Assessment of Nurses’ Knowledge, Attitude and Perceived Barriers to Expressed Pressure Ulcer Prevention Practice in Addis Ababa Government Hospitals, Addis Ababa, Ethiopia, 2015
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Date
2015-06
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Addis Ababa University
Abstract
Background: Although pressure ulcer development is now generally considered as an
indicator for quality of nursing care, questions and concerns about situations in which they are
unavoidable remain. Awareness about the significance of the problem, positive attitude
towards prevention and an adequate level of knowledge are cornerstones to effectively prevent
pressure ulcers.
Objective: To assess nurses’ knowledge, attitudes and perceived barriers to expressed
pressure ulcer prevention practice in Addis Ababa government hospitals, Ethiopia, 2015
Methods and materials: Institution based cross sectional study was conducted from April to
May, 2015. Three hospitals were selected by simple random sampling from 12 government
hospitals and 217 eligible nurses were selected by using simple random sampling (SRS) after
nurses were proportionally allocated to size from each selected hospital. Data were collected
through pretested self administered structured questionnaire. Both descriptive and inferential
statistics were used to present the data.
Results: Among the respondents, 61.2% were found to have adequate knowledge regarding
pressure ulcer prevention practice whereas 68.4% of the participants had favorable attitude to
pressure ulcer prevention practice. Moreover, 67.3% of the participants had good practice
about pressure ulcer prevention. The most reported barriers to practice pressure ulcer
prevention were unproportionate nurse to patient ratio (67.9%), lack of training and education
(56.1%), shortage of equipment (53.6%) and lack of job satisfaction (64.3%).
Conclusion and Recommendation: More than half of the nurses were found to have adequate
knowledge about pressure ulcer prevention and their outlook towards it remain majorly
favorable. Expressed pressure ulcer prevention practice was affected by the participant’s level
of knowledge, attitude and barriers of care. To provide effective prevention of pressure ulcer,
nurses’ level of knowledge and attitude should be enhanced besides resolving these barriers.
Key words: nurses, Pressure ulcer, prevention, knowledge, attitude, perceived barriers
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Keywords
Nurses, Pressure ulcer, Prevention, knowledge