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A Structural Equation Model of Pressure Ulcer Prevention Action in Clinical Nurses

임상간호사의 욕창예방행위 구조모형

  • Lee, Sook Ja (College of Nursing, Korea University) ;
  • Park, Ok Kyoung (Nursing Service Department, Korea University Ansan Hospital) ;
  • Park, Mi Yeon (Nursing Service Department, Korea University Ansan Hospital)
  • 이숙자 (고려대학교 간호대학) ;
  • 박옥경 (고려대학교 안산병원 간호부) ;
  • 박미연 (고려대학교 안산병원 간호부)
  • Received : 2016.02.25
  • Accepted : 2016.05.23
  • Published : 2016.08.31

Abstract

Purpose: The purpose of this study was to construct and test a structural equation model for pressure ulcer prevention action by clinical nurses. The Health Belief Model and the Theory of Planned Behavior were used as the basis for the study. Methods: A structured questionnaire was completed by 251 clinical nurses to analyze the relationships between concepts of perceived benefits, perceived barriers, attitude, subjective norm, perceived control, intention to perform action and behavior. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting pressure ulcer prevention action among clinical nurses. Results: The model fitness statistics of the hypothetical model fitted to the recommended levels. Attitude, subjective norm and perceived control on pressure ulcer prevention action explained 64.2% for intention to perform prevention action. Conclusion: The major findings of this study indicate that it is essential to recognize improvement in positive attitude for pressure ulcer prevention action and a need for systematic education programs to increase perceived control for prevention action.

Keywords

References

  1. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: Clinical practice guideline. 2nd ed. Osborne Park, AU: Cambridge Media; 2014. p. 18-24.
  2. Kim JM, Park JS. Development of an algorithm for the prevention and management of pressure ulcers. Journal of Korean Academy of Adult Nursing. 2010;22(4):353-364.
  3. Chaboyer W, Gillespie BM. Understanding nurses' views on a pressure ulcer prevention care bundle: A first step towards successful implementation. Journal of Clinical Nursing. 2014;23(23-24): 3415-3423. http://dx.doi.org/10.1111/jocn.12587
  4. Nam MH, Lim JH. Analysis on the situation of inpatients with pressure ulcer by patient safety indicators. Journal of Digital Policy & Management. 2012;10(3):197-205.
  5. Samuriwo R. The impact of nurses' values on the prevention of pressure ulcers. British Journal of Nursing. 2010;19(15):S4, S6, S8. http://dx.doi.org/10.12968/bjon.2010.19.Sup5.77702
  6. Yang NY, Moon SY. Perceived importance, educational needs, knowledge and performance concerning pressure ulcer care by clinical nurses. Journal of Korean Academy of Adult Nursing. 2009;21(1):95-104.
  7. Gu MO, Lee EO. Health belief model and sick role behavior of Korean chronic ill patients. The Korean Nurse. 1990;29(3):49-63.
  8. Janz NK, Becker MH. The health belief model: A decade later. Health Education Quarterly. 1984;11(1):1-47. https://doi.org/10.1177/109019818401100101
  9. Kim YO. Theoretical analysis of health belief model and evaluation of usefulness on nursing discipline. Journal of the Sogang College. 1994;13:417-437.
  10. Kallman U, Suserud BO. Knowledge, attitudes and practice among nursing staff concerning pressure ulcer prevention and treatment-a survey in a Swedish healthcare setting. Scandinavian Journal of Caring Sciences. 2009;23(2):334-341. http://dx.doi.org/10.1111/j.1471-6712.2008.00627.x
  11. Moore Z, Price P. Nurses' attitudes, behaviours and perceived barriers towards pressure ulcer prevention. Journal of Clinical Nursing. 2004;13(8):942-951. http://dx.doi.org/10.1111/j.1365-2702.2004.00972.x
  12. Strand T, Lindgren M. Knowledge, attitudes and barriers towards prevention of pressure ulcers in intensive care units: A descriptive crosssectional study. Intensive and Critical Care Nursing. 2010;26(6):335-342. http://dx.doi.org/10.1016/j.iccn.2010.08.006
  13. Tubaishat A, Aljezawi M, Al Qadire M. Nurses' attitudes and perceived barriers to pressure ulcer prevention in Jordan. Journal of Wound Care. 2013;22(9):490-497. http://dx.doi.org/10.12968/jowc.2013.22.9.490
  14. Cullen Gill E, Moore Z. An exploration of fourth-year undergraduate nurses' knowledge of and attitude towards pressure ulcer prevention. Journal of Wound Care. 2013;22(11):618-620, 622. http://dx.doi.org/10.12968/jowc.2013.22.11.618
  15. Beeckman D, Defloor T, Schoonhoven L, Vanderwee K. Knowledge and attitudes of nurses on pressure ulcer prevention: A crosssectional multicenter study in Belgian hospitals. Worldviews on Evidence- Based Nursing. 2011;8(3):166-176. http://dx.doi.org/10.1111/j.1741-6787.2011.00217.x
  16. Park S, Yang NY, Choi JS. Factors affecting attitudes and preventive practice of pressure ulcer among nurses. Journal of Muscle and Joint Health. 2013;20(1):43-51. http://dx.doi.org/10.5953/JMJH.2013.20.1.43
  17. Russell-Babin K. Comparison of educational interventions to impact behavioral intent toward pressure ulcer prevention among nurses on medical surgical units[dissertation]. Fort Lauderdale, FL: Nova Southeastern University; 2013. p. 1-180.
  18. Yang SO. Effect of the perception of clinical nurses on the extent of nursing care for pressure ulcer patients[master's thesis]. Sunchon: Sunchon National University; 2010. p. 1-75.
  19. Shin KR, Kim M, Kang Y, Jung D, Eom JY, Kweon YR. Pressure ulcers in long-term care hospitals in Korea: Prevalence and risk factors. Journal of the Korean Gerontological Society. 2012;32(1): 115-127.
  20. Lee YJ, Park S. Effects of pressure ulcer classification system education program on knowledge and visual discrimination ability of pressure ulcer classification and incontinence-associated dermatitis for hospital nurses. Journal of Korean Biological Nursing Science. 2014;16(4):342-348. http://dx.doi.org/10.7586/jkbns.2014.16.4.342
  21. Jeong IS, Kim S, Jeong JS, Hong EY, Lim EY, Seo HJ, et al. Development of pressure ulcer management guideline by adaptation process. Journal of Korean Clinical Nursing Research. 2014;20(1) :40-52. https://doi.org/10.22650/JKCNR.2014.20.1.40
  22. Kim YI, Jung HS, Bae KH. Health promotion: Theory and application. Seoul: Episteme; 2007. p. 1-330.
  23. Jee YO. Instrument development for the application of the theory of planned behavior. Korean Journal of Nursing Query. 1993;2(2):102-115.
  24. Becker MH. The health belief model and personal health behavior. Thorofare, NJ: Slack; 1974. p. 324-508.
  25. Ajzen I. From intentions to actions: A theory of planned behavior. In: Kuhl J, Beckmann J, editors. Action control. Berlin, DE: Springer; 1985. p. 11-39.
  26. Kim GS. Analysis structural equation modeling. Seoul: Hannarae Publishing Co.; 2010.
  27. Ajzen I, Madden TJ. Prediction of goal-directed behavior: Attitudes, intentions, and perceived behavioral control. Journal of Experimental Social Psychology. 1986;22(5):453-474. https://doi.org/10.1016/0022-1031(86)90045-4
  28. Brindle CT, Malhotra R, O'Rourke S, Currie L, Chadwik D, Falls P, et al. Turning and repositioning the critically ill patient with hemodynamic instability: A literature review and consensus recommendations. Journal of Wound, Ostomy, and Continence Nursing. 2013;40(3):254-267. http://dx.doi.org/10.1097/WON.0b013e318290448f
  29. Nash R, Edwards H, Nebauer M. Effect of attitudes, subjective norms and perceived control on nurses' intention to assess patients' pain. Journal of Advanced Nursing. 1993;18(6):941-947. https://doi.org/10.1046/j.1365-2648.1993.18060941.x
  30. Black JM, Edsberg LE, Baharestani MM, Langemo D, Goldberg M, McNichol L, et al. Pressure ulcers: Avoidable or unavoidable? Results of the National pressure ulcer advisory panel consensus conference. Ostomy Wound Management. 2011;57(2):24-37.

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