August and December 2024 via an online survey including a Sociodemographic Information Form and the Pressure Ulcer Knowledge Assessment Tool (PUKAT 2.0-T). Descriptive statistics, independent samples t-test, and one-way ANOVA were used for analysis. The mean total PUKAT 2.0-T score was 7.44±3.23 (range: 0–25), indicating a low knowledge level. The highest scores were in prevention and etiology, while the lowest were in classification/observation and specific patient groups. Nurses who had received training and those with direct care experience had significantly higher scores (p<0.05). No significant differences were found by gender or years of experience; however, nurses aged ≤30 years scored higher in some sub-dimensions. The findings indicate insufficient knowledge among pediatric nurses, particularly in classification and specific patient groups. Structured training and clinical practice are essential to improve knowledge and patient safety.

Özet

Pediatrik hastalarda basınç ülserleri yaygın bir bakım sorunudur ve bunların önlenmesi büyük ölçüde sağlık profesyonellerinin bilgi ve deneyimine bağlıdır. Bu çalışma, çocuk hemşirelerinin basınç ülserine ilişkin bilgi düzeylerini değerlendirmeyi ve bu düzeyi etkileyen faktörleri belirlemeyi amaçlamıştır. Araştırma tanımlayıcı ve kesitsel tipte yürütülmüştür. Örneklem, Türkiye’de çalışan ve basit rastgele örnekleme yöntemiyle seçilen 109 çocuk hemşiresinden oluşmuştur. Veriler, Ağustos–Aralık 2024 tarihleri arasında Sosyodemografik Bilgi Formu ve Basınç Ülseri Bilgi Düzeyi Değerlendirme Aracı (PUKAT 2.0-T) içeren çevrim içi anket aracılığıyla toplanmıştır. Verilerin analizinde tanımlayıcı istatistikler, bağımsız örneklemler t-testi ve tek yönlü varyans analizi kullanılmıştır. PUKAT 2.0-T toplam puan ortalaması 7,44±3,23 (aralık: 0–25) olup, düşük bilgi düzeyine işaret etmektedir. En yüksek puanlar önleme ve etiyoloji alt boyutlarında, en düşük puanlar ise sınıflandırma/gözlem ve özel hasta grupları alt boyutlarında elde edilmiştir. Basınç ülserine yönelik eğitim alan ve doğrudan bakım deneyimi olan hemşirelerin puanları anlamlı derecede daha yüksektir (p<0,05). Cinsiyet ve mesleki deneyim yılına göre anlamlı fark bulunmazken, ≤30 yaş hemşireler bazı alt boyutlarda daha yüksek puan almıştır. Bulgular, çocuk hemşirelerinin bilgi düzeylerinin özellikle sınıflandırma ve özel hasta gruplarında yetersiz olduğunu göstermektedir. Bilgi ve hasta güvenliğini artırmak için yapılandırılmış eğitim ve klinik uygulamalar gereklidir.

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Cite This Article

Yılmaz, S., Denizli, S., Leventoğlu, S. S., Kayıkcı, N., Şancı, Y. (2026). Investigation of Pediatric Nurses’ Knowledge Regarding Pressure Ulcers and The Factors Affecting Their Knowledge. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 6 Sayı: 1. https://doi.org/10.56061/fbujohs.1932054

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References (33)

  1. Alalawneh, E., Abdelkader, R., Iblasi, A., Alkouri, O., Aburuz, M., & Ababneh, A. (2025). Factors associated with adherence to prevention guidelines of pressure injuries among Jordanian nurses in critical care units. Journal of Tissue Viability, 34(1), 100853. https://doi.org/10.1016/j.jtv.2025.100853
  2. Arslan, İ., Demir, K. İ., Ekinci, F., Özkale, Y., & Ece, Ü. (2022). Evaluation of pressure ulcer frequency and risk factors in pediatric intensive care units: A multicenter study. Journal of Pediatric Emergency and Intensive Care Medicine, 9, 37–42. https://doi.org/10.4274/cayd.galenos.2021.65983
  3. Bargos-Munárriz, M., Bermúdez-Pérez, M., Martínez-Alonso, A. M., García-Molina, P., & Orts-Cortés, M. I. (2020). Prevention of pressure injuries in critically ill children: A preliminary evaluation. Journal of Tissue Viability, 29(4), 310–318. https://doi.org/10.1016/j.jtv.2020.08.005
  4. Chang, A. Y., McIltrot, K., Spaulding, E. M., & Walker, C. A. (2025). The effectiveness of pressure injury prevention education for patient care technicians in an adult acute care setting: A quality improvement project. Journal of Wound, Ostomy and Continence Nursing, 52(2), 112–118. https://doi.org/10.1097/WON.0000000000001153
  5. Chao, W. Y. (2025). Unraveling demographic influences on nurses’ knowledge and attitudes toward pressure injury prevention: A comprehensive multivariate study. International Journal of Healthcare Management, 1–10. https://doi.org/10.1080/20479700.2025.2535984
  6. Charalambous, C., Koulouri, A., Roupa, Z., Vasilopoulos, A., Kyriakou, M., & Vasiliou, M. (2019). Knowledge and attitudes of nurses in a major public hospital in Cyprus towards pressure ulcer prevention. Journal of Tissue Viability, 28(1), 40–45. https://doi.org/10.1016/j.jtv.2018.10.005
  7. Cordina, J., Rolls, K., & Sim, J. (2025). Nurses' clinical decision-making about pressure injury prevention in hospital settings: A scoping review. Journal of Advanced Nursing, 81, 5763–5792. https://doi.org/10.1111/jan.16776
  8. Cukljek, S., Ljubas, A., Fičko, S. L., Hošnjak, A. M., Friganović, A., Kurtović, B., … Režić, S. (2023). Croatian nurses' and nursing students’ attitudes towards pressure ulcer/injury prevention. Journal of Tissue Viability, 32(4), 493–498. https://doi.org/10.1016/j.jtv.2023.10.006
  9. Cukljek, S., Režić, S., Ficko, S. L., Hošnjak, A. M., Smrekar, M., & Ljubas, A. (2022). Croatian nurses' and nursing students' knowledge about pressure injury prevention. Journal of Tissue Viability, 31(3), 453–458. https://doi.org/10.1016/j.jtv.2022.04.008
  10. Dalli, Ö. E., Yıldırım, Y., Çalışkan, G., & Girgin, N. K. (2022). Reliability and validity of the Turkish version of pressure ulcer knowledge assessment tool-updated version (PUKAT 2.0). Journal of Tissue Viability, 31(1), 52–57. https://doi.org/10.1016/j.jtv.2021.08.001
  11. Ebi, W. E., Hirko, G. F., & Mijena, D. A. (2019). Nurses’ knowledge to pressure ulcer prevention in public hospitals in Wollega: A cross-sectional study design. BMC Nursing, 18, 20. https://doi.org/10.1186/s12912-019-0349-1
  12. Emami Zeydi, A., Karkhah, S., Maroufizadeh, S., Gholampour, M. H., & Ghazanfari, M. J. (2024). Exploring the knowledge, attitudes, and practices of critical care nurses in Iran towards pressure ulcer prevention. International Journal of Critical Care, 18(4), 31–32. https://doi.org/10.29173/ijcc999
  13. Gedamu, H., Abate, T., Ayalew, E., Tegenaw, A., Birhanu, M., & Tafere, Y. (2021). Level of nurses’ knowledge on pressure ulcer prevention: A systematic review and meta-analysis study in Ethiopia. Heliyon, 7, e07648. https://doi.org/10.1016/j.heliyon.2021.e07648
  14. Grešš Halász, B., Bérešová, A., & Tkáčová, Ľ. (2021). Nurses’ knowledge and attitudes towards prevention of pressure ulcers. International Journal of Environmental Research and Public Health, 18(4), 1705. https://doi.org/10.3390/ijerph18041705
  15. Gul, A., Andsoy, I. I., Ozkaya, B., & Zeydan, A. (2017). A descriptive, cross-sectional survey of Turkish nurses’ knowledge of pressure ulcer risk, prevention, and staging. Ostomy Wound Management, 63(6), 40–46.
  16. Jiang, Q., He, F., Fu, X., Yang, Y., He, H., & He, M. (2025). Demographic factor analysis on the knowledge, attitudes, and practice status of nurses in preventing device-related pressure injuries: A multicentric cross-sectional study. Advances in Skin & Wound Care, 38(4), 215–219. https://doi.org/10.1097/ASW.0000000000000291
  17. Kara, B., & Sönmez, B. (2025). The effect of toolbox trainings on nursing sensitive quality indicators: A randomized controlled trial. Journal of Nursing Scholarship, 57(3), 439–451. https://doi.org/10.1111/jnu.13051
  18. Keleş, M., Uzunlulu, M., & Torun, C. (2023). Frequency of pressure ulcers and related risk factors in patients transferred from the intensive care unit to the internal diseases clinic. Ahi Evran Medical Journal, 7(3), 324–330. https://doi.org/10.46332/aemj.1207025
  19. Ma, X., Fan, J., Wang, J., & Lin, H. (2025). Development of an evidence-based protocol for the prevention of perioperative pressure injuries in pediatric cardiac surgery: A Delphi study. Journal of Tissue Viability, 100948. https://doi.org/10.1016/j.jtv.2025.100948
  20. Manderlier, B., Van Damme, N., Vanderwee, K., Verhaeghe, S., Van Hecke, A., & Beeckman, D. (2017). Development and psychometric validation of PUKAT 2.0, a knowledge assessment tool for pressure ulcer prevention. International Wound Journal, 14(6), 1041–1051. https://doi.org/10.1111/iwj.12758
  21. Mukantwari, S., Bikorimana, E., Rumagihwa, L., Akaninyene, I. U., Ntakirutimana, C., Mucumbitsi, J., … Ikwuka, D. (2025). Assessment of nurses’ knowledge and practice of pressure injuries prevention for critically ill patients in Rwanda: A cross-sectional study. BMC Nursing, 24(1), 104. https://doi.org/10.1186/s12912-025-02754-1
  22. Özyurt, N., Küçük, S., & Şenel, E. (2024). The effect of short intervention training for nurses about pediatric pressure injuries on their knowledge and on pressure injuries: A randomized controlled trial. Journal of Pediatric Nursing, 79, e239–e246. https://doi.org/10.1016/j.pedn.2024.10.029
  23. Przybek-Mita, J., Bazaliński, D., Małek, E., Kachaniuk, J., Kozieł, D., Kózka, M., & Szewczyk, M. T. (2025). Knowledge in the area of prevention and treatment of pressure injuries among nurses: Report from the study. Healthcare, 13(1), 65. https://doi.org/10.3390/healthcare13010065
  24. Saleh, M. Y., Papanikolaou, P., Nassar, O. S., Shahin, A., & Anthony, D. (2019). Nurses' knowledge and practice of pressure ulcer prevention and treatment: An observational study. Journal of Tissue Viability, 28(4), 210–217. https://doi.org/10.1016/j.jtv.2019.10.005
  25. Sánchez-Lorente, M. M., Sanchis-Sánchez, E., García-Molina, P., Balaguer-López, E., & Blasco, J. M. (2018). Prevalence of pressure ulcers in the paediatric population and in primary health care: An epidemiological study conducted in Spain. Journal of Tissue Viability, 27(4), 221–225. https://doi.org/10.1016/j.jtv.2018.07.004 Sarı, Ç., & Altay, N. (2016). Nursery procedures to avoid pressure ulcer in newborns. Journal of Contemporary Medicine, 6(Case Reports), 138–147. https://doi.org/10.16899/ctd.47677
  26. Smith, H. A., Moore, Z., & Tan, M. H. (2019). Cohort study to determine the risk of pressure ulcers and developing a care bundle within a paediatric intensive care unit setting. Intensive and Critical Care Nursing, 53, 68–72. https://doi.org/10.1016/j.iccn.2019.04.008
  27. Song, N., Liu, W., Zhu, R., Wang, C., Wang, C.-L., & Chi, W. (2024). A survey of knowledge, attitudes, and practices among paediatric intensive care unit nurses for preventing pressure injuries: An analysis of influencing factors. International Wound Journal, 21(2), e14710. https://doi.org/10.1111/iwj.14710
  28. Şengül, T., & Karadağ, A. (2020). Determination of nurses’ level of knowledge on the prevention of pressure ulcers: The case of Turkey. Journal of Tissue Viability, 29(2), 82–87. https://doi.org/10.1016/j.jtv.2020.06.005
  29. Şimşek, E., & Semerci Şahin, R. (2025). The difficulties on management of pressure injuries encountered by pediatric nurses working in intensive care units in Türkiye: A descriptive qualitative study. Journal of Pediatric Nursing, 84, 403–411. https://doi.org/10.1016/j.pedn.2025.06.050
  30. Yarkıner, Z., Bahar, A., Sönmez, M., Kapan, E., Şahin, S., Köstekçi, E., & Erdeve, Ö. (2024). Incidence of medical device-related pressure injuries and identification of risk factors in the neonatal unit. Journal of Tissue Viability, 33(4), 916–922. https://doi.org/10.1016/j.jtv.2024.09.005
  31. Yılmazer, T., Tüzer, H., & Tarla, A. (2019). Examination of pressure ulcer prevention knowledge of nurses. Health Academy Kastamonu, 4(3), 211–224.
  32. Zencir, G., Yeşilyaprak, T., Ünal, E. P., Akın, B., & Gök, F. (2025). Evaluation of surgical nurses’ knowledge and attitudes towards pressure ulcer prevention. Journal of Tissue Viability, 34(2), 100862. https://doi.org/10.1016/j.jtv.2025.100862
  33. Zeydi, A. E., Karkhah, S., Maroufizadeh, S., Gholampour, M. H., & Ghazanfari, M. J. (2024). Exploring the knowledge, attitudes, and practices of critical care nurses in Iran towards pressure ulcer prevention. International Journal of Critical Care, 18(4), 31–32. https://doi.org/10.29173/ijcc999