ArticleBMC nursing2025
Exploring nursing assistants' competencies in pressure injury prevention and management in nursing homes: a qualitative study using the iceberg model.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Exploring the core competencies of operating room nurses in the maritime disaster emergency medical teams based on the Iceberg Model: a qualitative study.BMC nursing · 2025Article
- Unveiling the Dark Side of Negative Behaviors Among Nurses and Their Implications in Workforce Well-Being and Patient Care: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs the global population ages rapidly, pressure injuries (PI) in nursing homes have become a serious health concern. Nursing assistants play an important role in pressure injury prevention and management (PIPM).
objectiveThis study aimed to explore the PIPM competencies required by nursing assistants within nursing homes based on the Iceberg Model.
methodsWe employed a qualitative descriptive study and collected data through a focus group with 12 nursing assistants and semi-structured interviews with 11 key stakeholders in China. Deductive content analysis was utilized based on the Iceberg Model.
resultsFive main categories of nursing assistants' PIPM competencies were identified: theoretical knowledge, comprehensive skills, self-concept, traits, and motives. Theoretical knowledge included PI basic and professional theoretical knowledge, emphasizing the importance of understanding PI mechanisms, risk factors, and prevention strategies. Comprehensive skills encompassed practical skills (e.g., repositioning techniques, wound care), communication skills, collaboration skills, and observation skills. Self-concept involves professional identity, ethical awareness, and a sense of responsibility. Traits included carefulness and love, and empathy and patience. Motives were driven by professional development opportunities and supportive institutional policies.
conclusionThe application of the Iceberg Model enhanced the understanding of competencies required for effective PIPM. The findings can guide the development of targeted training programs and assessment tools for nursing assistants in long-term care facilities. Future research should explore the long-term impacts of well-trained nursing assistants on patient outcomes and expand the PIPM competencies scope required by nursing assistants. CLINICAL TRIAL NUMBER: Not applicable.
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