Knowledge, attitude, and practice of clinical nurses towards medical device-related pressure injury prevention: A systematic review
Wanwan Fang, Qi Zhang, Yuxuan Chen, Wei Qin
Abstract
To evaluate clinical nurses' knowledge, attitude, and practice toward MDRPI prevention. Medical device-related pressure injury (MDRPI) is a significant concern in healthcare, serving as a critical indicator of patient safety and the quality of nursing care. This systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive search was performed on PubMed, Embase, Web of Science, the Cochrane Library, and CINAHL, as well as Chinese databases including China Biology Medicine Disc (CBM), China National Knowledge Infrastructure (CNKI), Wanfang Database, and VIP Database using the relevant keywords, from the earliest available records to June 27, 2024. The quality of the studies was appraised using the Joanna Briggs Institute (JBI) literature evaluation tool. A total of 8847 clinical nurses from 18 studies were included. Of these, 6502 working in intensive care units. While nurses generally exhibited a positive attitude, their knowledge and practice were insufficient. Several factors positively influenced nurses' knowledge, attitude, and practice regarding MDRPI prevention, which include the level of education, work experience, previous training on MDRPU, caring for MDRPI patients, being an ICU specialist nurse, working in tertiary hospitals, and holding wound care certifications. This review underscores the critical need to develop educational training programs to enhance nurses' competencies in MDRPI prevention. It also highlights the importance of addressing the challenges in implementing these strategies to ensure their effectiveness in clinical practice. • Nurses generally exhibited a positive attitude towards MDRPI prevention, but their knowledge and practice were found to be insufficient. • Several factors, such as education level, work experience, prior training on MDRPI, caring for MDRPI patients, being an ICU specialist, working in tertiary hospitals, and holding wound care certifications, positively influenced nurses' knowledge, attitude, and practice. • The review emphasizes the urgent need for targeted educational training programs to enhance nurses' competencies in MDRPI prevention and highlights the importance of addressing challenges in implementing these strategies for effective clinical practice.