Sook Ja Lee; Ok Kyoung Park; Mi Yeon Park

doi:10.4040/jkan.2016.46.4.572

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Original Article
A Structural Equation Model of Pressure Ulcer Prevention Action in Clinical Nurses: Sook Ja Lee, Ok Kyoung Park, Mi Yeon Park; Journal of Korean Academy of Nursing 2016;46(4):572-582.
DOI: https://doi.org/10.4040/jkan.2016.46.4.572
Published online: August 31, 2016

¹College of Nursing, Korea University, Seoul, Korea.

²Nursing Service Department, Korea University Ansan Hospital, Ansan, Korea.

Address reprint requests to : Park, Ok Kyoung. Nursing Service Department, Korea University Ansan Hospital, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, 15355, Korea. Tel: +82-31-412-5477, Fax: +82-31-412-5414, ok-sk81@korea.ac.kr

• Received: February 25, 2016 • Revised: May 20, 2016 • Accepted: May 23, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

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: Pressure ulcer; Prevention; Nursing; Intention

The authors declared no conflict of interest.

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. J Korean Acad Adult Nurs. 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. J Clin Nurs. 2014;23(23-24):3415–3423. Article PubMed PDF
4. Nam MH, Lim JH. Analysis on the situation of inpatients with pressure ulcer by patient safety indicators. J Digit Policy Manag. 2012;10(3):197–205.
5. Samuriwo R. The impact of nurses' values on the prevention of pressure ulcers. Br J Nurs. 2010;19(15):S4S6S8Article
6. Yang NY, Moon SY. Perceived importance, educational needs, knowledge and performance concerning pressure ulcer care by clinical nurses. J Korean Acad Adult Nurs. 2009;21(1):95–104.
7. Gu MO, Lee EO. Health belief model and sick role behavior of Korean chronic ill patients. Korean Nurse. 1990;29(3):49–63.PubMed
8. Janz NK, Becker MH. The health belief model: A decade later. Health Educ Q. 1984;11(1):1–47.Article PubMed PDF
9. Kim YO. Theoretical analysis of health belief model and evaluation of usefulness on nursing discipline. J Sogang coll. 1994;13:417–437.
10. Källman U, Suserud BO. Knowledge, attitudes and practice among nursing staff concerning pressure ulcer prevention and treatment-a survey in a Swedish healthcare setting. Scand J Caring Sci. 2009;23(2):334–341. Article PubMed
11. Moore Z, Price P. Nurses’ attitudes, behaviours and perceived barriers towards pressure ulcer prevention. J Clin Nurs. 2004;13(8):942–951. Article PubMed
12. Strand T, Lindgren M. Knowledge, attitudes and barriers towards prevention of pressure ulcers in intensive care units: A descriptive cross-sectional study. Intensive Crit Care Nurs. 2010;26(6):335–342. Article PubMed
13. Tubaishat A, Aljezawi M, Al Qadire M. Nurses' attitudes and perceived barriers to pressure ulcer prevention in Jordan. J Wound Care. 2013;22(9):490–497. Article PubMed
14. Cullen Gill E, Moore Z. An exploration of fourth-year undergraduate nurses' knowledge of and attitude towards pressure ulcer prevention. J Wound Care. 2013;22(11):618–620. 622Article PubMed
15. Beeckman D, Defloor T, Schoonhoven L, Vanderwee K. Knowledge and attitudes of nurses on pressure ulcer prevention: A cross-sectional multicenter study in Belgian hospitals. Worldviews Evid Based Nurs. 2011;8(3):166–176. Article PubMed
16. Park S, Yang NY, Choi JS. Factors affecting attitudes and preventive practice of pressure ulcer among nurses. J Muscle Joint Health. 2013;20(1):43–51. Article
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;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;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. J Korean Gerontol Soc. 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. J Korean Biol Nurs Sci. 2014;16(4):342–348. Article
21. Jeong IS, Kim S, Jeong JS, Hong EY, Lim EY, Seo HJ, et al. Development of pressure ulcer management guideline by adaptation process. J Korean Clin Nurs Res. 2014;20(1):40–52.
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 J Nurs 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. J Exp Soc Psychol. 1986;22(5):453–474.Article
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. J Wound Ostomy Continence Nurs. 2013;40(3):254–267. PubMed
29. Nash R, Edwards H, Nebauer M. Effect of attitudes, subjective norms and perceived control on nurses' intention to assess patients' pain. J Adv Nurs. 1993;18(6):941–947.Article PubMed
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 Manage. 2011;57(2):24–37.

Figure 1

Conceptual frame work of the study.

Figure 2

Path diagram of the model.

Table 1

General Characteristics and Descriptive Statistics of Observed Variables

^*Except for non–response; PUPA=pressure ulcer prevention action.

Table 2

Correlation Relations between Variables and Verification of Construct Validity

PUPA=Pressure ulcer prevention action; AVE=Average Variance Extracted; CR=Construct Reliability;r=correlation estimate.

Table 3

Standardized Estimates, C.R., SMC, Standardized Direct, Indirect, and Total Effects for the Hypothetical Model

C.R.=Critical ratio; SMC=Squared multiple correlation; β=Standardized regression coefficients; PUPA=Pressure ulcer prevention action.

Figure & Data

REFERENCES

Citations

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

J Korean Acad Nurs. 2016;46(4):572-582. Published online August 31, 2016

DOI: https://doi.org/10.4040/jkan.2016.46.4.572

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

Figure 1 Conceptual frame work of the study.

Figure 2 Path diagram of the model.

Figure 1

Figure 2

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

Table 1

General Characteristics and Descriptive Statistics of Observed Variables

^*Except for non–response; PUPA=pressure ulcer prevention action.

Table 2

Correlation Relations between Variables and Verification of Construct Validity

PUPA=Pressure ulcer prevention action; AVE=Average Variance Extracted; CR=Construct Reliability;r=correlation estimate.

Table 3

Standardized Estimates, C.R., SMC, Standardized Direct, Indirect, and Total Effects for the Hypothetical Model

C.R.=Critical ratio; SMC=Squared multiple correlation; β=Standardized regression coefficients; PUPA=Pressure ulcer prevention action.

Table 1 General Characteristics and Descriptive Statistics of Observed Variables

^*Except for non–response; PUPA=pressure ulcer prevention action.

Table 2 Correlation Relations between Variables and Verification of Construct Validity

PUPA=Pressure ulcer prevention action; AVE=Average Variance Extracted; CR=Construct Reliability;r=correlation estimate.

Table 3 Standardized Estimates, C.R., SMC, Standardized Direct, Indirect, and Total Effects for the Hypothetical Model

C.R.=Critical ratio; SMC=Squared multiple correlation; β=Standardized regression coefficients; PUPA=Pressure ulcer prevention action.