Journals / Bilecik Şeyh Edebali Üniversitesi Sağlık Bilimleri Fakültesi Dergisi / 2025 / Volume: 3 Issue: 3

Examining the Knowledge and Attitudes of Nurses Toward Preventing Pressure Injury: A Descriptive and Correlational Study

Hemşirelerin Basınç Yarasını Önlemeye Yönelik Bilgi ve Tutumlarının İncelenmesi: Tanımlayıcı ve İlişki Arayıcı Bir Çalışma

Sevinç Meşe(Kahramanmaraş İstiklal Üniversitesi)0000-0003-4635-9169
Yasemin Sazak(Kahramanmaraş İstiklal Üniversitesi)0000-0001-9296-0719
Nurhan Aktaş(Kahramanmaraş İstiklal Üniversitesi)0000-0003-1375-0719
Pages
—
Publication Date
2025-09-01
🏛️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)

It was determined that the knowledge level of nurses about pressure injury was insufficient, and their attitudes were positive.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study aimed to determine the level of knowledge and attitudes of nurses towards preventing pressure injury.
📊
Key Findings & Data:The study was conducted in a city hospital with 170 nurses between July and September 2024.
💡
Conclusion & Impact:It was determined that the knowledge level of nurses about pressure injury was insufficient, and their attitudes were positive.
🔬Design:Research Article
📍Scope:2024 Verileri
⚙️Variables:Knowledge · Attitude · Nursing

Abstract

This study aimed to determine the level of knowledge and attitudes of nurses towards preventing pressure injury. The study design is descriptive. The study was conducted in a city hospital with 170 nurses between July and September 2024. Data were collected using the “Nurse Descriptive Information Form", “Pressure Ulcer Knowledge Assessment Tool”, and “Attitude Towards Pressure Ulcer Prevention Instrument”. The total mean score of the nurses on the Pressure Ulcer Knowledge Assessment Tool is 7.61±3.04, and the total mean score of the Attitude Towards Pressure Ulcer Prevention Instrument is 40.44±4.80. The level of knowledge of nurses on pressure injury is higher in those aged 30-39, those with undergraduate and graduate degrees, those working in intensive care, those who have received training on pressure injury, those who frequently encounter pressure injury, and those who think that pressure injuries can be prevented (p<0.05). A moderately positive and significant relationship was found between the two scales (r = 0.327, p<0.05). It was determined that the knowledge level of nurses about pressure injury was insufficient, and their attitudes were positive.

Özet

Bu araştırmada hemşirelerin basınç yaralanması bilgi düzeyi ve basınç yaralanmalarını önlemeye yönelik tutumlarının belirlenmesi amaçlanmıştır. Araştırmanın deseni tanımlayıcı tiptedir. Araştırma bir şehir hastanesinde Temmuz-Eylül 2024 tarihleri arasında 170 hemşire ile yürütülmüştür. Veriler “Hemşire Tanıtıcı Bilgi Formu”, “Basınç Ülseri Bilgi Düzeyi Değerlendirme Aracı” ve “Basınç Ülserlerini Önlemeye Yönelik Tutum Ölçeği” ile toplanmıştır. Hemşirelerin; Basınç Ülseri Bilgi Düzeyi Değerlendirme Aracı toplam puan ortalaması 7.61±3.04, Basınç Ülserlerini Önlemeye Yönelik Tutum Ölçeği toplam puan ortalaması 40.44±4.80’dir. Hemşirelerin basınç yaralanmaları bilgi düzeyi, 30-39 yaş aralığı olanlarda, lisans ve lisansüstü mezunu olanlarda, yoğun bakımda çalışanlarda, basınç yarası konusunda eğitim alanlarda, basınç yaralanmaları ile sık karşılaşanlarda, basınç yaralanmalarının önlenebilir olduğunu düşünenlerde daha yüksektir (p<0.05). İki ölçek arasında orta düzeyde pozitif yönde anlamlı ilişki olduğu (r=0.327, p<0.05) bulunmuştur. Hemşirelerin basınç yaralanmaları bilgi düzeyinin yetersiz ve tutumlarının ise pozitif yönde olduğu belirlenmiştir.

🔖

Cite This Article

Meşe, S., Sazak, Y., Aktaş, N. (2025). Examining the Knowledge and Attitudes of Nurses Toward Preventing Pressure Injury: A Descriptive and Correlational Study. Bilecik Şeyh Edebali Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, Volume: 3 Issue: 3. https://doi.org/10.61535/bseusbfd.1606901

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (38)

  1. Avşar, P., & Karadağ, A. (2016). Waterlow Basınç ülseri risk değerlendirme ölçeği’nin türkçeye uyarlanması, geçerlik-güvenirlik. Journal of Hacettepe University Faculty of Nursing, (3), 1-15.
  2. Awad, W. H. A., & Hewi, S. A. H. (2020). Effect of pressure ulcer preventive nursing interventions on knowledge, attitudes and practices of nurses among hospitalized geriatric patients in Alexandria, Egypt. Journal of Nursing and Health Science, 9(2), 1-12. https://doi.org/10.9790/1959-0902060112
  3. Aydın, A. K., Karadağ, A., Gül, S., Avşar, P., & Baykara, Z. G. (2019). Nurses’ knowledge and practices related to pressure injury: A cross-sectional study. Journal of Wound, Ostomy & Continence Nursing, 46(2), 117-123. https://doi.org/10.1097/WON.0000000000000517
  4. Beeckman, D., Defloor, T., Demarré, L., Van Hecke, A., & Vanderwee, K. (2010). Pressure ulcers: Development and psychometric evaluation of the attitude towards pressure ulcer prevention instrument (APuP). International Journal of Nursing Studies, 47(11), 1432-1441. https://doi.org/10.1016/j.ijnurstu.2010.04.004
  5. Bjurbo, C., Wetzer, E., Thunborg, D., Zhang, L., & Hultin, L. (2024). Knowledge and attitudes regarding pressure injuries among assistant nurses in a clinical context. International Wound Journal, 21(7), e14950. https://doi.org/10.1111/iwj.14950
  6. Çelik, S., Dirimeşe, E., Taşdemir, N., ve ark. (2017). Hemşirelerin bası yarasını önleme ve yönetme bilgisi. Medical Journal of Bakirkoy, 13(3), 133-139. https://doi.org/110.5350/BTDMJB201713305
  7. Çınar, F., Kula, Ş. S., Eti, A. F (2018). Yoğun bakım ünitesinde basınç yarasının önlenmeye yönelik Türkiye’de yapılmış çalışmaların incelenmesi. Sistematik derleme. Balikesir Sağlik Bilimleri Dergisi, 7(1):42-50.
  8. Dalli, Ö. E., Yildirim, Y., Çalişkan, 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
  9. Dilie, A., & Mengistu, D. (2015). Assessment of nurses’ knowledge, attitude, and perceived barriers to expressed pressure ulcer prevention practice in Addis Ababa government hospitals, Addis Ababa, Ethiopia. Advances in Nursing, 2015, 796927. https://doi.org/10.1155/2015/796927
  10. Efteli, E. (2020). Hemşirelik bakımında önemli bir sorun: Basınç yaraları. Current Perspectives on Health Sciences, 1(1), 1-10.
  11. Etafa, W., Argaw, Z., Gemechu, E., & Melese, B. (2018). Nurses’ attitude and perceived barriers to pressure ulcer prevention. BMC Nursing, 17(14). https://doi.org/10.1186/s12912-018-0282-2
  12. European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel, & Pan Pacific Pressure Injury Alliance. (2019). Prevention and treatment of pressure ulcers/injuries: Clinical practice guideline (E. Haesler, Ed.). EPUAP/NPIAP/PPPIA.
  13. Gonçalves, M. B. B., Rabeh, S. A. N., & Terçariol, C. A. S. (2015). The contribution of distance learning to the knowledge of nursing lecturers regarding assessment of chronic wounds. Revista Latino-Americana de Enfermagem, 23(1), 122-129. https://doi.org/10.1590/0104-1169.3606.2533
  14. Grešš-Halász, B., Bérešová, A., Tkáčová, Ľ., Magurová, D., & Lizáková, 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. Guest, J. F., Fuller, G. W., Vowden, P., & Vowden, K. R. (2018). Cohort study evaluating pressure ulcer management in clinical practice in the UK following initial presentation in the community: Costs and outcomes. BMJ Open, 8(7), e021769. https://doi.org/10.1136/bmjopen-2018-021769
  16. Hu, L., Sae-Sia, W., & Kitrungrote, L. (2021). Intensive care nurses’ knowledge, attitude, and practice of pressure injury prevention in China: A cross-sectional study. Risk Management and Healthcare Policy, 4257-4267. https://doi.org/10.2147/RMHP.S323839
  17. Isfahani, P., Alirezaei, S., Samani, S., Bolagh, F., Heydari, A., Sarani, M., & Afshari, M. (2024). Prevalence of hospital-acquired pressure injuries in intensive care units of the Eastern Mediterranean region: A systematic review and meta-analysis. Patient Safety in Surgery, 18(1). https://doi.org/10.1186/s13037-023-00383-8
  18. Jiang, L., Li, L., & Lommel, L. (2020). Nurses’ knowledge, attitudes, and behaviors related to pressure injury prevention: A large‐scale cross‐sectional survey in mainland China. Journal of Clinical Nursing, 29(17-18). https://doi.org/10.1111/jocn.15358
  19. Kaddourah, B., Abu-Shaheen, A. K., & Al-Tannir, M. (2016). Knowledge and attitudes of health professionals towards pressure ulcers at a rehabilitation hospital: A cross-sectional study. BMC Nursing, 15, 1-6. https://doi.org/10.1186/s12912-016-0138-6
  20. Kayser, S. A., VanGilder, C. A., & Lachenbruch, C. (2018). Predictors of superficial and severe hospital-acquired pressure injuries: A cross-sectional study using the International Pressure Ulcer PrevalenceTM survey. International Journal of Nursing Studies, 89, 46–52. https://doi.org/10.1016/j.ijnurstu.2018.09.003
  21. Kim, J. Y., & Lee, Y. J. (2019). A study on the nursing knowledge, attitude, and performance towards pressure ulcer prevention among nurses in Korea long-term care facilities. International Wound Journal, 16(1), 29-35. https://doi.org/10.1111/iwj.13021
  22. Li, Z., Lin, F., Thalib, L., & Chaboyer, W. (2020). Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. International Journal of Nursing Studies, 105, 103546. https://doi.org/10.1016/j.ijnurstu.2020.103546
  23. Lin, F., Wu, Z., Song, B., Coyer, F., & Chaboyer, W. (2019). The effectiveness of multicomponent pressure injury prevention programs in adult intensive care patients: A systematic review. International Journal of Nursing Studies, 102, 103483. https://doi.org/10.1016/j.ijnurstu.2019.103483
  24. 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
  25. Niyongabo, E., Gasaba, E., Niyonsenga, P., et al. (2022). Nurses’ knowledge, attitudes and practice regarding pressure ulcers prevention and treatment. Open Journal of Nursing, 12, 316-333. https://doi.org/10.4236/ojn.2022.125022
  26. Özyürek, P., & Gürlek Kısacık, Ö. (2023). Hemşirelerin basınç yaralanmalarını önlemeye yönelik bilgi ve tutumlarının değerlendirilmesi. Ordu University Journal of Nursing Studies,6(2), 340-353. https://doi.org/10.31108/ouhcd.1113243
  27. Seçer, İ. (2017). SPSS ve LISREL ile pratik veri analizi: Analiz ve raporlaştırma (3bs.). Ankara: Anı Yayıncılık. Sezgünsay, E., Başak, T., Şıvgın, N., & Öksüz, S. (2023). Hemşirelerin basınç yaralanmasına yönelik bilgi düzeyleri. Izmir Katip Celebi University Faculty of Health Sciences Journal,8(2), 257-263.
  28. Shadbad, B. G., Talas, M. S., Pezeshkian, M., & Kheiri, M. (2018). The effects of training on cardiac surgery ıntensive care nurses’ knowledge and practices in prevention of pressure ulcers and the ıncidence of pressure ulcers among cardiac surgery patients. Journal of Biochemical Technology, 9(Special Issue 2), 194-201.
  29. Slawomirski, L., Auraaen, A., & Klazinga, N. (2017). The economics of patient safety: Strengthening a value-based approach to reducing patient harm at national level. France: Organisation for Economic Co-operation and Development (OECD).
  30. Şahan, S., & Güler, S. (2024). Evaluating the knowledge levels and attitudes regarding pressure injuries among nurses in Turkey. Advances in Skin & Wound Care, 37(9), 1-8. https://doi.org/10.1097/ASW.0000000000000195
  31. 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(4). https://doi.org/10.1016/j.jtv.2020.06.005
  32. Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6bs.). United Kingdom: Pearson.
  33. Tirgari, B., Mirshekari, L., & Forouzi, M. A. (2018). Pressure ınjury prevention: Knowledge and attitudes of Iranian ıntensive care nurses. Advances in Skin & Wound Care, 31(4), 1–8. https://doi.org/10.1097/01.asw.0000530848.50085.ef
  34. Uçar, Ö., & İlçe, A. (2023). Palyatif hemşirelerin basınç yarası önleme bilgi düzeyleri ile tutumları arasındaki ilişki. Bingöl University Health Journal,4(2), 213-223. https://doi.org/10.58605/bingolsaglik.1390906
  35. Üstün, Y. (2013). Basınç Ülserlerini Önlemeye Yönelik Tutum Ölçeği’nin Türkçe’ye uyarlanması, geçerlik ve güvenirliğinin incelenmesi (Yüksek lisans tezi), Ege Üniversites, İzmir.
  36. 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. https://doi.org/10.3389/fpubh.2022.964680
  37. Yara Ostomi İnkontinans Hemşireleri Derneği (YOİHD). (2019). Türkiye basınç yaralanmaları prevalansı: Türkiye’de çok merkezli bir çalışma. https://www.yoihd.org.tr/files/publication/sanerc-sonuc-raporu-64b935684ab13.pdf adresinden erişildi.
  38. Zulkowski, K., & Ayello, E. A. (2005). Urban and rural nurses’ knowledge of pressure ulcers in the USA. WCET Journal, 25(3), 24-30.