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Knowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals

Dimitri Beeckman UGent, Tom Defloor UGent, Lisette Schoonhoven and Katrien Vanderwee UGent (2011) WORLDVIEWS ON EVIDENCE-BASED NURSING. 8(3). p.166-176
abstract
Background: Evidence-based guidelines for pressure ulcer prevention have been developed and promoted by authoritative organizations. However, nonadherence to these guidelines is frequently reported. Negative attitudes and lack of knowledge may act as barriers to using guidelines in clinical practice. Aims: To study the knowledge and attitudes of nurses about pressure ulcer prevention in Belgian hospitals and to explore the correlation between knowledge, attitudes, and the application of adequate prevention. Methods: A cross-sectional multicenter study was performed in a random sample of 14 Belgian hospitals, representing 207 wards. Out of that group, 94 wards were randomly selected (2105 patients). Clinical observations were performed to assess the adequacy of pressure ulcer prevention and pressure ulcer prevalence. From each participating ward, a random selection of at least five nurses completed an extensively validated knowledge and attitude instrument. In total, 553 nurses participated. A logistic regression analysis was performed to evaluate the correlation between knowledge, attitudes, and the application of adequate prevention. Results: Pressure ulcer prevalence (Category I-IV) was 13.5% (284/2105). Approximately 30% (625/2105) of the patients were at risk (Bradenscore <17 and/or presence of pressure ulcer). Only 13.9% (87/625) of these patients received fully adequate prevention whilst in bed and when seated. The mean knowledge and attitude scores were 49.7% and 71.3%, respectively. The application of adequate prevention on a nursing ward was significantly correlated with the attitudes of the nurses (OR = 3.07, p = .05). No independent correlation was found between knowledge and the application of adequate prevention (OR = 0.75, p = .71). Conclusions: Knowledge of nurses in Belgian hospitals about the prevention of pressure ulcers is inadequate. The attitudes of nurses toward pressure ulcers are significantly correlated with the application of adequate prevention. No correlation was found between knowledge and the application of adequate prevention.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
prevalence, hospital, correlation, attitude, pressure ulcer prevention, nursing, knowledge, guidelines, QUALITY-OF-LIFE, NURSING-HOMES, CARE, BARRIERS, PREVALENCE, BEHAVIOR, BELIEFS, PROGRAM, EUROPE, IMPACT
journal title
WORLDVIEWS ON EVIDENCE-BASED NURSING
Worldviews Evid.-Based Nurs.
volume
8
issue
3
pages
166 - 176
Web of Science type
Article
Web of Science id
000295040900005
JCR category
NURSING
JCR impact factor
1.239 (2011)
JCR rank
20/94 (2011)
JCR quartile
1 (2011)
ISSN
1545-102X
DOI
10.1111/j.1741-6787.2011.00217.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1260649
handle
http://hdl.handle.net/1854/LU-1260649
date created
2011-06-13 20:54:33
date last changed
2015-06-17 09:37:12
@article{1260649,
  abstract     = {Background: Evidence-based guidelines for pressure ulcer prevention have been developed and promoted by authoritative organizations. However, nonadherence to these guidelines is frequently reported. Negative attitudes and lack of knowledge may act as barriers to using guidelines in clinical practice. 
Aims: To study the knowledge and attitudes of nurses about pressure ulcer prevention in Belgian hospitals and to explore the correlation between knowledge, attitudes, and the application of adequate prevention. 
Methods: A cross-sectional multicenter study was performed in a random sample of 14 Belgian hospitals, representing 207 wards. Out of that group, 94 wards were randomly selected (2105 patients). Clinical observations were performed to assess the adequacy of pressure ulcer prevention and pressure ulcer prevalence. From each participating ward, a random selection of at least five nurses completed an extensively validated knowledge and attitude instrument. In total, 553 nurses participated. A logistic regression analysis was performed to evaluate the correlation between knowledge, attitudes, and the application of adequate prevention. 
Results: Pressure ulcer prevalence (Category I-IV) was 13.5\% (284/2105). Approximately 30\% (625/2105) of the patients were at risk (Bradenscore {\textlangle}17 and/or presence of pressure ulcer). Only 13.9\% (87/625) of these patients received fully adequate prevention whilst in bed and when seated. The mean knowledge and attitude scores were 49.7\% and 71.3\%, respectively. The application of adequate prevention on a nursing ward was significantly correlated with the attitudes of the nurses (OR = 3.07, p = .05). No independent correlation was found between knowledge and the application of adequate prevention (OR = 0.75, p = .71). 
Conclusions: Knowledge of nurses in Belgian hospitals about the prevention of pressure ulcers is inadequate. The attitudes of nurses toward pressure ulcers are significantly correlated with the application of adequate prevention. No correlation was found between knowledge and the application of adequate prevention.},
  author       = {Beeckman, Dimitri and Defloor, Tom and Schoonhoven, Lisette and Vanderwee, Katrien},
  issn         = {1545-102X},
  journal      = {WORLDVIEWS ON EVIDENCE-BASED NURSING},
  keyword      = {prevalence,hospital,correlation,attitude,pressure ulcer prevention,nursing,knowledge,guidelines,QUALITY-OF-LIFE,NURSING-HOMES,CARE,BARRIERS,PREVALENCE,BEHAVIOR,BELIEFS,PROGRAM,EUROPE,IMPACT},
  language     = {eng},
  number       = {3},
  pages        = {166--176},
  title        = {Knowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals},
  url          = {http://dx.doi.org/10.1111/j.1741-6787.2011.00217.x},
  volume       = {8},
  year         = {2011},
}

Chicago
Beeckman, Dimitri, Tom Defloor, Lisette Schoonhoven, and Katrien Vanderwee. 2011. “Knowledge and Attitudes of Nurses on Pressure Ulcer Prevention: a Cross-sectional Multicenter Study in Belgian Hospitals.” Worldviews on Evidence-based Nursing 8 (3): 166–176.
APA
Beeckman, Dimitri, Defloor, T., Schoonhoven, L., & Vanderwee, K. (2011). Knowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals. WORLDVIEWS ON EVIDENCE-BASED NURSING, 8(3), 166–176.
Vancouver
1.
Beeckman D, Defloor T, Schoonhoven L, Vanderwee K. Knowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals. WORLDVIEWS ON EVIDENCE-BASED NURSING. 2011;8(3):166–76.
MLA
Beeckman, Dimitri, Tom Defloor, Lisette Schoonhoven, et al. “Knowledge and Attitudes of Nurses on Pressure Ulcer Prevention: a Cross-sectional Multicenter Study in Belgian Hospitals.” WORLDVIEWS ON EVIDENCE-BASED NURSING 8.3 (2011): 166–176. Print.