Journals / Doğu Karadeniz Sağlık Bilimleri Dergisi / 2025 / Cilt: 4 Sayı: 4

Evaluation of the Level of Knowledge on Pressure Injury and Perceptions of Clinical Decision Making among Nursing Students

Hemşirelik Öğrencilerinin Basınç Yaralanması Konusunda Bilgi̇ Düzeylerinin ve Klinik Karar Verme Algılarının Değerlendirilmesi

Pages
285–295
Publication Date
2025-11-30
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

In line with these findings, certain improvements can be recommended in educational programs and clinical practices.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study aimed to evaluate the level of knowledge on pressure injury and clinical decision-making perceptions of nursing students and to determine the relationship between them.
📊
Key Findings & Data:Methods: The sample of this descriptive and correlational study consisted of 211 nursing students receiving education in a state university.
💡
Conclusion & Impact:In line with these findings, certain improvements can be recommended in educational programs and clinical practices.
🔬Design:Araştırma Makalesi
📍Scope:2022 Verileri
⚙️Variables:Pressure injury · knowledge · nursing

Abstract

Objective: This study aimed to evaluate the level of knowledge on pressure injury and clinical decision-making perceptions of nursing students and to determine the relationship between them. Methods: The sample of this descriptive and correlational study consisted of 211 nursing students receiving education in a state university. Data were collected between June 2022 and December 2023 using a “Descriptive Characteristics Form”, the “Pressure Injury Knowledge Assessment Tool 2.0 (PIKAT 2.0)”, and the “Clinical Decision-Making Scale (CDMS)”. Mean, standard deviation, percentage, the independent samples t-test was and the Pearson correlation analysis tests were used to analyze the data. Findings: The mean age of the students participating in the study was 21.65±1.52 years. Of the students, more than half were female and enrolled in the fourth grade; 84.4% stated that they had not participated in any training on pressure injury before. The students had a low mean score on PIKAT and a moderate mean score on CDMS. Willingness to participate in the training on pressure injury significantly increased the mean score on PIKAT (t: -2.426; p=0.016). The mean score of the students enrolled in the fourth grade was significantly higher than that of the students enrolled in the second grade (p<0.05). There was a weak positive correlation between the level of knowledge of pressure injury and the perception of clinical decision-making among the students (r: 0.183; p=0.008). Conclusion: As a result, it was determined that the level of knowledge of pressure injury was not sufficient among nursing students, that the level of knowledge of pressure injury and the level of clinical decision-making were higher among final-year nursing students, and that the level of knowledge of pressure injury had a positive effect on the clinical decision-making process. In line with these findings, certain improvements can be recommended in educational programs and clinical practices.

Özet

Amaç: Hemşirelik öğrencilerinin basınç yaralanmasına yönelik bilgi düzeyleri ve klinik karar verme algılarının değerlendirilmesi ve bu ikisi arasındaki ilişkinin belirlenmesi amaçlanmıştır. Yöntem: Tanımlayıcı ve korelasyonel tipte tasarlanan çalışmanın örneklemini bir devlet üniversitesinde öğrenim gören 211 hemşirelik öğrencisi oluşturmuştur. Veriler; Haziran 2022- Aralık 2023 tarihleri arasında; “Tanıtıcı Özellikler Formu”, “Basınç yaralanmaları bilgi değerlendirme aracı 2.0 (BYBDA)” ve “Klinik Karar Verme Ölçeği (KKVÖ)” araçları ile toplanmıştır. Verilerin analizinde ortalama, standart sapma, yüzde, bağımsız örneklemler için t-testi ve Pearson korelasyon analizi testleri kullanılmıştır. Bulgular: Çalışmaya katılan öğrencilerin yaş ortalaması 21,65±1,52 olup; yarısından fazlası kadın cinsiyette ve dördüncü sınıfa kayıtlıdır. Öğrencilerin %84,4’ü daha önce basınç yaralanmasına yönelik eğitime katılmadığını belirtmiştir. Öğrencilerin BYBDA puan ortalamaları düşük düzeyde iken, KKVÖ puan ortalamalarının orta düzeyde olduğu saptanmıştır. Basınç yaralanmasına yönelik eğitime katılmaya istekli olmanın BYBDA puan ortalamalarını anlamlı olarak yükselttiği saptanmıştır (t: -2,426; p= 0,016). Dördüncü sınıfa kayıtlı öğrencilerin BYBDA ve KKVÖ puan ortalamaları ikinci sınıfa kayıtlı öğrencilerin ortalamasından anlamlı düzeyde yüksek bulunmuştur (p<0,05). Öğrencilerin basınç yaralanması bilgi düzeyi ile klinik karar verme algıları arasında zayıf ve pozitif bir ilişki bulunmuştur (r: 0,183; p<0,05). Sonuçlar: Araştırmanın sonucunda; hemşirelik öğrencilerinin basınç yaralanması bilgi düzeyinin yeterli olmadığı, son sınıf hemşirelik öğrencilerinin basınç yaralanması bilgi düzeyinin ve klinik karar verme düzeyinin daha yüksek olduğu, basınç yaralanması bilgi düzeyinin klinik karar verme sürecini olumlu etkilediği bulunmuştur. Bu sonuçlar doğrultusunda; eğitim programlarında ve klinik uygulamalarda belirli iyileştirmeler önerilebilir.

🔖

Cite This Article

Ardıç, C. K., Akbuğa, G. A. (2025). Evaluation of the Level of Knowledge on Pressure Injury and Perceptions of Clinical Decision Making among Nursing Students. Doğu Karadeniz Sağlık Bilimleri Dergisi, Cilt: 4 Sayı: 4, 285–295. https://doi.org/10.59312/ebshealth.1729641

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (35)

  1. Anyango, E., Adama, E., Brown, J., & Ngune, I. (2024). An examination of the career decision-making self-efficacy of final-year nursing students. Nurse Education Today, 138, 106196.
  2. Arıburnu, Ö., & Korkmaz, F. (2024). Nursing students' perceptions and experiences in pressure injury risk assessment: A qualitative study. Nurse Education in Practice, 79, 104039.
  3. Bahar, A., Özgürbüz, N. E., & Akın, E. (2024). Student nurses' knowledge levels and attitudes regarding pressure injury prevention. Journal of Tissue Viability, 33(4), 732-737.
  4. Bektaş, İ., Yardımcı, F., Bektaş, M., & White, K.A. (2017). Psychometric properties of the turkish version of nursing anxiety and selfconfidence with clinical decision making scale (NASC-CDM-T). Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 10(2), 83-92.
  5. Biçer, E.K. (2021). Hemşirelik öğrencilerinin basınç ülseri önlemeye yönelik bilgi ve uygulamaları. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 11(1), 1-7.
  6. Cohen, J. (1988). The concepts of power analysis. Statistical power analysis for the behavioral sciences, 2, 1-17.
  7. Cukljek, S., Rezic, S., Ficko, S. L., Hosnjak, 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.
  8. Dalvand, S., Ebadi, A., & Gheshlagh, R. G. (2018). Nurses’ knowledge on pressure injury prevention: a systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool. Clinical, cosmetic and investigational dermatology, 613-620. https://doi.org/10.2147/CCID.S186381
  9. Demir, Ş., & Yılmaz, A. A. (2021). Hemşire karar verme ölçeğinin Türkçe’ye uyarlanması: Geçerlik ve güvenirlik çalışması. Sağlık ve Hemşirelik Yönetimi Dergisi, 8, 407-417. doi:10.54304/SHYD.2021.35693
  10. Dığın, F., & Özkan, Z. K. (2023). Hemşirelik öğrencilerinin karar verme durumlarının belirlenmesi. Yeni Yüzyıl Journal of Medical Sciences, 4(3), 126-132.
  11. Dicle, A., & Edeer, A. D. (2013). Examination of clinical decision making perceptions of nursing students. The New Educational Review, 33, 132-142.
  12. Dossary, R. N., Kitsantas, P., & Maddox, P. J. (2016). Clinical decision-making among new graduate nurses attending residency programs in Saudi Arabia. Applied Nursing Research, 29, 25-30.
  13. Edeer, A. D., & Sarıkaya, A. (2015). Adaptation of clinical decision making in nursing scale to undergraduate students of nursing: the study of reliability and validity. International Journal of Psychology and Educational Studies, 2(3), 1-9.
  14. Farčić, N., Barać, I., Plužarić, J., Ilakovac, V., Pačarić, S., Gvozdanović, Z., & Lovrić, R. (2020). Personality traits of core self-evaluation as predictors on clinical decision-making in nursing profession. Plos One, 15(5), e0233435.
  15. Garrigues, L. J., Cartwright, J. C., & Bliss, D. Z. (2017). Attitudes of nursing students about pressure injury prevention. Journal of Wound Ostomy & Continence Nursing, 44(2), 123-128.
  16. Heidari, M. R., & Norouzadeh, R. (2015). Nursing students’ perspectives on clinical education. Journal of advances in medical education & professionalism, 3(1), 39.
  17. Inangil, D., & Cura, Ş. Ü. (2020). Nursing students’ perceptions of nursing diagnoses and clinical decision-making. Clinical and Experimental Health Sciences, 10(2), 131-136.
  18. İlaslan, E., Adıbelli, D., Teskereci, G., & Cura, Ş. Ü. (2023). Development of nursing students' critical thinking and clinical decision-making skills. Teaching and Learning in Nursing, 18(1), 152-159.
  19. Johansen, M. L., & O’Brien, J. L. (2015). Decision making in nursing practice: A concept analysis. Nursing Forum, 51(1), 40–48. https://doi.org/10.1111/nuf.12119
  20. Keskin, A. Y. (2020). Hemşirelik öğrencilerinin klinik karar verme algıları ve klinik karar vermelerini etkileyen faktörlerin incelenmesi. Ankara Sağlık Bilimleri Dergisi, 9(2), 102-111.
  21. Kısacık, Ö. G., & Sönmez, M. (2020). Pressure ulcers prevention: Turkish nursing students' knowledge and attitudes and influencing factors. Journal of Tissue Viability, 29(1), 24-31.
  22. Kottner, J., Cuddigan, J., Carville, K., Balzer, K., Berlowitz, D., Law, S.,. & Haesler, E. (2019). Prevention and treatment of pressure ulcers/injuries: The protocol for the second update of the international Clinical Practice Guideline 2019. Journal of Tissue Viability, 28(2), 51-58.
  23. Mather, C., Jacques, A., & Prior, S. J. (2022). Australian first-year nursing student knowledge and attitudes on pressure injury prevention: A three-year educational intervention survey study. Nursing Reports, 12(3), 431-445.
  24. Novalia, A., Rachmi, S. F., & Yetti, K. (2022). Clinical decision-making of bachelor and clinical internship (professional) nursing students in Indonesia. Journal of Public Health Research, 11(2),1-5. https://doi.org/10.4081/jphr.2021.2735.
  25. Öntürk Akyüz, H., Dindar Demiray, E., Alkan, S., & Özlü, A. (2021). Hemşirelik öğrencilerinin immobil hastalarda dekübit ülserlerinin önlenmesi için hemşirelik bakımı konusunda bilgi düzeylerinin incelenmesi. Medical Research Reports, 4(3), 39-49.
  26. Özden, D., Özveren, H., & Gülnar, E. (2018). Hemşirelik öğrencilerinin klinik karar verme düzeyleri ve etkileyen faktörler. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 11(1), 41-47.
  27. Rosa, D., Villa, G., Amigoni, C., Rossetti, A. M., Guberti, M., Ghirotto, L., & Manara, D. F. (2024). Role of emotions in the clinical decision-making process of the hospital nurse: A multicentre qualitative study. MethodsX, 12, 102590. https://doi.org/10.1016/j.mex.2024.102590
  28. Sardo, P. M. G., Teixeira, J. P. F., Machado, A. M. S. F., Oliveira, B. F., & Alves, I. M. (2023). A systematic review of prevalence and incidence of pressure ulcers/injuries in hospital emergency services. Journal of Tissue Viability, 32(2), 179-187.
  29. Şeker, S. A., & Küçükkelepçe, G. E. (2022). Klinik uygulamanın hemşirelik öğrencilerinin problem çözme ve karar verme becerilerine etkisi: Yarı Deneysel Çalışma. Turkiye Klinikleri Journal of Nursing Sciences, 14(4).
  30. Ursavaş, F. E., & Bayrak, D. (2021). Validity and reliability of the Turkish version of the pressure injury knowledge assessment tool 2.0. Journal of Tissue Viability, 30(4), 582-587.
  31. Usher, K., Woods, C., Brown, J., Power, T., Lea, J., Hutchinson, M.,. & Jackson, D. (2018). Australian nursing students’ knowledge and attitudes towards pressure injury prevention: A cross-sectional study. International journal of nursing studies, 81, 14-20.
  32. Wu, J., Wang, B., Zhu, L., & Jia, X. (2022). Nurses' knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool. Frontiers in public health, 10, 964680.
  33. Yang, Z., Zhu, B., Ke, J., Yu, L., & Zhao, H. (2024). The effect of nomophobic behaviors among nurses on their clinical decision-making perceptions. Nurse Education in Practice, 77, 103978.
  34. Kottner, J., Cuddigan, J., Carville, K., Balzer, K., Berlowitz, D., Law, S.,. & Haesler, E. (2019). Prevention and treatment of pressure ulcers/injuries: The protocol for the second update of the international Clinical Practice Guideline 2019. Journal of Tissue Viability, 28(2), 51-58.
  35. Usher, K., Woods, C., Brown, J., Power, T., Lea, J., Hutchinson, M.,. & Jackson, D. (2018). Australian nursing students’ knowledge and attitudes towards pressure injury prevention: A cross-sectional study. International journal of nursing studies, 81, 14-20.