Examining the knowledge, attitude and performance quality of nurses in the prevention of pressure ulcers; A systematic review

Introduction: Pressure ulcers are known as one of the events that threaten patient safety and the third most costly disorder after cancer and cardiovascular diseases. On the other hand, pressure ulcer is an indicator of the quality of care in health care centers and one of the important indicators of the quality of nursing care, so this study aims to investigate the knowledge, attitude and performance quality of nurses in the prevention of pressure ulcers.Search method: The current study is a systematic review study that is based on searching Google Scholar and Elmnet search engines and SID, Magiran, Pubmed, Elsevier, ScienceDirect databases with keywords knowledge, attitude, quality, nurses' performance, prevention , pressure sores, bedsores and their English equivalents were carried out in the time range of ۲۰۰۰ to ۲۰۲۲, and ۲۵ articles were selected from all the articles found for the purpose of research and were analyzed.Findings: According to the conducted studies, nurses' knowledge about pressure ulcer prevention is high, but there is still room for improvement, on the other hand, nurses refuse to use their knowledge at the bedside for various reasons. According to the studied articles, examination of the patient's skin in terms of the initial symptoms of pressure sores in each shift, moving and massaging the skin of pressure areas is related to a sense of responsibility, lack of facilities, manpower and time, which affects the quality of nurses' performance. According to the reviewed articles, contradictory results were found regarding the relationship between knowledge scores and attitudes of nurses with gender, work experience, service experience in specific departments, working hours per week, and among the provision of codified and up-to-date educational courses, regular participation of nurses in the course and the final evaluation of the participants was observed to be significantly related to the knowledge and work quality of the nurses.Conclusion: According to the obtained results, a positive and significant relationship was found between the knowledge and attitude of nurses with prevention of pressure ulcers as the main part of care, but their attention to this issue is not enough and they should apply preventive activities related to pressure ulcers in practice. Therefore, it is suggested to use pressure ulcer examination forms in the file and a trained nursing team to examine pressure ulcers in the hospital.

کلیدواژه ها:

Nursing knowledge ، performance quality ، prevention ، pressure ulcer