Ghorbani Vajargah P, Mollaei A, Falakdami A, Takasi P, Moosazadeh Z, Esmaeili S, Emami Zeydi A, Karkhah S, et al.
International wound journal. Date of publication 2023 Aug 1;volume 20(6):2386-2401.
1. Int Wound J. 2023 Aug;20(6):2386-2401. doi: 10.1111/iwj.14062. Epub 2022 Dec
21.
A systematic review of nurses' practice and related factors toward pressure
ulcer prevention.
Ghorbani Vajargah P(1), Mollaei A(1), Falakdami A(1), Takasi P(1), Moosazadeh
Z(2), Esmaeili S(3), Emami Zeydi A(4), Karkhah S(1)(5).
Author information:
(1)Department of Medical-Surgical Nursing, School of Nursing and Midwifery,
Guilan University of Medical Sciences, Rasht, Iran.
(2)Student Research Committee, School of Medicine, Sari Branch, Islamic Azad
University, Sari, Iran.
(3)Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari,
Iran.
(4)Department of Medical-Surgical Nursing, Nasibeh School of Nursing and
Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
(5)Burn and Regenerative Medicine Research Center, Guilan University of Medical
Sciences, Rasht, Iran.
In most health care centres, pressure ulcers (PUs) are a common concern. This
systematic review aimed to summarise nurses' practice and related factors toward
PU prevention. An extensive search was conducted on electronic databases such as
Scopus, PubMed, Web of Science, Iranmedex, and Scientific Information Database
via keywords extracted from Medical Subject Headings such as "Pressure ulcer",
"Pressure sore", "Bedsore", "Practice", and "Nurses" from the earliest to 9
March 2022. The quality of the included studies was assessed using the appraisal
tool for cross-sectional studies (AXIS tool). Data extraction and quality
assessment of included studies were performed by two researchers independently.
A total of 6501 nurses were enrolled in twenty-nine studies. Of the
participants, 75.15% were female and 55.64% were single, and 94.57% had a
bachelor of science in nursing degree. Mean age and work experience of nurses
was 30.69 (SD = 4.73) and 8.61 (SD = 5.44) years, respectively. The mean score
of nurses' practices toward the prevention of PUs was 57.58 (SD = 14.62) out of
100. Also, 48.95% of nurses had a desirable practice toward the prevention of
PUs. Factors such as knowledge (n = 6), attitude (n = 4), level of education
(n = 4), a history of participating in workshops related to the prevention of
PUs (n = 3), work experience (n = 2), area of practice (n = 2), self-adequacy
(n = 1), follow the literature (n = 1), age (n = 1), and involvement in research
(n = 1) had a significant positive relationship with nurses' practice toward PUs
prevention. However, the nurses practice of PUs prevention had a significant
negative relationship with lack of job satisfaction (n = 1), disproportionate
nurse-to-patient ratio (n = 1), and lack of policies and guidelines (n = 1). The
level of nurses' practice toward the prevention of PUs was relatively desirable.
The result of this study can help improve the practice of nurses toward PUs
prevention. Increasing nurses' knowledge and attitude toward PUs prevention can
improve their practice. Therefore, it is suggested that policymakers and nursing
managers implement PUs prevention education for nurses based on the factors
associated with nurses' practice.
© 2022 The Authors. International Wound Journal published by
Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.
DOI: 10.1111/iwj.14062
PMCID: PMC10333028
PMID: 36543328 [Indexed for MEDLINE]
Conflict of interest statement: The authors do not have any potential conflict
of interest with respect to the research, authorship, and publication of this
article.
