Pusat Pengajian Sains Kesihatan - Tesis

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Browsing Pusat Pengajian Sains Kesihatan - Tesis by Subject "Barriers"

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    Pressure injury prevention barriers and its associated factors among critical care nurses at tertiary hospitals in Perak
    (2025-06)
    Yusoff, Muamar Iskandar Mohamed
    Introduction: Pressure injuries (PIs) remain a significant challenge in critical care settings, where patient acuity and workload are high. Preventing PIs is a multidisciplinary responsibility, with nurses playing a crucial frontline role. Understanding the barriers to PIs prevention is vital for designing effective interventions. This study aimed to identify the perceived barriers to pressure injury prevention and their associated factors among critical care nurses at tertiary hospitals in Perak, Malaysia. Methods: A cross-sectional study was conducted among nurses working in the critical care units of three tertiary hospitals in Perak. Data were collected using a validated self-administered questionnaire assessing perceived barriers across domains such as knowledge and attitude, organizational factors, and training. Descriptive statistics, univariate analysis, and multiple logistic regression were employed using SPSS Version 29. Results: The study revealed that perceived barriers were highly prevalent. The top three barriers were high in-service turnover, lack of family/caregiver cooperation, and unavailability of preventive devices. Nurses who had no access to pressure injury prevention guidelines reported significantly higher barriers. Furthermore, nurses working in general ICUs perceived more barriers than those in NICU, HDU, and CCU. Conclusion: Pressure injury prevention in critical care units is hindered by multiple systemic and individual factors. Addressing these challenges requires targeted strategies, including guideline accessibility, staff retention policies, training reinforcement, and family engagement. These findings highlight the need for institutional and policy-level interventions to enhance preventive practices and improve patient safety outcomes.