nization and routines, and re - sources). Authors found PU preven- tion had low status among RNs; nurses were more interested in other aspects of patient care such as treatment of disease. Knowledge of prevention was adequate but sel- dom did RNs report incorporating prevention into practice and PU care usually was performed by licensed practical nurses (LPNs). Lack of routines in prevention undermined successful prevention. Perceived barriers to prevention and care included lack of continuity of care, disagreement concerning what interventions should be per- formed, and lack of personnel and time. Limitations of the study included participant self-report and selection of participants by nurse managers. This study is clinically significant because it identified nurses’ values and patients’ psycho- logical well-being as important fac- tors in PU care and prevention, and found knowledge seldom was reflected in practice. Samuriwo (2010) conducted a qualitative study to determine the value nurses and nursing students place on the prevention of PUs. Data were analyzed through Straussian grounded theory. A convenience sample ( n =16) was recruited from a population of 300 nurses on nona- cute medical units among 14 Welsh hospitals, and 50 student nurses from a local university who spent time on a nonacute medical unit at a targeted hospital. After six nurses and three students participated in semi-structured interviews, it was clear more data were needed from a different sample. These initial nine participants came from only two hospitals and the university because many hospitals denied permission for researchers to recruit staff from their facilities. Nurse lecturers and nurse managers then were recruited to participate in a second set of interviews. These nurse leaders were recruited from the 12 hospitals not represented in the first sample. The number of hospitals represented in this second set of interviews was not specified. Six nurse managers TABLE 1. Current Research that Considers Nurses’ Attitudes Toward Pressure Ulcer Prevention Study/Focus Location Methods Findings Mixed Methods Studies Strand & Lindgren (2010). RNs’ and enrolled nurses attitudes, knowledge, and perceived barriers and opportunities towards PU prevention. Sweden Descriptive Cross-Sectional Sample: 76 RNs and 68 enrolled nurses Setting: Four intensive care units in one hospital Instruments: Attitude by 11-item Likert by Moore and Price (2004), knowledge by multiple choice and open-ended questions, opportunities and barriers by open-ended questions PU prevention is viewed as important. Nurses with education in critical care or anesthesia had more positive attitudes than other nurses. Knowledge was adequate. RNs had higher knowledge scores than enrolled nurses. Lack of time and severe morbidity are perceived barriers to prevention.
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