Assessment Of Nurses Knowledge Attitude And Perceived Barriers To Expressed Pressure Ulcer Prevention Practice In Addis Ababa Government Hospitals Addis Ababa Ethiopia 2015

Background: Although pressure ulcer development is now generally considered as anrnindicator for quality of nursing care, questions and concerns about situations in which they arernunavoidable remain. Awareness about the significance of the problem, positive attituderntowards prevention and an adequate level of knowledge are cornerstones to effectively preventrnpressure ulcers.rnObjective: To assess nurses’ knowledge, attitudes and perceived barriers to expressedrnpressure ulcer prevention practice in Addis Ababa government hospitals, Ethiopia, 2015rnMethods and materials: Institution based cross sectional study was conducted from April tornMay, 2015. Three hospitals were selected by simple random sampling from 12 governmentrnhospitals and 217 eligible nurses were selected by using simple random sampling (SRS) afterrnnurses were proportionally allocated to size from each selected hospital. Data were collectedrnthrough pretested self administered structured questionnaire. Both descriptive and inferentialrnstatistics were used to present the data.rnResults: Among the respondents, 61.2% were found to have adequate knowledge regardingrnpressure ulcer prevention practice whereas 68.4% of the participants had favorable attitude tornpressure ulcer prevention practice. Moreover, 67.3% of the participants had good practicernabout pressure ulcer prevention. The most reported barriers to practice pressure ulcerrnprevention were unproportionate nurse to patient ratio (67.9%), lack of training and educationrn(56.1%), shortage of equipment (53.6%) and lack of job satisfaction (64.3%).rnConclusion and Recommendation: More than half of the nurses were found to have adequaternknowledge about pressure ulcer prevention and their outlook towards it remain majorlyrnfavorable. Expressed pressure ulcer prevention practice was affected by the participant’s levelrnof knowledge, attitude and barriers of care. To provide effective prevention of pressure ulcer,rnnurses’ level of knowledge and attitude should be enhanced besides resolving these barriers.rnKey words: nurses, Pressure ulcer, prevention, knowledge, attitude, perceived barriers

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