Journal article
Barriers and facilitators of adherence to evidence-based pressure injury prevention clinical practice guideline among intensive care nurses: A cross-sectional survey
Intensive and Critical Care Nursing, Vol.83, pp.1-6
2024
PMID: 38471401
Abstract
Objective
To explore intensive care unit (ICU) nurses’ perceptions of their adherence to pressure injury prevention clinical practice guideline and identify the perceived barriers and facilitators that influence evidence-based pressure injury prevention practices in Chinese tertiary hospitals.
Research methodology/design
This was a multi-site, quantitative, cross-sectional study. Data were collected using a self-report questionnaire with three sections: participant demographic information, adherence to pressure injury prevention clinical practice guideline, and barriers to and facilitators of pressure injury prevention clinical practice guideline implementation.
Setting
Thirty-three adult ICUs in 16 tertiary general hospitals in 5 major cities in Liaoning Province, China.
Results
In total, 473 nurses responded to the survey. The mean score for adherence to pressure injury prevention clinical practice guideline was 159.06 ± 20.65, with 65.3 % reporting good adherence. Multiple stepwise regression analysis indicated that smaller ICU size (β = −0.114, p = 0.012) and having participated in training on pressure injury prevention clinical practice guideline (β = 0.149, p = 0.001) were statistically significantly associated with better adherence. ICU nurses identified the low priority given to pressure injury prevention as the top barrier. The top three facilitators were awareness of evidence-based practice, the current documentation format for pressure injury risk/nursing interventions, and leadership support.
Conclusion
ICU nurses’ adherence to pressure injury prevention clinical practice guideline was satisfactory, and they reported low-to-moderate barriers and moderate facilitators.
Implications for clinical practice
Participating in training on pressure injury prevention clinical practice guideline was a predictor of ICU nurses’ adherence. Therefore, it is highly recommended that healthcare organisations consider providing training to nurses and address the barriers identified to improve nurses’ adherence to evidence-based pressure injury prevention guidelines.
Details
- Title
- Barriers and facilitators of adherence to evidence-based pressure injury prevention clinical practice guideline among intensive care nurses: A cross-sectional survey
- Authors
- Bing Song - China Medical UniversityZijing Wu - China Medical UniversityMiao Liu - China Medical UniversityQian Zhang - China Medical UniversityXiaolu Ma - China Medical UniversityXiaohan Li - China Medical UniversityYu Liu (Corresponding Author) - China Medical UniversityFrances Lin - University of the Sunshine Coast, Queensland, School of Health - Nursing
- Publication details
- Intensive and Critical Care Nursing, Vol.83, pp.1-6
- Publisher
- Elsevier Ltd
- DOI
- 10.1016/j.iccn.2024.103665
- ISSN
- 1532-4036
- PMID
- 38471401
- Organisation Unit
- School of Health - Nursing
- Language
- English
- Record Identifier
- 991014498302621
- Output Type
- Journal article
Metrics
2 Record Views