Factors Predicting the Implementation of Pressure Injurie Prevention Guidelines in Wards by Professional Nurses at A Tertiary Care Hospital

Abstract

Pressure injuries are an indicator of nursing quality and is a complication that can be prevented by following guidelines for preventing pressure injuries. The purpose of this predictive relationship research was to study the factors predicting the implementation of pressure Injuries prevention guidelines in wards by professional nurses in five tertiary level hospitals in Health Area 10. The sample group consisted of 165 professional nurses working in the wards. Data were collected using a 3-part questionnaire, consisting of a personal characteristics questionnaire, a questionnaire on factors predicting the implementation of the pressure injuries prevention guidelines in wards, and a questionnaire on the practice of pressure ulcer prevention by professional nurses. Data were analyzed using descriptive statistics and statistics for stepwise multiple regression analysis.

Results: The research found that the factors having a statistically significant effect on the implementation of pressure Injuries prevention guidelines were work hours/week (beta = -0.446, p < 0.001), awareness of pressure injury prevention (beta = 0.283, p < 0.001), perception of professional value (beta = 0.199, p < 0.001) and leadership of head nurses (beta = 0.147, p < 0.05). Those factors can jointly predict 76.8% (R²=0.768, p < 0.05) of how the nurses followed the guideline for their practice. It can be concluded that work hours/week, awareness of pressure injury prevention, perception of professional value, and the leadership of the head nurse were the factors affecting the practice of pressure injuries prevention guidelines in the wards by professional nurses. Therefore, administrators can use such predicted factors as input information in nursing management in order to increase professional nurses’ compliance with guidelines for preventing pressure injuries.