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Updated: May 27, 2025

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Modeling the Factors Associated with Nurses' Knowledge and Perceived Barriers Towards Pressure Injury Prevention: A

Solomon Mohammed Salia1,2, Agani Afaya1, David Adedia3

  • 1Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.

SAGE Open Nursing
|February 20, 2025
PubMed
Summary

Nurses in Ghana show good knowledge but poor attitudes towards preventing pressure injuries. Addressing barriers like workload and improving professional development are crucial for better patient care.

Keywords:
Ghanaattitudebarrierscategorical data analysiscomplementary log–log modelsknowledgenursing staffpressure injuriespressure ulcers

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Area of Science:

  • Nursing Research
  • Public Health
  • Patient Safety

Background:

  • Pressure injuries are a preventable public health concern, often leading to increased hospital stays.
  • Effective prevention requires adequate nurse knowledge and a positive attitude.
  • Limited evidence exists on pressure injury prevention practices among nurses in Ghana.

Purpose of the Study:

  • To examine factors associated with nurses' knowledge and perceived barriers regarding pressure injury prevention.
  • To assess the current state of pressure injury prevention knowledge and attitudes among nurses in Ghana's Tamale metropolis.

Main Methods:

  • A multi-center descriptive cross-sectional study involving 216 nurses.
  • Data collection via self-administered questionnaires.
  • Analysis using R package and SPSS, with regression to identify predictors of knowledge and attitude.

Main Results:

  • 79% of nurses demonstrated good knowledge of pressure injury prevention.
  • A significant majority (94%) exhibited poor attitudes towards prevention.
  • Nurses in teaching hospitals and those with 2-4 years of experience showed higher knowledge. Lack of prior education was linked to lower prevention likelihood. Inadequate equipment, logistics, and time were key barriers.

Conclusions:

  • Despite good knowledge, nurses' poor attitudes highlight a critical gap in pressure injury prevention.
  • Developing comprehensive management documents and promoting attitudinal change through continuing education are recommended.
  • Addressing organizational barriers is essential to enhance nursing practice, improve care quality, and achieve positive patient outcomes.