A systematic review of nursing students' attitude and related factors towards pressure ulcer prevention

Alaa Hamza Hermis; Amirabbas Mollaei; Pooyan Ghorbani Vajargah; Samad Karkhah; Poorya Takasi; Mahbobeh Firooz; Seyed Javad Hosseini; Hamidreza Alizadeh Otaghvar; Yosra Raziani

doi:10.1111/iwj.14191

A systematic review of nursing students' attitude and related factors towards pressure ulcer prevention

Int Wound J. 2023 Oct;20(8):3404-3416. doi: 10.1111/iwj.14191. Epub 2023 Jul 11.

Authors

Alaa Hamza Hermis¹, Amirabbas Mollaei^{2

3}, Pooyan Ghorbani Vajargah^{2

3}, Samad Karkhah^{2

3}, Poorya Takasi^{2

3}, Mahbobeh Firooz⁴, Seyed Javad Hosseini⁴, Hamidreza Alizadeh Otaghvar⁵, Yosra Raziani¹

Affiliations

¹ Nursing Department, Al-Mustaqbal University College, Babylon, Iraq.
² Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
³ Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran.
⁴ Department of Nursing, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran.
⁵ Associate Professor of Plastic Surgery, Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran.

Abstract

The purpose of this review study is to investigate the attitude of nursing students toward the prevention of pressure ulcers (PUs) and related factors. From February 1, 2023, a comprehensive search was conducted in international and Persian electronic databases such as Web of Science, PubMed, Scopus, Iranmedex, and Scientific information database (SID). The keywords obtained from Medical Subject Headings, including "Attitude", "Nursing students", and "Pressure ulcer" were used in this search. The quality assessment of the present studies in this systematic review was based on the appraisal tool for cross-sectional studies (AXIS tool). A total of 6454 nursing students participated in ten cross-sectional studies. All students were studying at the undergraduate level and 81.20% of them were female. Nursing students were in the first (39.27%), second (28.19%), and third and fourth (32.54%) academic years. Among the participants, 49.86% have completed at least 2 clinical units. The mean scores of attitudes toward PU prevention in nursing students based on attitude toward PU prevention (APuP) and researcher-made questionnaires were 75.01% and 68.82%, respectively. The attitude of nursing students was influenced by various factors, including age, sex, academic year, clinical experience, number of clinical units, experience in caring for PU patients, previous courses on PU in the curriculum, and contribution of training to knowledge. Also, in the present study, the positive relationship between the attitude and knowledge of nursing students was shown as the only significant correlation. In sum, the attitude of the majority of nursing students toward the prevention of PUs was at a satisfactory level. Therefore, it is expected to transfer the necessary knowledge to them with proper planning so that preventive actions can be carried out by following the guidelines.

Keywords: attitude; nursing students; pressure sore; pressure ulcer; systematic review.

Publication types

Systematic Review
Review

MeSH terms

Attitude of Health Personnel
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Male
Pressure Ulcer* / prevention & control
Students, Nursing*
Suppuration
Surveys and Questionnaires
Ulcer