Undergraduate nursing students' knowledge of pressure injury prevention: an integrative review
DOI:
https://doi.org/10.17267/2317-3378rec.2025.e5973Keywords:
Nursing, Knowledge, Pressure Injury, Nursing Students, PreventionAbstract
ABSTRACT | OBJECTIVE: To identify what scientific publications describe about undergraduate students' knowledge of pressure injury prevention measures. METHODS: Integrative review with articles published between 2019 and June 2024 in the SciELO, MEDLINE, SCOPUS, EMBASE, Web of Science and LILACS databases, through the VHL. The descriptors used were: pressure injury, nursing students, knowledge, disease prevention. The data from the selected studies was gathered using a data collection tool. After this stage, the studies were synthesized in descriptive form for discussion. RESULTS: 17 articles were found that met the objective of the study, 13 of which were published internationally and 4 nationally. The analysis revealed that 76.5% identified insufficient levels of knowledge about the prevention of pressure injuries in academic nursing training. The students had difficulties with aspects such as the concept of shear, the angle of elevation of the headboard, daily inspection of the skin and adequate time for repositioning patients. Only 23.5% of the studies indicated adequate levels of knowledge on the subject. CONCLUSION: The articles analyzed reflect that the level of knowledge about PI prevention by undergraduate nursing students is inadequate. Insufficient rates of correct answers were found in relation to PI preventive measures, highlighting gaps in academic training and the need to reformulate educational approaches in undergraduate training.
Downloads
References
(1) National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevenção e tratamento de úlceras por pressão: guia de consulta rápido [Internet]; 2019 [cited 2024 Aug 26]. Available from: https://epuap.org/download/8570/pdf
(2) Portaria 529, de 1º de abril de 2013. Institui o Programa Nacional de Segurança do Paciente (PNSP) [Internet]. Brasília, DF: 2013 [cited 2024 Aug 26]. Available from: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/prt0529_01_04_2013.html
(3) Pachá HH, Faria JI, Oliveira KA, Beccaria LM. Lesão por Pressão em Unidade de Terapia Intensiva: estudo de caso-controle. Rev Bras Enferm. 2018;71(6):3027-34. https://doi.org/10.1590/0034-7167-2017-0950
(4) Mazzo A, Miranda FBG, Meska MHG, Bianchini A, Bernardes RM, Pereira GA Jr. Ensino de prevenção e tratamento de lesão por pressão utilizando simulação. Esc Anna Nery. 2018;22(1):e20170182. https://doi.org/10.1590/2177-9465-EAN-2017-0182
(5) Bertochi G, Zorzo LM, Costa S de P, Baron C, Morschbacher J. Nursing students’ knowledge on pressure injury. RSD. 2022;11(8):e6511830297. https://doi.org/10.33448/rsd-v11i8.30297
(6) Soares CB, Hoga LA, Peduzzi M, Sangaleti C, Yonekura T, Silva DR. Revisão integrativa: conceitos e métodos utilizados na enfermagem. Rev Esc Enferm USP. 2014;48(2):335-45. https://doi.org/10.1590/s0080-6234201400002000020
(7) Hammad BM, Eqtait FA, Ayed AJ, Salameh BS, Fashafsheh IH, Saleh MY. Insights into pressure injury prevention: Assessing the knowledge, attitudes, and practices of Palestinian nursing students. J Tissue Viability. 2024;33(2):254-61. https://doi.org/10.1016/j.jtv.2024.03.011
(8) Yoltay HE, Özşaker E. Pressure Injury Knowledge and Attitudes of Senior Nursing Students. Adv Ski Amp Wound Care. 2024;37(1):1-5. https://doi.org/10.1097/asw.0000000000000088
(9) Al Gharash H, Alharbi A, Alshahrani Y, Mousa O. Knowledge and Attitude of Nursing Interns Toward Pressure Injury Prevention in Saudi Arabia: A Multiregional Cross-Sectional Study. SAGE Open Nurs. 2024;10. https://doi.org/10.1177/23779608241251631
(10) Bobbink P, Gschwind G, Charbonneau L, Guex C, Chabal L, Probst S. Nursing Students’ Knowledge on Pressure Injuries Following a Blended-Learning Unit: A Quasi-experimental Study. Adv Ski Amp Wound Care. 2023;36(12):636-41. https://doi.org/10.1097/asw.0000000000000066
(11) Chami L, Boussaid O, Boussaid H, Serhani Y, Zerhane R, Janati-Idrissi R. Nursing students' knowledge towards pressure injury prevention: A cross-sectional study in the north of Morocco. J Tissue Viability. 2023;32(2):248-258. https://doi.org/10.1016/j.jtv.2023.02.002
(12) Abrahams FR, Daniels ER, Niikondo HN, Amakali K. Students’ knowledge, attitude and practices towards pressure ulcer prevention and management. Health SA Gesondheid. 2023;28:a2180. https://doi.org/10.4102/hsag.v28i0.2180
(13) Nóbrega ID, Medeiros TP, Bezerra KA, Marcolino ED, Santos-Rodrigues RC, Soares MC. Análise do conhecimento de profissionais de enfermagem sobre prevenção de lesão por pressão: estudo transversal. Esc Anna Nery. 2023;27. https://doi.org/10.1590/2177-9465-ean-2022-0219pt
(14) Cukljek S, Rezic S, Ficko SL, Hosnjak AM, Smrekar M, Ljubas A. Croatian nurses' and nursing students' knowledge about pressure injury prevention. J Tissue Viability. 2022;31(3):453-58. https://doi.org/10.1016/j.jtv.2022.04.008
(15) Dag Sucu G, Firat Kilic H. Knowledge and attitudes of Turkish nursing students towards pressure injury prevention. J Tissue Viability. 2021;31(1):16-23. https://doi.org/10.1016/j.jtv.2021.08.003
(16) Mather C, Jacques A, Prior SJ. Australian First-Year Nursing Student Knowledge and Attitudes on Pressure Injury Prevention: A Three-Year Educational Intervention Survey Study. Nurs Rep. 2022;12(3):431-45. https://doi.org/10.3390/nursrep12030042
(17) Sönmez M, Taşdemir N, Ören N. Pressure Injury Knowledge of Turkish Internship Nursing Students. J Tissue Viability. 2021;30(4):571-75. https://doi.org/10.1016/j.jtv.2021.07.004
(18) Pérez-López C, López-Franco MD, Comino-Sanz IM, Pancorbo-Hidalgo PL. Actitud hacia la prevención de lesiones por presión en estudiantes de enfermería: cuestionario APuP. Gerokomos. 2021;32(1):43-50. https://doi.org/10.4321/s1134-928x2021000100010
(19) Fernandes CS, Lima A, Santos M. Prevenção de lesões por pressão: atitudes e conhecimento de estudantes de enfermagem. J Nurs Health. 2021;11(3). https://doi.org/10.15210/jonah.v11i3.20924
(20) Szymański S, Porębska E, Sipak- Szmigiel O. Knowledge of nursing students on the subject of pressure ulcers prevention and treatment: What we know about pressure ulcers?. Pol J Surg. 2020;92(3). https://doi.org/10.5604/01.3001.0014.0508
(21) Yilmazer T, Tuzer H, Inkaya B, Elcin M. The impact of standardized patient interactions on nursing students’ preventive interventions for pressure ulcers. J Tissue Viability. 2020;29(1):19-23. https://doi.org/10.1016/j.jtv.2019.11.004
(22) Furtado AF, Marcondes L, Lenhani BE, Batista J. Conhecimento de acadêmicos de enfermagem sobre lesões por pressão: desafio para a segurança do paciente. Rev Baiana Enferm. 2020;33. https://doi.org/10.18471/rbe.v33.34425
(23) Ribeiro AM, Ribeiro EK, Ferreira MT, Sousa JE, Silva AA, Boldoino LS. Conhecimento de acadêmicos de enfermagem sobre lesão por pressão [Internet]. Rev Rene. 2019;20:e41016. Available from: http://repositorio.ufc.br/handle/riufc/45394
(24) European Pressure Ulcer Advisory Panel, National Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers/injuries: clinical practice guideline [Internet]. The international guideline. 2019. Available from: https://internationalguideline.com/2019
(25) Manderlier B, Van Damme N, Vanderwee K, Verhaeghe S, Van Hecke A, Beeckman D. Development and psychometric validation of PUKAT 2·0, a knowledge assessment tool for pressure ulcer prevention. Int Wound J. 2017;14(6):1041-51. https://doi.org/10.1111/iwj.12758
(26) Borges EL, Spira JAO. Lesão por pressão: prevenção e manejo. In: Feridas: como tratar. 3ª ed. Borges, EL, Lima VLAN. Rio de Janeiro: Rubio, 2024 400p.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Lorena Fortuna Santos Rastely, Rosana Freitas Azevedo, Maria de Lourdes de Freitas Gomes
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
