Medical device-related pressure injuries prevention practices of intensive care unit nurses: A cross-sectional study in Turkey

Abstract

Aim: Medical device-related pressure injuries (MDRPIs) are becoming increasingly common across all healthcare services and age groups in terms of both incidence and severity. It is crucial for nurses to be aware that MDRPI is a potential complication of healthcare services. This study aimed to assess the preventive practices of intensive care unit (ICU) nurses in relation to MDRPIs. Materials and methods: This cross-sectional and descriptive study was conducted with 96 nurses between March 10 and April 31, 2021. The Nurse Information Form and the MDRPIs Prevention Practices Questionnaire form were used for the data collection. Results: The overall practice scores of ICU nurses in preventing MDRPIs were 50.83 +/- 12.93. Out of the participants, 57.3% (n = 55) achieved a total practice score of 51 and above out of 68 (considered an acceptable score indicating proficiency in positive practice). The items with the most negative practice levels among nurses were related to statements such as 'I apply hydrocolloid, thin foam, or a silicone-type dressing to prevent MDPRI' (2.86 +/- 0.85) and 'I use the normal pressure injury staging when staging the MDRPI' (2.88 +/- 0.86). No significant difference was observed between the mean scores of MDRPI prevention practices and the characteristics of ICU nurses, such as education level, years working in the unit, and years of experience in the profession (p > 0.05). Furthermore, a positive correlation was found between age and practice levels in preventing MDRPIs (p < 0.05). Conclusion: The study results indicate that the practice levels of ICU nurses in preventing MDRPIs were insufficient. We believe that regular in-service training programs, grounded in clinical practice, are necessary to enhance nurses' awareness and management of MDRPIs.