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Knowledge and competence of nurses and prevalence of pressure ulcers in stroke patients

By
Verica Petrovic Orcid logo ,
Verica Petrovic
Contact Verica Petrovic

Faculty of Medicine of the University of Banja Luka , Banja Luka , Bosnia and Herzegovina

Family Medicine, Public health institution Health center Banja Luka , Banja Luka , Bosnia and Herzegovina

Anes Budimlić ,
Anes Budimlić

Islamic pedagogical faculty, Pedagogical faculty, University of Bihać , Bihać , Bosnia and Herzegovina

Kosana Stanetić ,
Kosana Stanetić

Faculty of Medicine of the University of Banja Luka , Banja Luka , Bosnia and Herzegovina

Public health institution Health center Banja Luka , Banja Luka , Bosnia and Herzegovina

Suzana Savić ,
Suzana Savić

Faculty of Medicine of the University of Banja Luka , Banja Luka , Bosnia and Herzegovina

Public health institution Health center Banja Luka , Banja Luka , Bosnia and Herzegovina

Gordana Tešanović
Gordana Tešanović

Faculty of Medicine of the University of Banja Luka , Banja Luka , Bosnia and Herzegovina

Editor: Adrijan Sarajlija

Abstract

Introduction. Pressure ulcers are frequent complications among immobile neurological patients, particularly those with stroke. Nursing knowledge and consistent implementation of preventive measures play a crucial role in reducing their occurrence. The aims of this study are to assess nurses’ knowledge, attitudes and self-reported competence in pressure ulcer prevention and care, and to describe the prevalence and short-term healing outcomes of pressure ulcers 
among hospitalized stroke patients.
Methods. A descriptive cross-sectional study was conducted among 40 nurses/medical technicians using a structured, non-validated questionnaire. Medical records of 375 consecutively hospitalized patients with ischemic or hemorrhagic stroke were reviewed to determine the occurrence and management of pressure ulcers.
Results. Nurses demonstrated good knowledge of fundamental preventive principles, although gaps were identified in epidemiology and recognition of certain complications. Pressure ulcers were documented in both ischemic and hemorrhagic stroke patients, with an overall prevalence of 5.1%. Conservative treatment was most frequently applied, and most ulcers were recorded as healed at discharge.
Conclusion. Nursing knowledge appears generally adequate, but specific gaps indicate the need for targeted educational interventions. Interpretation of prevalence and outcomes is limited by the absence of validated assessment instruments and standardized documentation.

Author Contributions

Conceptualization, V.P.; Data curation, V.P.; Investigation, V.P. and A.B.; Methodology, V.P. and A.B.; Project administration, V.P. and A.B.; Writing – original draft, V.P. and A.B.; Writing – review & editing, V.P.; Software, A.B.; Formal Analysis, K.S. and S.S.; Supervision, G.T. All authors have read and agreed to the published version of the manuscript.

Citation

Data Availability

Personal data of respondents were obtained with their consent, were used for the purposes of this research and are not publicly available.

Funding Statement

On 15.10.2024. we declare that no other person than the author participated in the creation of this work. There was no financial and material help in the form of sponsorships, scholarships, gifts, equipment, medicines, etc.

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

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