Pressure ulcer, knowledge, description and prevention among senior nursing students in Jordan

Islam M. Banisalman , Ibrahim G. Al Faouri , Mohammad Alrawashdeh , Loai I. Tawalbeh

Clinical Nursing Studies ›› 2026, Vol. 14 ›› Issue (1) : 23 -31.

PDF (324KB)
Clinical Nursing Studies ›› 2026, Vol. 14 ›› Issue (1) :23 -31. DOI: 10.5430/cns.v14n1p23
ORIGINAL ARTICLE
research-article
Pressure ulcer, knowledge, description and prevention among senior nursing students in Jordan
Author information +
History +
PDF (324KB)

Abstract

Background: Pressure ulcers are preventable patient safety issues that adversely affect healthcare costs and outcomes. Senior nursing students are expected to be prepared to contribute to pressure ulcer prevention based on their clinical education and training; however, evidence suggests that gaps in knowledge and preparedness may still exist.
Objective: To assess nursing students’ knowledge of pressure ulcer staging, prevention, risks, and wound description, and to examine differences according to participant characteristics.
Methods: A cross-sectional descriptive study was conducted among 200 nursing students from two governmental universities in Jordan; however, 184 completed surveys were included in the final analysis. The Pieper-Zulkowski Pressure Ulcer Knowledge Test was used. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) at the p ≤ .05 significance level.
Results: Overall, students demonstrated poor knowledge (M = 31.33, SD = 8.95). Students from the University of Jordan and those who accessed online information had significantly higher prevention scores ( p < .05).
Conclusions: The findings underscore the need to develop targeted teaching, training, and curricula to enhance students’ knowledge of pressure ulcers.

Keywords

Pressure ulcer / Pressure injury / Prevention / Nursing / Students / Jordan

Cite this article

Download citation ▾
Islam M. Banisalman, Ibrahim G. Al Faouri, Mohammad Alrawashdeh, Loai I. Tawalbeh. Pressure ulcer, knowledge, description and prevention among senior nursing students in Jordan. Clinical Nursing Studies, 2026, 14 (1) : 23-31 DOI:10.5430/cns.v14n1p23

登录浏览全文

4963

注册一个新账户 忘记密码

ACKNOWLEDGEMENTS

The authors have no acknowledgments to declare.

AUTHORS CONTRIBUTIONS

Islam Banisalman: Contributed to the conception and design of the study, methodology development, literature review, data collection and acquisition, data analysis, interpretation of results, drafting of the manuscript, and revision of the manuscript. Ibrahim Al-Faouri: Provided methodological guidance, including advising on the statistical analysis plan, contributed to the conception and design of the study, interpretation of findings, and revision of the manuscript. Mohammad Alrawashdeh & Loai. I Tawalbeh: Contribution, conception, design, acquisition, revision. All authors reviewed the final manuscript, approved the current version for publication, and agreed to be accountable for all aspects of the work.

FUNDING

The authors received no financial support.

CONFLICTS OF INTEREST DISCLOSURE

The authors declare they have no conflicts of interest.

INFORMED CONSENT

Potential study participants received an information sheet about the study prior to agreeing to enroll. Prior to conducting the study interview, the PI obtained verbal consent from participants. The requirement for written documentation of informed consent was waived by the PI’s institutional IRB.

ETHICAL STATEMENT

Primary data were collected from human participants for this work. Institutional review board/ethics committee review was required and obtained from JUST (IRB ID: 2019-422).

ETHICS APPROVAL

The Publication Ethics Committee of the Sciedu Press. The journal’s policies adhere to the Core Practices established by the Committee on Publication Ethics (COPE).

PROVENANCE AND PEER REVIEW

Not commissioned; externally double-blind peer reviewed.

DATA AVAILABILITY STATEMENT

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

DATA SHARING STATEMENT

The data can be requested from the corresponding author.

OPEN ACCESS

This is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).

COPYRIGHTS

Copyright for this article is retained by the author(s), with first publication rights granted to the journal.

References

[1]

World Health Organization (WHO). Patient safety. September 11, 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/patient-safety

[2]

National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: clinical practice guideline. Haesler E, editor. Osborne Park (WA): Cambridge Media; 2014.

[3]

Roussou E, Fasoi G, Stavropoulou A, et al. Quality of life of patients with pressure ulcers: a systematic review. Med Pharm Rep. 2023; 96(2): 123-30. PMid: 37197280. https://doi.org/10.15386/mpr-2531

[4]

Mayo Clinic. Bedsores (pressure ulcers): symptoms and causes. February 22, 2024. Available from: https://www.mayoclinic.org/diseases-conditions/bed-sores/symptoms-causes/syc-20355893

[5]

Najjar YW, Saleh MY, Hassan ZM. Medical device related pressure ulcers in Jordan: prevalence study among critically ill patients. Health Sci Rep. 2022; 5(3): e620. PMid: 35539444. https://doi.org/10.1002/hsr2.620

[6]

Asuquo E, Etowa J, John M, et al. Assessing nurses’ capacity for health research and policy engagement in Nigeria. J Appl Med Sci. 2013; 2(4): 35-51. Available from: https://ecommons.aku.edu/cgi/viewcontent.cgi?article=1223&context=eastafrica_fhs_sonam

[7]

Tian J, Liang XL, Wang HY, et al. Nurses’ and nursing students’ knowledge and attitudes to pressure injury prevention: a meta-analysis based on APUP and PUKAT. Nurse Educ Today. 2023; 128: 105885. PMid: 37354659. https://doi.org/10.1016/j.nedt.2023.105885

[8]

Pieper B, Zulkowski K. The Pieper-Zulkowski pressure ulcer knowledge test. Adv Skin Wound Care. 2014; 27(9): 413-20. PMid: 25133343. https://doi.org/10.1097/01.ASW.0000453210.21330.00

[9]

Qaddumi J, Khawaldeh A. Pressure ulcer prevention knowledge among Jordanian nurses: a cross-sectional study. BMC Nurs. 2014; 13(1): 6. PMid: 24565372. https://doi.org/10.1186/1472-6955-13-6

[10]

Daibes MA, Iblasi AS, Demir Korkmaz F, et al. Assessing pressure injury knowledge among Jordanian and Turkish nursing students: a cross-cultural comparison. J Tissue Viability. 2024; 33(4): 706-11. PMid: 39034258. https://doi.org/10.1016/j.jtv.2024.07.007

[11]

Bahar A, Özgürbüz NE, Akın E. Student nurses’ knowledge levels and attitudes regarding pressure injury prevention. J Tissue Viability. 2024; 33(4): 732-7. PMid: 39068086. https://doi.org/10.1016/j.jtv.2024.07.018

[12]

Al Gharash H, Alharbi A, Alshahrani Y, et al. Knowledge and attitude of nursing interns toward pressure injury prevention in Saudi Arabia: a multiregional cross-sectional study. SAGE Open Nurs. 2024; 10. PMid: 38715770. https://doi.org/10.1177/23779608241251631

[13]

Cukljek S, Režić S, Ledinski Ficko S, et al. Croatian nurses’ and nursing students’ knowledge about pressure injury prevention. J Tissue Viability. 2022; 31(3): 453-8. PMid: 35501241. https://doi.org/10.1016/j.jtv.2022.04.008

[14]

Slawomirski L, Klazinga N. The economics of patient safety: from analysis to action. OECD Health Working Papers No. 145. OECD Publishing; 2022.

[15]

Alshahrani B, Sim J, Middleton R. Nursing interventions for pressure injury prevention among critically ill patients: a systematic review. J Clin Nurs. 2021; 30(15-16): 2151-68. PMid: 33590917. https://doi.org/10.1111/jocn.15709

[16]

Turhan Damar H, Erkin Ö. The effect of case-supported concept map education on nursing students’ knowledge of and attitudes toward pressure injury prevention. J Tissue Viability. 2025; 34(1): 100848. PMid: 39665940. https://doi.org/10.1016/j.jtv.2024.12.012

[17]

VanVoorhis CW, Morgan BL. Understanding power and rules of thumb for determining sample sizes. Tutor Quant Methods Psychol. 2007; 3(2): 43-50. https://doi.org/10.20982/tqmp.03.2.p043

[18]

IBM Corp. IBM SPSS Statistics for Windows. Version 24.0. Computer software. IBM Corp; 2016.

[19]

Abrahams FR, Daniels ER, Niikondo HN, et al. Students’ knowledge, attitude and practices towards pressure ulcer prevention and management. Health SA Gesondheid. 2023; 28: 2180. PMid: 36873786. https://doi.org/10.4102/hsag.v28i0.2180

[20]

Ghobadi-Larimi Z, Takasi P, Hosseini SJ, et al. A systematic review of nursing students’ knowledge and related factors towards pressure ulcer prevention. J Nurs Rep Clin Pract. 2023; 1(1): 23-9. https://doi.org/10.32598/JNRCP.23.24

[21]

Erdem Onder H, Sari D. Improving pressure injury assessment skills of nursing students’ using in-situ simulation and moulage: a randomized controlled trial. BMC Nurs. 2025; 24(1): 1373. PMid: 41199277. https://doi.org/10.1186/s12912-025-04049-x

[22]

Delmore B, Ayello EA, Smart H, et al. Assessing pressure injury knowledge using the Pieper-Zulkowski Pressure Ulcer Knowledge Test. Adv Skin Wound Care. 2018; 31(9): 406-12. PMid: 30134276. https://doi.org/10.1097/01.ASW.0000540071.45158.29

[23]

Wu J, Wang B, Zhu L, et al. Nurses’ knowledge on pressure ulcer prevention: an updated systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool. Front Public Health. 2022; 10: 964680. PMid: 36159260. https://doi.org/10.3389/fpubh.2022.964680

[24]

Szymański S, Majda A. Knowledge of nursing students on the subject of pressure ulcers prevention and treatment. Prog Health Sci. 2020; 10(1): 143-50. Available from: https://ppch.pl/article/140508/en

[25]

McTier L, Phillips NM, Duke M. Factors influencing nursing student learning during clinical placements: A modified Delphi study. Journal of Nursing Education. 2023; 62(6): 333-341. https://doi.org/10.3928/01484834-20230404-01

[26]

Bobbink P, Gschwind G, Charbonneau L, et al. Nursing students’ knowledge on pressure injuries following a blended-learning unit: a quasi-experimental study. Adv Skin Wound Care. 2023; 36(12): 636-41. PMid: 37983576. https://doi.org/10.1097/ASW.0000000000000066

[27]

Bayram A, Şara Y, Uzgör F, et al. Exploring the relationship between pressure ulcer knowledge and self-efficiency among nursing students: a multicenter study. J Tissue Viability. 2024; 33(4): 681-7. PMid: 38951049. https://doi.org/10.1016/j.jtv.2024.06.017

[28]

Murugiah S, Ramuni K, Das U, et al. The knowledge of pressure ulcer among nursing students and related factors. Enferm Clin. 2020; 30: 41-5. https://doi.org/10.1016/j.enfcli.2019.11.019

PDF (324KB)

0

Accesses

0

Citation

Detail

Sections
Recommended

/