Volume 10, Issue 2 (Spring 2024)                   JCCNC 2024, 10(2): 91-100 | Back to browse issues page


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Hafedh Ahmed S, Salman Khudhair A K, Haghani S, Najafi Ghezeljeh T. Knowledge, Attitude, and Practice of Iraqi Intensive Care Nursing Staff Regarding Pressure Ulcer Prevention. JCCNC 2024; 10 (2) :91-100
URL: http://jccnc.iums.ac.ir/article-1-463-en.html
1- Department of Nursing, Nursing and Midwifery School, Iran University of Medical Sciences, Tehran, Iran.
2- College of Nursing, University of Basra, Basra, Iraq.
3- Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.
4- Cardiovascular Nursing Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. , najafi.t@iums.ac.ir
Abstract:   (579 Views)
Background: Pressure ulcers (PUs) can cause several complications in patients and lead to a poor prognosis. PU is an essential indicator of the quality of care received. The occurrence of this wound is more common and dangerous in intensive care units (ICUs). Given nurses’ critical role in PU prevention, evaluating their knowledge, attitude, and practice in this area is essential. Therefore, this study assessed knowledge, attitude, and practice regarding PU prevention among ICU nurses in Al-Basra and Dhi-Qar, Iraq.
Methods: This cross-sectional descriptive study investigated 231 ICU nursing staff working in hospitals in Al-Basra and Dhi-Qar from August to September 2022. The subjects were recruited through the census method. The study data were collected electronically using questionnaires to assess knowledge, attitude, and practice regarding PU prevention. Descriptive and inferential statistics, including the independent t-test, the chi-square test, and the Fisher exact test, were utilized for data analysis in SPSS software, version 22.0, at P<0.05.
Results: According to the results, the Mean±SD scores of knowledge, attitude, and practice of nurses regarding the prevention of PU were 6.00±2.51, 35.52±3.97, and 24.26±5.68, respectively, indicating a lack of knowledge and unfavorable levels of attitude and practice. Moreover, a significant relationship existed between knowledge about PU and participation in in-service training programs on PU (P=0.021). There was also a positive significant relationship between the PU practice and years of practical experience in the ICU (P=0.017).
Conclusion: Based on the study’s findings, efficient and practical in-service nursing programs should be implemented to enhance the knowledge, attitude, and practice of ICU nurses regarding PU prevention in these hospitals.
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● Pressure ulcer (PU) is one of the most serious and prevalent concerns in healthcare, and its incidence is commonly considered a marker for measuring the quality of care.
● Regarding PU prevention, in this study, the Iraqi nurses’ knowledge was low, and their attitudes and practices were unfavorable.
• The knowledge about risk assessment of PU had the lowest mean score, while the knowledge about classification and observation of PU obtained the highest score.
● Nurses’ attitudes toward the “impact of pressure ulcers” had the lowest mean score.
● Nurses considered it important to have “confidence in the effectiveness of prevention” and “prioritize pressure ulcer prevention”.
● There was a significant relationship between knowledge about PU and participation in an in-service training program on PU. 
● There was also a significant relationship between the practice of PU and years of experience in the intensive care unit.
Plain Language Summary 
Pressure ulcer (PU) incidence is an essential indicator of care quality. These ulcers could cause serious complications for patients, including increased morbidity and mortality rates. PU occurrence is even more prevalent among intensive care unit (ICU) patients. Given nurses’ critical role in PU prevention, evaluating their knowledge, attitude, and practice in this area is essential. This study evaluated the knowledge, attitude, and practice of ICU nurses working in Al-Basra and Dhi Qar cities, Iraq, regarding preventing PU. The findings revealed a lack of knowledge, an unfavorable attitude, and a lack of practice among nurses, emphasizing the need for targeted interventions and education to enhance PU prevention and patient care.

Type of Study: Research | Subject: Special
Received: 2023/02/9 | Accepted: 2023/10/25 | Published: 2024/05/1

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