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. 2018 Apr 16:17:14.
doi: 10.1186/s12912-018-0282-2. eCollection 2018.

Nurses' attitude and perceived barriers to pressure ulcer prevention

Werku Etafa  1 , Zeleke Argaw  2 , Endalew Gemechu  2 , Belachew Melese  3
Affiliations

Nurses' attitude and perceived barriers to pressure ulcer prevention

Werku Etafa et al. BMC Nurs. .

Abstract

Background: The presence or absence of pressure ulcers has been generally regarded as a performance measure of quality nursing care and overall patient health. The aim of this study- wasto explorenurses' attitude about pressure ulcer prevention'and to identify staff nurses' perceived barriers to pressure ulcer prevention public hospitals in Addis Ababa, Ethiopia.

Methods: A self-reported multi-center institutional based cross sectional study design was employed to collect data from staff nurses (N = 222) working in six (6) selected public hospitals in Addis Ababa, from April 01-28/2015.

Results: Majority of the nurses had (n = 116, 52.2%) negative attitude towards pressure ulcer prevention. The mean scores of the test for all participants was 3.09out of 11(SD =0.92, range = 1-5). Similarly, the study revealed several barriers need to be resolved to put in to practice the strategies of pressure ulcer prevention; Heavy workload and inadequate staff (lack of tie) (83.1%), shortage of resources/equipment (67.7%) and inadequate training (63.2%) were among the major barriers identified in the study.

Conclusions: The study finding suggests that Addis Ababa nurses have negative attitude to pressure ulcer prevention. Also several barriers exist for implementing pressure ulcer prevention protocols in public hospitals in Addis Ababa, Ethiopia. Suggestion for improving this situation is attractive.

Keywords: Nurses attitude; Perceived barrier; Pressure ulcer prevention; Wound.

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Conflict of interest statement

Initially ethical clearance was obtained from Addis Ababa University, College of Health Sciences, Department of Nursing and Midwifery Research Review Ethical Committee(Protocol number was 18/Nurse and approved on 27/03/150), and Addis Ababa Regional Health Bureau Ethical Clearance Committee for four hospitals includedin the study (Yekatit 12 Medical College, ZewdituMemoriall Hospital, Tirunesh Beijing Hospital, Menilik II Hospital and RasDesta Memorial Hospital)(reference number: A.A.H/5973/227 and approved on 24/04/2015) to obtain participants in each hospitals. The sixth hospital is teaching hospital (Black Lion Hospital) administered by Addis Ababa University. These findings were part of a research titled “An assessment Nurses’ knowledge, attitude and practice towards pressure ulcer prevention in admitted patients in Public referral hospitals in Addis Ababa. Permissions to obtain participants secured from each hospital medical directors, matrons and head nurses for the research to be undertaken at each hospital. The anonymity of the participants was respected. The names of the participants were not mentioned to keep the confidentiality. A signed written consent was obtained from participants before participation.Not applicable.This manuscript maintains no competing financial interest declaration from any person or organization, or non-financial competing interests such as political, personal, religious, ideological, academic, intellectual, commercial or any other.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Schematic Presentation of Sampling Procedure
See this image and copyright information in PMC

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