Instrumentos de medición de las actitudes y las barreras para la prevención de lesiones por presiónrevisión de la bibliografía
- 1 Universidad de Jaén, Departamento de Enfermería.
ISSN: 1134-928X
Year of publication: 2019
Volume: 30
Issue: 4
Pages: 217-225
Type: Article
More publications in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica
Abstract
ABSTRACT Aim: a) To identify the instruments to measure the attitudes of nurses towards the pressure injuries (PI) prevention; b) To identify the instruments to measure the barriers or obstacles to PI prevention aimed at nurses; c) To analyze the psychometric properties of these instruments. Methodology: Review of the literature on the development, validation and use of instruments on attitudes and barriers to PI prevention, aimed at nursing professionals. The search was carried out on 12 bibliographic databases until December 2018. Quantitative studies using instruments, questionnaires or tests were included to determine the attitudes and barriers of nursing professionals or students. A descriptive synthesis was carried out. Results: We found 33 articles on instruments of attitudes towards prevention, which describe a total of 5 questionnaires. Only two have been used in various studies: Moore and Price Staff Attitude Scale (reliability range: 0.63 - 0.88) and Attitude toward Pressure ulcer Prevention (reliability range: 0.66 - 0.91). With regard to barriers to the prevention of LPP, 18 studies have been found that describe measurement instruments; only 5 of those shown data on psychometric properties. Lack of time is the most frequently cited barrier. Conclusions: There are two validated questionnaires to measure nurses' attitudes towards PI prevention, although none of those have a Spanish version. There are a variety of questionnaires to establish barriers to prevention, but none have a solid psychometric assessment.
Bibliographic References
- Torra-Bou, JE,Verdú-Soriano, J,Sarabia-Lavín, R,Paras-Bravo, P,Soldevilla-Agreda, JJ,García-Fernández, FP. (2016). Las úlceras por presión como problema de seguridad del paciente. Gerokomos. 27. 161
- Beeckman, D,Vanderwee, K,Demarre, L,Paquay, L,Hecke, A van,Defloor, T. (2010). Pressure ulcer prevention: development and psychometric validation of a knowledge assessment instrument. Int J Nurs Stud. 47. 399-410
- Iranmanesh, S,Rafiei, H,Foroogh, A. (2011). Critical care nurses’ knowledge about pressure ulcer in southeast of Iran. Int Wound J. 8. 459
- Moore, Z. (2004). Pressure ulcer prevention: nurses’ knowledge, attitudes and behavior. J Wound Care. 13. 330
- Ajzen, I. (2005). Attitudes, personality, and behavior. McGraw-Hill Education. United Kingdom.
- Ajzen, I,Madden, T. (1986). Prediction of goal directed behavior: Attitudes, intentions and perceived behavioural control. JESP. 22. 453
- Bergstrom, NA,Allman, RM,Carlson, CE. (1992). Pressure Ulcers in Adults: Prediction and Prevention. AHCPR. Rockville, MD: U.S:.
- Worrall, G,Chaulk, P,Freake, D. (1997). The effects of clinical practice guidelines on patient outcomes in primary care: a systematic review. Can Med Assoc J. 156. 1705
- Tubaishat, A,Aljezawi, M,Al Qadire, M. (2013). Nurses’ attitudes and perceived barriers to pressure ulcer prevention in Jordan. J Wound Care. 22. 490
- Haesler, E,Haesler, E. (2014). National Pressure Ulcer Advisory Panel Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. Cambridge Media. Perth, Australia.
- Moore, Z,Price, P. (2004). Nurses’ attitudes, behaviours and perceived barriers towards pressure ulcer prevention. J Clin Nurs. 13. 942
- Wong, AL,Walia, GS,Bello, R,Aquino, CS,Sacks, JM. (2018). Pressure ulcer prevalence and perceptions on prevention: a hospital-wide survey of health professionals. J Wound Care. 27. 29-35
- Etafa, W,Argaw, Z,Gemechu, E,Melese, B. (2018). Nurses’ attitude and perceived barriers to pressure ulcer prevention. BMC Nurs. 17. 14
- Charalambous, C,Koulouri, A,Roupa, Z,Vasilopoulos, A,Kyriakou, M,Vasiliou, M. (2019). Knowledge and attitudes of nurses in a major public hospital in Cyprus towards pressure ulcer prevention. J Tissue Viability. 28. 40
- Barakat-Johnson, M,Barnett, C,Wand, T,White, K. (2018). Knowledge and Attitudes of Nurses Toward Pressure Injury Prevention: A Cross-Sectional Multisite Study. J Wound Ostomy Continence Nurs. 45. 233
- Tallier, PC,Reineke, PR,Asadoorian, K,Choonoo, JG,Campo, M,Malmgreen-Wallen, C. (2017). Perioperative registered nurses knowledge, attitudes, behaviors, and barriers regarding pressure ulcer prevention in perioperative patients. Appl Nurs Res. 36. 106
- Cox, J,Schallom, M. (2017). Pressure Injuries in Critical Care: A Survey of Critical Care Nurses. Crit Care Nurse. 37. 46-55
- Kaddourah, B,Abu-Shaheen, AK,Al-Tannir, M. (2016). Knowledge and attitudes of health professionals towards pressure ulcers at a rehabilitation hospital: a cross-sectional study. BMC Nurs. 15. 1-6
- Saleh, MY,Qaddumi, JAS,Anthony, D. (2012). An interventional study on the effects of pressure ulcer education on Jordanian registered nurses' knowledge and practice. Procedia-Social and Behavioral Sciences. 47. 2196
- Strand, T,Lindgren, M. (2010). Knowledge, attitudes and barriers towards prevention of pressure ulcers in intensive care units: a descriptive cross-sectional study. Intensive Crit Care Nurs. 26. 335
- Islam, S. (2010). Nurses' knowledge, attitude, and practice regarding pressure ulcer prevention for hospitalized patients at Rajshahi medical college hospital in Bangladesh. Prince of Songkla University.
- Källman, U,Suserud, BO. (2009). Knowledge, attitudes and practice among nursing staff concerning pressure ulcer prevention and treatment A survey in a Swedish healthcare setting. Scand J Caring Sci. 23. 334
- Beeckman, D,Defloor, T,Demarré, L,Hecke, A van,Varderwee, K. (2010). Pressure ulcers: development and psychometric evaluation of the Attitude towards Pressure ulcer Prevention instrument (APuP). Int J Nurs Stud. 47. 1432
- Batiha, A-M. (2018). Critical Care Nurses' Knowledge, Attitudes, and Perceived Barriers towards Pressure Injuries Prevention. IJANS. 7. 117
- Usher, K,Woods, C,Brown, J,Power, T,Lea, J,Hutchinson, M. (2018). Australian nursing students' knowledge and attitudes towards pressure injury prevention: A cross-sectional study. Int J Nurs Stud. 81. 14-20
- Tirgari, B,Mirshekari, L,Forouzi, MA. (2018). Pressure Injury Prevention: Knowledge and Attitudes of Iranian Intensive Care Nurses. Adv Skin Wound Care. 31. 1-8
- Coyer, F,Cook, JL,Doubrovsky, A,Campbell, J,Vann, A,McNamara, G. (2019). Understanding contextual barriers and enablers to pressure injury prevention practice in an Australian intensive care unit: An exploratory study. Aus Crit Care. 32. 122
- Ünver, S,Findik, ÜY,Özkan, ZK,Sürücü, Ç. (2017). Attitudes of surgical nurses towards pressure ulcer prevention. J Tissue Viability. 26. 277
- Hultin, L,Olsson, E,Carli, C,Gunningberg, L. (2017). Pressure Mapping in Elderly Care: A Tool to Increase Pressure Injury Knowledge and Awareness Among Staff. J Wound Ostomy Continence Nurs. 44. 142
- Garza Hernández, R,Meléndez Méndez, MC,Fang Huerta, MÁ,González Salinas, JF,Castañeda-Hidalgo, H,Argumedo Pérez, NE. (2017). Knowledge, attitude and barriers in nurses towards prevention measures of pressure ulcers. Ciencia y Enfermería. 23. 47-58
- Tayyib, N,Coyer, F,Lewis, P. (2016). Pressure Injury Prevention in a Saudi Arabian Intensive Care Unit: Registered Nurse Attitudes Toward Prevention Strategies and Perceived Facilitators and Barriers to Evidence Implementation. J Wound Ostomy Continence Nurs. 43. 369
- Sving, E,Hogman, M,Mamhidir, AG,Gunningberg, L. (2016). Getting evidence-based pressure ulcer prevention into practice: a multi-faceted unit-tailored intervention in a hospital setting. Int Wound J. 13. 645
- Aslan, A,Yavuz van Giersbergen, M. (2016). Nurses’ attitudes towards pressure ulcer prevention in Turkey. J Tissue Viability. 25. 66-73
- Florin, J,Baath, C,Gunningberg, L,Martensson, G. (2016). Attitudes towards pressure ulcer prevention: a psychometric evaluation of the Swedish version of the APuP instrument. Int Wound J. 13. 655
- Simonetti, V,Comparcini, D,Flacco, ME,Giovanni, P di,Cicolini, G. (2015). Nursing students’ knowledge and attitude on pressure ulcer prevention evidence-based guidelines: a multicenter cross-sectional study. Nurse Educ Today. 35. 573
- Cullen Gill, E,Moore, Z. (2013). An exploration of fourth-year undergraduate nurses' knowledge of and attitude towards pressure ulcer prevention. J Wound Care. 22. 618-92022
- Batista, M,Dixe, M dos Anjos,Alves, P. (2013). Attitude Towards Pressure Ulcers Instrument: validation and transcultural adaptation to the portuguese population of nurses. Rev Enf Ref. 10. 25-33
- Demarre, L,Vanderwee, K,Defloor, T,Verhaeghe, S,Schoonhoven, L,Beeckman, D. (2012). Pressure ulcers: knowledge and attitude of nurses and nursing assistants in Belgian nursing homes. J Clin Nurs. 21. 1425
- Beeckman, D,Defloor, T,Schoonhoven, L,Vanderwee, K. (2011). Knowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals. Worldviews Evid Based Nurs. 8. 166
- Qaddumi, J,Khawaldeh, A. (2014). Pressure ulcer prevention knowledge among Jordanian nurses: a crosssectional study. BMC Nurs. 13. 6
- Drake, J,Redfern, WS,Sherburne, E,Nugent, ML,Simpson, P. (2012). Pediatric skin care: what do nurses really know?. J Spec Pediatr Nurs. 17. 329
- Habiballah, L. (2017). Nurses perceived barriers toward pressure ulcer prevention in critical care units in Jordan. Pak J Med Health Sci. 11. 1623
- Schindler, CA. (2010). More than S.K.I.N. deep: Decreasing pressure ulcer development in the pediatric intensive care unit. Marquette University.
- Mwebaza, I,Katende, G,Groves, S,Nankumbi, J. (2014). Nurses’ knowledge, practices, and barriers in care of patients with pressure ulcers in a ugandan teaching hospital. Nurs Res Pract. 2014. 973602
- Mirshekari, L,Tirgari, B,Forouzi, MA. (2017). Intensive care unit nurses’ perceived barriers towards pressure ulcer prevention in south east Iran. J Wound Care. 26. 145
- Dilie, A,Mengistu, D. (2015). Assessment of nurses' knowledge, attitude, and perceived barriers to expressed pressure ulcer prevention practice in Addis Ababa government hospitals, Addis Ababa, Ethiopia, 2015. Advances in Nursing. 2015. 796927
- Üstun, Y. (2013). La adaptación de la escala para prevenir las úlceras por presión al turco, la validez y la fiabilidad. Ege Facultad Universitaria de Ciencias de la Salud.
- Tolulope Esan, D,Akinwande Fasoro, A,Funmilayo Ojo, E,Obialor, B. (2018). A Descriptive, Cross-sectional Study to Assess Pressure Ulcer Knowledge and Pressure Ulcer Prevention Attitudes of Nurses in a Tertiary Health Institution in Nigeria. Ostomy Wound Manage. 64. 24
- Berlowitz, D,Vandeusen Lukas, C,Parker, V,Niederhauser, A,Silver, J,Logan, C. (2011). Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. Agency for Healthcare Research and Quality.
- Uba, M,Alih, F,Kever, R,Lola, N. (2015). Knowledge, attitude and practice of nurses toward pressure ulcer prevention in University of Maiduguri Teaching Hospital, Borno State, North-Eastern, Nigeria. Int J Nurs Midwifer. 7. 54-60
- Panagiotopoulou, K,Kerr, SM. (2002). Pressure area care: an exploration of Greek nurses’ knowledge and practice. J Adv Nurs. 40. 285
- Halfens, RJ,Eggink, M. (1995). Knowledge, beliefs and use of nursing methods in preventing pressure sores in Dutch hospitals. Int J Nurs Stud. 32. 16-26
- Ilesanmi, RE,Olabisi, P. (2014). Assessment of common interventions and perceived barriers to pressure ulcer prevention in southwest Nigeria. J Wound Ostomy Continence Nurs. 41. 242
- Muñiz Fernández, J. (1996). Adaptación de test para su uso en diferentes idiomas y culturas: Fuentes de error, posibles soluciones y directrices prácticas. Universitas. Madrid.
- Celina Oviedo, H,Campo Arias, A. (2005). Aproximación al uso del coeficiente alfa de Cronbach. Revista colombiana de psiquiatría. 34. 572
- Streiner, DL. (2003). Starting at the beginning: an introduction to coefficient alpha and internal consistency. J Pers Assess. 80. 99-103
- Kaba, E,Kelesi, M,Stavropoulou, A,Moustakas, D,Fasoi, G. (2017). How Greek nurses perceive and overcome the barriers in implementing treatment for pressure ulcers: ‘against the odds’. J Wound Care. 26. 20
- Lavallée, JF,Gray, TA,Dumville, J,Cullum, N. (2018). Barriers and facilitators to preventing pressure ulcers in nursing home residents: A qualitative analysis informed by the Theoretical Domains Framework. Int J Nurs Stud. 82. 79-89
- Garrigues, LJ,Cartwright, JC,Bliss, DZ. (2017). Attitudes of Nursing Students About Pressure Injury Prevention. J Wound Ostomy Continence Nurs. 44. 123