[A Structural Equation Model of Pressure Ulcer Prevention Action in Clinical Nurses].
OBJECTIVE
The purpose of this study was to construct and test a structural equation model for pressure ulcer prevention action by clinical nurses. The Health Belief Model and the Theory of Planned Behavior were used as the basis for the study.


METHODS
A structured questionnaire was completed by 251 clinical nurses to analyze the relationships between concepts of perceived benefits, perceived barriers, attitude, subjective norm, perceived control, intention to perform action and behavior. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting pressure ulcer prevention action among clinical nurses.


RESULTS
The model fitness statistics of the hypothetical model fitted to the recommended levels. Attitude, subjective norm and perceived control on pressure ulcer prevention action explained 64.2% for intention to perform prevention action.


CONCLUSIONS
The major findings of this study indicate that it is essential to recognize improvement in positive attitude for pressure ulcer prevention action and a need for systematic education programs to increase perceived control for prevention action.
College of Nursing, Korea University, Seoul, Korea.
Sook Ja
SJ
Lee
Nursing Service Department, Korea University Ansan Hospital, Ansan, Korea. ok-sk81@korea.ac.kr.
Ok Kyoung
OK
Park
Nursing Service Department, Korea University Ansan Hospital, Ansan, Korea.
Mi Yeon
MY
Park
D000328:Adult; D001290:Attitude; D001458:Bandages; D006801:Humans; D033182:Intention; D008875:Middle Aged; D008962:Models, Theoretical; D009726:Nurses / Q000523:psychology*; D010465:Perception; D003668:Pressure Ulcer / Q000451:nursing / Q000517:prevention & control*; D011795:Surveys and Questionnaires
Intention; Nursing; Pressure ulcer; Prevention