A structural equation model of pressure ulcer prevention action in clinical nurses

Sook Ja Lee, Ok Kyoung Park, Mi Yeon Park

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


Purpose: 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. Conclusion: 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.

Original languageEnglish
Pages (from-to)572-582
Number of pages11
JournalJournal of Korean Academy of Nursing
Issue number4
Publication statusPublished - 2016 Aug

Bibliographical note

Publisher Copyright:
© 2016 Korean Society of Nursing Science.


  • Intention
  • Nursing
  • Pressure ulcer
  • Prevention

ASJC Scopus subject areas

  • General Nursing


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