Knowledge, attitudes, and practices of nurses towards the prevention of pressure ulcers among bedridden patients at Entebbe Regional Referral Hospital, Wakiso District. A cross-sectional study.
DOI:
https://doi.org/10.51168/sjhrafrica.v6i9.1968Keywords:
Knowledge, Attitudes, Practices, Prevention of pressure ulcers, Bedridden patients, Entebbe Regional Referral Hospital, Wakiso DistrictAbstract
Background
Pressure ulcers are localized injuries to the skin and underlying tissues primarily caused by prolonged pressure, shear, or friction. This aims to assess nurses’ knowledge, attitudes, and practices to identify gaps and develop targeted interventions.
Methodology
A cross-sectional study design that employed quantitative methods of data collection. This population included all Nurses at Entebbe Regional Referral Hospital who provide medical care to patients. A sample of 30 Nurses was selected using a simple random sampling technique.
Results
20(67%) were females while 10(33%) were males. 12(40%) had a certificate as their highest level of education, 10(33%) were of diploma level, 8(27%) had a bachelor’s degree. 10(33%) mentioned that they identify a stage one pressure ulcer by redness on intact skin. 14 (47%) mentioned skin hygiene and barrier creams as the practice that helps them maintain skin integrity in bedridden patients. 14(47%) reported boosting immunity as the importance of hydration and protein in ulcer prevention. 12(40%) strongly believed that continuous education enhances their ability to prevent pressure ulcers effectively. 21(70%) rarely implemented repositioning schedules for bedridden patients. 12(40%) never performed a comprehensive skin inspection for bedridden patients. 22(73%) never used specialized pressure-relieving devices.
Conclusion
Nurses knew about the prevention of pressure ulcers, though with low attitudes and practices on target interventions.
Recommendation
Adopt evidence-based practices such as regular patient repositioning and comprehensive skin inspection. Increase efforts to educate caregivers on preventive measures to enhance continuity of care. Treat pressure ulcer prevention as an ethical responsibility and an integral part of nursing care.
References
Adhikari, A. (2023). Nurses' role in the prevention of pressure ulcers. International Wound Journal, 21(7), e14840.
Alhumaid, S., Al Mutair, A., Al Alawi, Z., Alsuliman, M., Ahmed, G. Y., Rabaan, A. A., Al-Tawfiq, J. A., & Al-Omari, A. (2021). Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review. Antimicrobial Resistance & Infection Control, 10(1), 86. https://doi.org/10.1186/s13756-021-00957-0
Avsar, P., Moore, Z., Patton, D., O'Connor, T., Budri, A. M. V., & Nugent, L. (2020). Repositioning for preventing pressure ulcers: a systematic review and meta-analysis. Journal of Wound Care, 29(9), 496-508. https://doi.org/10.12968/jowc.2020.29.9.496
Avsar, P., Patton, D., O'Connor, T., & Moore, Z. (2019). Do we still need to assess nurses' attitudes towards pressure ulcer prevention? A systematic review. Journal of Wound Care, 28(12), 795-806. https://doi.org/10.12968/jowc.2019.28.12.795
Ellis, M. B. (2019). Exploring perceptions of pressure ulcer risk assessment and pressure ulcer prevention practice among registered nurses in the acute hospital setting. Risk, 2, 8.
Farid, J., Amin, R., Sheikh, M. A., Irfan, M., AlRuwaili, R., Alruwaili, M., Ali, N. H., Albarrak, A. M., & Rahman, S. (2022). Prevalence and prediction of pressure ulcers in admitted stroke patients in a tertiary care hospital. Journal of Tissue Viability, 31(4), 768-775. https://doi.org/10.1016/j.jtv.2022.07.010
Gefen, A., Brienza, D. M., Cuddigan, J., Haesler, E., & Kottner, J. (2022). Our contemporary understanding of the aetiology of pressure ulcers/pressure injuries. International Wound Journal, 19(3), 692-704. https://doi.org/10.1111/iwj.13667
Idrissou, L. M. (2023). Educating Nurses About the Braden Scale to Reduce Pressure Ulcers. The University of Arizona. Journal of Clinical Nursing, 29(17-18), 1111-3224.
Kennerly, S. M., Sharkey, P. D., Horn, S. D., Alderden, J., & Yap, T. L. (2022). Nursing assessment of pressure injury risk with the Braden scale validated against sensor-based measurement of movement. Healthcare, 10(11), 2330. https://doi.org/10.3390/healthcare10112330
Makori, O. L. S., Olayo, R., & Wamukoya, E. K. (2022). Incidence of Hospital-Acquired Pressure Injury among Adult Inpatients at Kakamega County General Hospital, Kenya. East African Journal of Health and Science, 5(2), 22-37. https://doi.org/10.37284/eajhs.5.2.941
Mansouri, M. (2022). Exploring patient pressure relief, repositioning, and transfer while in a bed. University of Illinois at Urbana-Champaign. Journal of Medical Engineering & Technology, 46(8), 3358-69.
McCauley, L., Kirwan, M., & Matthews, A. (2021). The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: a scoping review. International Journal of Nursing Studies Advances, 3, 100039. https://doi.org/10.1016/j.ijnsa.2021.100039
Mohedat, H., & Somayaji, D. (2023). Promoting sleep in hospitals: An integrative review of nurses' attitudes, knowledge, and practices. Journal of Advanced Nursing, 79(8), 2815-2829.
https://doi.org/10.1111/jan.15694
Olaniyi, F. C., Ogola, J. S., & Tshitangano, T. G. (2021). Challenges of effective management of medical waste in low-resource settings: perception of healthcare workers in Vhembe district healthcare facilities, South Africa. Transactions of the Royal Society of South Africa, 76(1), 81-88. https://doi.org/10.1080/0035919X.2021.1900949
Olivo, S., Canova, C., Peghetti, A., Rossi, M., & Zanotti, R. (2020). Prevalence of pressure ulcers in hospitalised patients: a cross-sectional study. Journal of Wound Care, 29(Sup3), S20-S28. https://doi.org/10.12968/jowc.2020.29.Sup3.S20
Rekisso, A. D., Mengistu, Z., & Wurjine, T. H. (2022). Nurses' attitudes towards the nursing profession and associated factors in selected public hospitals, Addis Ababa, Ethiopia, 2021: a cross-sectional study. BMC Nursing, 21(1), 21. https://doi.org/10.1186/s12912-022-00808-2
Sih, C., Mbatchou-Ngahane, B. H., Mboue-Djieka, Y., Ngueng-Eke, M. C., Mbarga, N. T., Verla, V. S., & Choukem, S.-P. (2021). Incidence and impact of hospital-acquired complications in an internal medicine unit of a reference hospital in Cameroon: a prospective cohort study. Transactions of The Royal Society of Tropical Medicine and Hygiene, 115(7), 772-778. https://doi.org/10.1093/trstmh/traa116
Song, N., Liu, W., Zhu, R., Wang, C., Wang, C., & Chi, W. (2024). A survey of knowledge, attitudes, and practices among paediatric intensive care unit nurses for preventing pressure injuries: An analysis of influencing factors. International Wound Journal, 21(2), e14710. https://doi.org/10.1111/iwj.14710
Tamang, N., Rai, P., Dhungana, S., Sherchan, B., Shah, B., Pyakurel, P., & Rai, S. (2020). COVID-19: a National Survey on perceived level of knowledge, attitude, and practice among frontline healthcare Workers in Nepal. BMC Public Health, 20, 1-10. https://doi.org/10.1186/s12889-020-10025-8
Xu, Y., Chen, Z., Su, X., & Cao, Y. (2024). Influences of evidence‐based nursing intervention on pressure ulcers in intensive care units: A meta‐analysis. International Wound Journal, 21(4), e14834. https://doi.org/10.1111/iwj.14834
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Copyright (c) 2025 Jane Frank Nalubega, Jemimah Namusooko, Hasifa Nansereko, Edith Akankwasa, Elizabeth Okello, David Kavuma
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