Factors Influencing Attitudes and Adherence to Recommendations for Pressure Injury Prevention: Insights From a...

Registered nurses' attitudes are integral to ensuring stringent adherence with pressure injury prevention (PIP), making their attitudes and adherence to PIP critical to patient outcomes, yet require comprehensive assessment to evaluate their relationship and effectiveness. Nevertheless, there is a notable absence of national prevalence data in the Kingdom of Saudi Arabia (KSA), indicating a shortfall in the application of established PIP strategies. Hence, research focused on evaluating the impact of nurses' attitudes and adherence to PIP within the KSA has been limited.

The aim of this study was to assess the attitudes of nurses towards PIP and their adherence with its recommendations, and how sociodemographic factors and attitudes influence their adherence to the recommendations for PIP.

A descriptive-correlational design was used. The study was conducted in a military medical city in Riyadh, KSA. Data were collected between 26 February and 03 March 2026, and analyzed using IBM SPSS Statistics (version 30). Multiple linear regression analyses were performed separately for the attitudes towards and adherence to recommendations for preventing pressure injuries (PIs) as dependent variables. For the first two regression models, the sociodemographic variables were considered predictor variables of attitudes towards and adherence to recommendations for PIP, and the level of attitudes was assigned as the predictor of adherence for the third model.

A total convenience sample of 524 nurses participated and demonstrated overall positive attitudes towards PIP and positive adherence to PIP recommendations. Three sociodemographic variables were found as significant predictors of attitudes towards PIP, including age, highest education, and having read an article, book, or guideline pertaining to the PIP within the last year or less. In addition, two sociodemographic variables also demonstrated as significant predictors of adherence to the recommendations for PIP, namely: gender, and having read an article, book, or guideline pertaining to PIP within the last year or less.

The findings demonstrated that registered nurses displayed favorable attitudes towards PIP alongside positive adherence to its recommendations. These findings may suggest a shared commitment and consistent engagement in PIP practices. Numerous sociodemographic factors and attitudes towards PIP emerged as significant predictors of nurses' adherence to the recommendations for PIP.