Demographic Factor Analysis on the Knowledge, Attitudes, and Practice Status of Nurses in Preventing Device-Related Pressure Injuries: A Multicentric Cross-sectional Study.

Objective: To evaluate the current status of the Device-Related Pressure Injuries Knowledge, Attitude, and Practice (DRPI-KAP) survey among nurses and explore its demographic factors.

Methods: The demographic questionnaire and appropriative DRPI-KAP scale were used to investigate 1,368 nurses from eight representative hospitals in Mianyang City, China.

Results: A total of 1,344 valid questionnaires were collected, yielding an effective response rate of 98.2% (1,344/1,368). The scores (score rates) of the knowledge, attitude, and practice dimensions and overall DRPI-KAP scale were 49.5 ± 12.1 (65.9%), 38.3 ± 5.6 (85.1%), 56.7 ± 10.0 (81.0%), and 144.4 ± 22.6 (76.0%), respectively. The Pearson and partial correlation analysis revealed a significant positive correlation between scores on the DRPI knowledge, attitude, and practice dimensions. After adjusting for the confounding effects of the three DPRI-KAP dimensions, the multiple linear stepwise regression analysis revealed that multiple demographic factors independently influenced the knowledge (eg, department, work years, received DRPI training, wound/stoma specialist nurse), attitude (eg, technical title, department), and practice (eg, position, technical title, wound/stoma specialist nurse, received DRPI training). Of them, the proactive DRPI attitude of pediatric nurses and the effective DRPI practices of frontline nurses were identified as innovative findings.

Conclusions: There is an urgent need for improvement in the knowledge of DRPI prevention among representative hospital nurses. Enhancing the knowledge training and management system is anticipated to cultivate professional attitude and practice, thereby elevating the DRPI nursing quality.