Pressure ulcers remain a major patient safety concern worldwide despite the availability of evidence-based preventive strategies. Nurses play a central role in preventing pressure ulcers; however, their attitudes and the barriers they encounter significantly influence the consistency and effectiveness of preventive practices. This study aimed to determine the relationship between nurses’ attitudes and perceived barriers toward pressure ulcer prevention in selected tertiary hospitals in Metro Manila and to develop an interventional framework based on the findings. A quantitative descriptive-correlational research design was utilized among registered nurses assigned in medical, surgical, and critical care units. Data were gathered using a validated researcher-made questionnaire assessing attitudes and perceived barriers toward pressure ulcer prevention. Statistical tools such as frequency, percentage, weighted mean, Pearson r correlation, Spearman rho, and linear regression analysis were employed. Results revealed that nurses generally demonstrated positive attitudes toward pressure ulcer prevention, with an overall weighted mean of 3.42 interpreted as “Strongly Agree.” However, moderate barriers were also identified, particularly related to workload, staffing shortages, limited resources, and insufficient institutional support. Correlation analysis showed a significant inverse relationship between nurses’ attitudes and perceived barriers (r = -0.71, p = 0.001), indicating that stronger positive attitudes were associated with lower perceived barriers. Regression analysis further revealed that nurses’ attitudes significantly predicted perceived barriers toward pressure ulcer prevention (β = -0.63, p = 0.000). The findings underscore the importance of strengthening organizational support systems, continuous training, and evidence-based interventions to improve pressure ulcer prevention practices. The study concluded that enhancing positive nursing attitudes while addressing systemic barriers may significantly improve patient safety and quality nursing care in tertiary healthcare institutions.
RICHARD MATIGNAS (Thu,) studied this question.