{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:54:26Z","timestamp":1790610866788,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pressure ulcers (PUs) (also termed pressure injuries [PIs]) remain a major patient safety issue, particularly in critical care and other high\u2010risk healthcare settings. Nurses are central to PUs\/PIs prevention; however, deficiencies in knowledge, attitudes, and preventive practices among nursing staff may negatively affect patient outcomes. To systematically synthesise global evidence on nurses' knowledge, attitudes, and practices related to PUs\/PIs prevention, and to identify factors influencing preventive performance. A systematic review was conducted in accordance with PRISMA guidelines. Electronic databases including PubMed, CINAHL, EBSCO, MEDLINE, PsycINFO, and Springer were searched for studies published between 2011 and 2025. Eligible studies were primary research articles examining registered nurses' knowledge, attitudes, and\/or practices regarding PUs\/PIs prevention, using cross\u2010sectional, observational, or non\u2010experimental designs. Data extraction focused on study characteristics, settings, samples, assessment instruments, and key outcomes related to knowledge, attitudes, and preventive practices. Due to methodological heterogeneity, a narrative synthesis was performed. Twenty\u2010nine studies from diverse geographical regions were included, with sample sizes ranging from 28 to 950 nurses. Overall, nurses' knowledge of PUs\/PIs prevention was frequently inadequate, particularly in prevention\u2010specific domains. In contrast, attitudes toward prevention were generally positive across studies. Preventive practices, however, were often suboptimal. Commonly reported barriers included staff shortages, high workload, limited resources, and insufficient institutional support. Higher educational attainment, specialised clinical experience, recent training, and professional seniority were consistently associated with better knowledge, more positive attitudes, and improved preventive practices. Although nurses generally demonstrate positive attitudes toward PUs\/PIs prevention, persistent gaps in knowledge and practice remain. These findings underscore the need for structured education programmes, simulation\u2010based training, and strengthened organisational support to enhance adherence to evidence\u2010based prevention strategies. Future research should employ experimental and longitudinal designs, standardised measurement tools, and broader international representation to support sustainable improvements in PUs\/PIs prevention and patient safety.<\/jats:p>","DOI":"10.1111\/iwj.70855","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:57:15Z","timestamp":1773003435000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Nurses' Knowledge and Attitudes Toward Pressure Injury Prevention: A Systematic Review"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1107-0413","authenticated-orcid":false,"given":"Zyad T.","family":"Saleh","sequence":"first","affiliation":[{"name":"Department of Clinical Nursing, School of Nursing The University of Jordan  Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0992-2517","authenticated-orcid":false,"given":"Majdi","family":"Rababa","sequence":"additional","affiliation":[{"name":"Department of Adult Health Nursing, Faculty of Nursing The Hashemite University  Zarqa Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Majed S.","family":"Al\u2010Za'areer","sequence":"additional","affiliation":[{"name":"Department of Respiratory Therapy, Faculty of Allied Medical Sciences Jadara University  Irbid Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3882-7196","authenticated-orcid":false,"given":"Rami A.","family":"Elshatarat","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Nursing, College of Nursing Taibah University  Madinah Saudi 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Nursing Department, Faculty of Nursing University of Tabuk  Tabuk Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3347-1143","authenticated-orcid":false,"given":"Amal Ali","family":"Alharbi","sequence":"additional","affiliation":[{"name":"Department of Nursing Administration and Education, Faculty of Nursing University of Tabuk  Tabuk Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amal Ali","family":"Alasmari","sequence":"additional","affiliation":[{"name":"Medical\u2013Surgical Nursing Department, Faculty of Nursing University of Tabuk  Tabuk Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0516-9059","authenticated-orcid":false,"given":"Anas Khaled","family":"Al\u2010Sayaghi","sequence":"additional","affiliation":[{"name":"Sayed Galal University Hospital, College of Medicine Al\u2010Azhar University  Cairo 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