{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:29:03Z","timestamp":1792621743138,"version":"4.5.0"},"reference-count":32,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T00:00:00Z","timestamp":1607990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Introduction<\/jats:title>\n<jats:p>Pressure ulcer is one of the major challenges in hospitals; which endanger patient safety, prolonging hospital stay and contributed to disability and death. Data regarding to pressure ulcer prevention practice are very important to take action. However in Ethiopia, there are limited researches that have been conducted and there is clearly paucity of information on this regard. Hence, this study aimed to assess pressure ulcer prevention practice and associated factors among nurses in public hospitals of Eastern Ethiopia.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>A cross-sectional study was conducted among randomly selected 422 nurses who were working in the public hospitals of Eastern Ethiopia. Data were collected from the 1<jats:sup>st<\/jats:sup> February to the 1<jats:sup>st<\/jats:sup> March 2018 using pretested structured self-administered questionnaire and observational checklist. The collected data were entered into EpiData version 3.1 and exported to SPSS version 22.0 for analysis. Bivariable and multivariable logistic regression with crude and adjusted odds ratios along with the 95% confidence interval was computed and interpreted accordingly. Pressure ulcer prevention was determined based on mean calculation; a result above the mean value was categorized as good pressure ulcer prevention practice, and a P-value of &lt;0.05 was considered to declare a result as statistically significant.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>In this study 51.9% (95% CI: 47.1%, 56.4%) of nurses were reported that they have good pressure ulcer prevention practice. On observation 45.2% of nurses were practicing proper pressure ulcer prevention activities. Pressure ulcer prevention practice were statistically associated with nurses with bachelor degree and above qualification level (AOR = 1.7, 95% CI: 1.02, 2.83), availability of pressure-relieving devices (AOR = 2.2, 95% CI: 1.34, 3.63), being satisfied with their job (AOR = 1.65, 95% CI: 1.09, 2.52) and good knowledge (AOR = 2.3, 95% CI: 1.48, 3.55).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>In this study the self-reported practice and results from observation was substantially low. Continuing education and training should be considered for nurses to enhance their practice regarding pressure ulcer prevention practice.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0243875","type":"journal-article","created":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T18:45:02Z","timestamp":1608057902000},"page":"e0243875","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":23,"title":["Pressure ulcer prevention practices and associated factors among nurses in public hospitals of Harari regional state and Dire Dawa city administration, Eastern Ethiopia"],"prefix":"10.1371","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4078-0078","authenticated-orcid":true,"given":"Asmare","family":"Getie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amsalu","family":"Baylie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0583-6635","authenticated-orcid":true,"given":"Agegnehu","family":"Bante","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biftu","family":"Geda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firehiwot","family":"Mesfin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2020,12,15]]},"reference":[{"issue":"11","key":"pone.0243875.ref001","first-page":"215","article-title":"The Effect of New Guideline Training among Iranian Nurses for Pressure Ulcer Prevention","volume":"5","author":"R Baghaei","year":"2016","journal-title":"International Journal of Medical Research & Health Sciences"},{"issue":"6","key":"pone.0243875.ref002","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1097\/WON.0000000000000281","article-title":"Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System","volume":"43","author":"LE Edsberg","year":"2016","journal-title":"Journal of Wound, Ostomy, and Continence Nursing"},{"issue":"5","key":"pone.0243875.ref003","first-page":"739","article-title":"Nurses Knowledge and Practices towards Prevention of Pressure Ulcer in Tertiary Care Hospital","volume":"6","author":"N Sawant","year":"2017","journal-title":"International Journal of Science and Research (IJSR)"},{"key":"pone.0243875.ref004","doi-asserted-by":"crossref","unstructured":"Bredesen M, B., I., Bj\u00f8ro K, Gunningberg L, Hofoss D. Patient and organisational variables associated with pressure ulcer prevalence in hospital settings: a multilevel analysis. BMJ Open 2015.","DOI":"10.1136\/bmjopen-2015-007584"},{"issue":"2","key":"pone.0243875.ref005","first-page":"677","article-title":"Knowledge of Nurses Working in Intensive Care Units in Relation to Preventive Interventions for Pressure Ulcer","volume":"9","author":"I K\u00f6se","year":"2016","journal-title":"International Journal of Caring Sciences"},{"key":"pone.0243875.ref006","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2015\/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","volume":"2015","author":"D Abebe","year":"2015","journal-title":"Advances in Nursing"},{"key":"pone.0243875.ref007","doi-asserted-by":"crossref","first-page":"417","DOI":"10.3390\/healthcare3020417","article-title":"Pressure Ulcer in Norway: A Snapshot of Pressure Ulcer Occurrence across Various Care Sites and Recommendations for Improved Preventive Care","volume":"3","author":"E Johansen","year":"2015","journal-title":"Healthcare"},{"key":"pone.0243875.ref008","unstructured":"NPUAP\/EPUAP. Treatment of pressure ulcers: quick reference guide. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. 2014."},{"key":"pone.0243875.ref009","first-page":"912","article-title":"Saudi Arabian adult intensive care unit pressure ulcer incidence and risk factors: a prospective cohort study","author":"N Tayyib","year":"2015","journal-title":"International Wound Journal"},{"issue":"2","key":"pone.0243875.ref010","first-page":"229","article-title":"assessment and prevention of pressure ulcer by nurses from intensive care: knowledge and practice","volume":"8","author":"M, A. Albuquerque","year":"2014","journal-title":"Journal of nursing"},{"issue":"1","key":"pone.0243875.ref011","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5505\/ejm.2016.21939","article-title":"Investigation of the risk factors of pressure ulcers in intensive care unit patients","volume":"21","author":"P \u00d6zy\u00fcrek","year":"2016","journal-title":"East J Med"},{"issue":"12","key":"pone.0243875.ref012","first-page":"1","article-title":"Pressure ulcer incidence among high risk inpatients in Nigeria","volume":"20","author":"A Onigibinde","year":"2012","journal-title":"Br J Nurs"},{"issue":"4","key":"pone.0243875.ref013","article-title":"Prevalence of Bed Sore and its associated Factors among Patients admitted at Jimma University Medical Center, Jimma Zone, Southwestern Ethiopia, 2017 Cross-sectional study","volume":"8","author":"A Tihitina","year":"2017","journal-title":"Ortho & Rheum"},{"key":"pone.0243875.ref014","first-page":"520","article-title":"Nurses Knowledge and Practices Toward Pressure Ulcer Prevention In General Hospital Lahore","volume":"3","author":"S Nasreen","year":"2017","journal-title":"Saudi Journal of Medical and Pharmaceutical Sciences"},{"key":"pone.0243875.ref015","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1111\/j.1471-6712.2008.00627.x","article-title":"Knowledge, attitudes and practice among nursing staff concerning pressure ulcer prevention and treatment\u2013a survey in a Swedish healthcare setting","volume":"23","author":"U K\u00e4llman","year":"2009","journal-title":"Scand J Caring Sci"},{"issue":"34","key":"pone.0243875.ref016","first-page":"1","article-title":"Knowledge and practice of nurses towards prevention of pressure ulcer and associated factors in Gondar University Hospital, Northwest Ethiopia","volume":"14","author":"N Nurhusien","year":"2015","journal-title":"BMC nursing"},{"issue":"2015","key":"pone.0243875.ref017","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/j.cnur.2015.03.006","article-title":"Perioperative Nurses\u2019 Knowledge of Indicators for pressure ulcer development in the surgical patient population","volume":"50","author":"S Lupear","year":"2015","journal-title":"Nurs Clin N Am"},{"key":"pone.0243875.ref018","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/973602","article-title":"Nurses\u2019 Knowledge, Practices, and Barriers in Care of Patients with Pressure Ulcers in a Ugandan Teaching Hospital","volume":"2014","author":"I Mwebaza","year":"2014","journal-title":"Nursing Research and Practice"},{"key":"pone.0243875.ref019","unstructured":"CSA. Population and housing census of Ethiopia. Central Stastical Agency. 2007."},{"issue":"4","key":"pone.0243875.ref020","first-page":"1","article-title":"Nurses\u2019 knowledge and Perceived Barriers About Pressure Ulcer Prevention for Admitted Patients in Public Hospitals in Addis Ababa, Ethiopia","volume":"5","author":"Werku","year":"2017","journal-title":"American Journal of Internal Medicine"},{"issue":"02","key":"pone.0243875.ref021","doi-asserted-by":"crossref","first-page":"47","DOI":"10.3126\/jgmcn.v9i2.17869","article-title":"Knowledge of Pressure Ulcer Management among Nurses","volume":"09","author":"N, P S Shrestha","year":"2016","journal-title":"Journal of Gandaki Medical College-Nepal"},{"issue":"4","key":"pone.0243875.ref022","doi-asserted-by":"crossref","first-page":"54","DOI":"10.5897\/IJNM2014.0155","article-title":"Knowledge, Attitude and practice of nurses towards pressure ulcer prevention in unuversity of Maiduguri teaching hospital, Borno state, North-Eastern, Nigeria","volume":"7","author":"M, N. Uba","year":"2015","journal-title":"International Journal of Nursing and Midwifery"},{"key":"pone.0243875.ref023","unstructured":"Spector PE. Job satisfaction survey norms. 2011."},{"issue":"3","key":"pone.0243875.ref024","article-title":"Assessment on Magnitude of Needle Stick and Sharp Injuries and Associated Factors among Health Care Workers in East Gojjam Zone Health Institutions, Amahara Regional State, Ethiopia","volume":"13","author":"A Zewdie","year":"2013","journal-title":"Global Journal of Medical research Diseases"},{"issue":"2","key":"pone.0243875.ref025","doi-asserted-by":"crossref","first-page":"114","DOI":"10.4103\/0970-0218.84129","article-title":"Profile of Home-based Caregivers of Bedridden Patients in North India","volume":"36","author":"B Puneet","year":"2011","journal-title":"Indian Journal of Community Medicine"},{"issue":"1","key":"pone.0243875.ref026","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.ijmedinf.2010.10.019","article-title":"Exploring practice variation in preventive pressureulcer care using data from a clinical data repository","volume":"80","author":"I Cho","year":"2011","journal-title":"International Journal of Medical Informatics"},{"issue":"4","key":"pone.0243875.ref027","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1111\/j.1365-2648.2007.04236.x","article-title":"Pressure ulcer care in Spain: nurses\u2019 knowledge and clinical practice","volume":"58","author":"P, P. Hidalgo","year":"2007","journal-title":"Journal of Advanced Nursing"},{"issue":"22","key":"pone.0243875.ref028","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jtv.2013.01.003","article-title":"Pressure ulcer prevention and treatment knowledge of Jordan Nurse","author":"M, Y., N. Saleh","year":"2013","journal-title":"Journal of Tissue Viability"},{"issue":"2","key":"pone.0243875.ref029","first-page":"247","volume":"2","author":"A, S. Taha","year":"2014","journal-title":"nurses knowledge and practice related to pressure ulcer at intensive care unit journals oe International accadamic research for multidiciplinary"},{"key":"pone.0243875.ref030","first-page":"1","article-title":"evidence based practice among health professionals in hospitals of north west ethiopia: A cross sectional stydy","author":"A Miftah","year":"2017","journal-title":"International Journal of Evidence-Based Healthcare"},{"key":"pone.0243875.ref031","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/j.iccn.2010.08.006","article-title":"Knowledge, attitudes and barriers towards prevention of pressure ulcers in intensive care units: A descriptive cross-sectional study","volume":"26","author":"T Strand","year":"2010","journal-title":"Intensive and critical care nursing"},{"issue":"5","key":"pone.0243875.ref032","doi-asserted-by":"crossref","first-page":"387","DOI":"10.11648\/j.ajns.20170605.13","article-title":"Factors Affecting Nurses\u2019 Compliance in Preventing Pressure Ulcer Among Hospitalized Patients at King Abdulaziz University Hospital","volume":"6","author":"A Al-Ghamdi","year":"2017","journal-title":"American Journal of Nursing Science"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0243875","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T18:45:35Z","timestamp":1608057935000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0243875"}},"subtitle":[],"editor":[{"given":"Raffaele","family":"Serra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2020,12,15]]},"references-count":32,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12,15]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0243875","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,15]]}}}