Nurses' knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool

BackgroundPressure ulcers (PUs) are an indicator of the quality of nursing care and nurses can prevent PUs well if they have sufficient knowledge. Numerous studies in this field have reported different results. The aim of this study was to estimate the pooled score of nurses' knowledge about PU...

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Main Authors: Jing Wu, Bangjun Wang, Liping Zhu, Xiaoli Jia
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.964680/full
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author Jing Wu
Jing Wu
Bangjun Wang
Bangjun Wang
Liping Zhu
Liping Zhu
Xiaoli Jia
author_facet Jing Wu
Jing Wu
Bangjun Wang
Bangjun Wang
Liping Zhu
Liping Zhu
Xiaoli Jia
author_sort Jing Wu
collection DOAJ
description BackgroundPressure ulcers (PUs) are an indicator of the quality of nursing care and nurses can prevent PUs well if they have sufficient knowledge. Numerous studies in this field have reported different results. The aim of this study was to estimate the pooled score of nurses' knowledge about PU prevention based on the Pressure Ulcer Knowledge Assessment Tool (PUKAT).MethodsIn this systematic review and meta-analysis, databases including Web of Science, ScienceDirect, PubMed, and Scopus were searched. All studies published in English between 2011 and 2022 that reported the status of nurses' knowledge of PU prevention based on PUKAT were included in the analysis. Based on heterogeneity between the studies, the data were analyzed using a random effects model.ResultsThe pooled scores of PU prevention knowledge in nurses and nursing students were (51.5%; 95% CI: 45.8–57.2%) and (48.9%; 95% CI: 42.5–55.2%), respectively. As the age of the participants increased, the pooled score of pressure ulcer prevention knowledge increased significantly (p = 0.028). The publication bias was not significant. The highest and lowest knowledge scores in nurses and nursing students were related to the fourth dimension (nutrition) and the fifth dimension (preventive measures to reduce the amount of pressure/shear), respectively.ConclusionKnowledge of nurses and nursing students about PU prevention is insufficient. Providing regular training to nurses and including the principles of PU prevention in the curriculum of nursing students to improve their knowledge seems necessary.
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spelling doaj.art-d5a568d0325f46639155952ffdc569a22022-12-22T04:25:29ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-09-011010.3389/fpubh.2022.964680964680Nurses' knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment ToolJing Wu0Jing Wu1Bangjun Wang2Bangjun Wang3Liping Zhu4Liping Zhu5Xiaoli Jia6Department of Pediatric Hematologic Oncology Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, ChinaDepartment of Pediatric Hematologic Oncology Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, ChinaDepartment of Pediatric Hematologic Oncology Nursing, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan University, Chengdu, ChinaDepartment of Obstetrics and Gynecology, Mianyang Central Hospital, Mianyang, ChinaBackgroundPressure ulcers (PUs) are an indicator of the quality of nursing care and nurses can prevent PUs well if they have sufficient knowledge. Numerous studies in this field have reported different results. The aim of this study was to estimate the pooled score of nurses' knowledge about PU prevention based on the Pressure Ulcer Knowledge Assessment Tool (PUKAT).MethodsIn this systematic review and meta-analysis, databases including Web of Science, ScienceDirect, PubMed, and Scopus were searched. All studies published in English between 2011 and 2022 that reported the status of nurses' knowledge of PU prevention based on PUKAT were included in the analysis. Based on heterogeneity between the studies, the data were analyzed using a random effects model.ResultsThe pooled scores of PU prevention knowledge in nurses and nursing students were (51.5%; 95% CI: 45.8–57.2%) and (48.9%; 95% CI: 42.5–55.2%), respectively. As the age of the participants increased, the pooled score of pressure ulcer prevention knowledge increased significantly (p = 0.028). The publication bias was not significant. The highest and lowest knowledge scores in nurses and nursing students were related to the fourth dimension (nutrition) and the fifth dimension (preventive measures to reduce the amount of pressure/shear), respectively.ConclusionKnowledge of nurses and nursing students about PU prevention is insufficient. Providing regular training to nurses and including the principles of PU prevention in the curriculum of nursing students to improve their knowledge seems necessary.https://www.frontiersin.org/articles/10.3389/fpubh.2022.964680/fullpressure ulcerprevention knowledgePUKATpreventionknowledge
spellingShingle Jing Wu
Jing Wu
Bangjun Wang
Bangjun Wang
Liping Zhu
Liping Zhu
Xiaoli Jia
Nurses' knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool
Frontiers in Public Health
pressure ulcer
prevention knowledge
PUKAT
prevention
knowledge
title Nurses' knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool
title_full Nurses' knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool
title_fullStr Nurses' knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool
title_full_unstemmed Nurses' knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool
title_short Nurses' knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool
title_sort nurses knowledge on pressure ulcer prevention an updated systematic review and meta analysis based on the pressure ulcer knowledge assessment tool
topic pressure ulcer
prevention knowledge
PUKAT
prevention
knowledge
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.964680/full
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