{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:01:20Z","timestamp":1785484880112,"version":"3.56.0"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Nursing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A pressure ulcer, or bedsore, is an area of skin injury appearing after a prolonged period of insufficient or non-existing blood flow. It causes a significant burden in resource-limited countries like Ethiopia, increasing morbidity, hospitalizations, and healthcare costs. Practice levels and influencing factors nationally remain unclear due to inconsistent regional studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The primary objective of this study was to determine the pooled national prevalence of good pressure ulcer prevention practice among nurses and the secondary objective was to identify factors associated with these practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A comprehensive search was conducted in PubMed, Cochrane Library, Hinari, African Journals Online, and Science Direct for observational studies on Ethiopian hospital nurses\u2019 pressure ulcer prevention practices. Study quality was assessed using the Newcastle Ottawa Scale. Meta-analysis was performed using STATA 17. Heterogeneity (I\n                      <jats:sup>2<\/jats:sup>\n                      ), publication bias (Egger\u2019s test), and subgroup\/sensitivity analyses were performed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eight studies (n=2,032 nurses) were included. The pooled prevalence of good pressure ulcer prevention practice was 48% (95% CI: 38.0%-58.0%). Significant heterogeneity was observed among included studies (I\n                      <jats:sup>2<\/jats:sup>\n                      =95.57%). Factors significantly associated with good practice were: good knowledge (AOR=2.79; 95% CI: 1.88, 4.15; p&lt;0.001), leadership satisfaction (AOR=2.168; 95% CI: 1.47, 3.16; p&lt;0.001), presence of guidelines (AOR=1.54; 95% CI: 1.02, 2.33; p=0.014) and job satisfaction (AOR=2.09; 95% CI: 1.06, 4.16; p=0.034).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Approximately half of nurses demonstrate good pressure ulcer prevention practice, with significant regional variations. Improving nurses\u2019 knowledge, ensuring supportive leadership and ensuring guidelines availability are key modifiable factors to enhance good practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23779608261474651","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T20:39:27Z","timestamp":1785271167000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pressure Ulcer Prevention Practice and its Associated Factors Among Nurses Working in Hospitals: A Systematic Review and Meta-Analysis"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5438-8237","authenticated-orcid":false,"given":"Addisu Simachew","family":"Asgai","sequence":"first","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0840-8707","authenticated-orcid":false,"given":"Tsegaamlak Kumelachew","family":"Derse","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desalegn Mitiku","family":"Kidie","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadios","family":"Lidetu","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenberu Mekurianew","family":"Kelkay","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moges Tadesse","family":"Abebe","sequence":"additional","affiliation":[{"name":"Debark University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"issue":"11","key":"e_1_3_6_2_1","first-page":"1220","article-title":"Nurses\u2019 Knowledge, Attitudes, and Practices in Pressure Injury Prevention","volume":"13","author":"Asiri M. Y.","year":"2025","unstructured":"Asiri M. Y., Baker O. G., Alanazi H. I., Alenazy B. A., Alghareeb S. A., Alghamdi H. M., Alamri S. B., Almutairi T., Alshumrani H. M., Alnassar M. (2025). Nurses\u2019 Knowledge, Attitudes, and Practices in Pressure Injury Prevention. A Systematic Review and Meta-Analysis, 13(11), 1220. https:\/\/doi.org\/10.3390\/healthcare13111220","journal-title":"A Systematic Review and Meta-Analysis"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-047687"},{"key":"e_1_3_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-020-05049-7"},{"issue":"1","key":"e_1_3_6_5_1","first-page":"796927","article-title":"Assessment of nurses\u2019 knowledge, attitude, and perceived barriers to expressed pressure ulcer prevention practice in Addis Ababa government hospitals, Addis Ababa, Ethiopia, 2015","volume":"2015","author":"Dilie A.","year":"2015","unstructured":"Dilie A., Mengistu D. (2015). Assessment of nurses\u2019 knowledge, attitude, and perceived barriers to expressed pressure ulcer prevention practice in Addis Ababa government hospitals, Addis Ababa, Ethiopia, 2015. Advances in Nursing, 2015(1), 796927. https:\/\/doi.org\/10.1155\/2015\/796927","journal-title":"Advances in Nursing"},{"key":"e_1_3_6_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-019-0346-y"},{"key":"e_1_3_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2021.e07648"},{"issue":"12","key":"e_1_3_6_8_1","first-page":"e0243875","article-title":"Pressure ulcer prevention practices and associated factors among nurses in public hospitals of Harari regional state and Dire Dawa city administration","volume":"15","author":"Getie A.","year":"2020","unstructured":"Getie A., Baylie A., Bante A., Geda B., Mesfin F. (2020). Pressure ulcer prevention practices and associated factors among nurses in public hospitals of Harari regional state and Dire Dawa city administration. 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