Employ experimental and longitudinal designs with standardised measurement tools in future pressure injury prevention research.¶

Strategy · All strategies
Evidence · 3 claims (3 mixed) · 1 study (1 review), q3 · 0 of 1 report an effect size · 3 claims rest on one study

Description¶

The review recommends moving beyond descriptive KAP surveys toward more robust and theory-informed study designs, specifically calling for "randomised controlled trials and longitudinal studies" to evaluate multilevel interventions such as structured training combined with leadership engagement, mentorship models, and digital decision-support tools. It also highlights the value of mixed-method approaches for unpacking how contextual, cultural, and organisational factors shape preventive practice.

Design Implications¶

Context¶

Requirements¶

• Use of standardised and validated assessment tools to improve comparability across studies.

Constraints¶

• Scarcity of experimental and longitudinal studies currently restricts assessment of intervention effectiveness and sustainability.

Target Learners¶

• Nursing researchers and clinical educators

Target Learning Goals¶

• Improving research methodology for evaluating pressure injury prevention interventions

Claims¶

• Nurses' knowledge of pressure injury prevention is frequently inadequate, particularly in prevention-specific domains. [~W]
• Preventive practices for pressure injuries are often suboptimal despite positive attitudes. [~W]
• Common barriers to pressure injury prevention include staff shortages, high workload, limited resources, and insufficient institutional support. [~W]

Related Strategies¶

• Advance learning analytics for study success through standardised measures, multimodal data, theory-informed practice, and large-scale longitudinal experimental designs
• Prioritise longitudinal validation, pedagogical grounding, governed adoption of agent infrastructures, and ethics with human oversight in educational agentic AI research
• Future active-learning research should use randomised controlled designs with larger samples and standardised outcome measures
• Future simulation research should use rigorous designs, standardized tools, and transparent reporting
• Develop comprehensive, standardized e-learning programs for nurses in hospitals and clinics, with standardized content and assessment tools

Examples¶

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Key Sources¶

• Saleh Zyad T., Rababa Majdi, Al‐Za'areer Majed S., Elshatarat Rami A., Shahin Mahmoud Abdel Hameed, Hamithi Manal Ali, Abdelkader Raghad, Alnawafleh Khaldoon Aied, Alharbi Amal Ali, Alasmari Amal Ali, Al‐Sayaghi Anas Khaled, Al‐Sayaghi Khaled M. (2026). Nurses' Knowledge and Attitudes Toward Pressure Injury Prevention: A Systematic Review. International Wound Journal. https://doi.org/10.1111/iwj.70855