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LOPEZ-FRANCO, María Dolores; PARRA-ANGUITA, Laura  and  PANCORBO-HIDALGO, Pedro Luis. Instruments for measuring attitudes and barriers to pressure injury prevention: literature review. Gerokomos [online]. 2019, vol.30, n.4, pp.217-225.  Epub Feb 03, 2020. ISSN 1134-928X.


a) To identify the instruments to measure the attitudes of nurses towards the pressure injuries (PI) prevention; b) To identify the instruments to measure the barriers or obstacles to PI prevention aimed at nurses; c) To analyze the psychometric properties of these instruments.


Review of the literature on the development, validation and use of instruments on attitudes and barriers to PI prevention, aimed at nursing professionals. The search was carried out on 12 bibliographic databases until December 2018. Quantitative studies using instruments, questionnaires or tests were included to determine the attitudes and barriers of nursing professionals or students. A descriptive synthesis was carried out.


We found 33 articles on instruments of attitudes towards prevention, which describe a total of 5 questionnaires. Only two have been used in various studies: Moore and Price Staff Attitude Scale (reliability range: 0.63 - 0.88) and Attitude toward Pressure ulcer Prevention (reliability range: 0.66 - 0.91). With regard to barriers to the prevention of LPP, 18 studies have been found that describe measurement instruments; only 5 of those shown data on psychometric properties. Lack of time is the most frequently cited barrier.


There are two validated questionnaires to measure nurses' attitudes towards PI prevention, although none of those have a Spanish version. There are a variety of questionnaires to establish barriers to prevention, but none have a solid psychometric assessment.

Keywords : Questionnaires; pressure ulcers; attitudes; barriers; prevention; nursing.

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