Attitude of Nurses towards the Use of Braden Scale in Intensive Care Units and Medical Wards

Tuesday, 23 July 2013: 10:45 AM

Joemer Calderon Maravilla, RN, BSN
Department of Health - Philippine Council for Health Research Development, Manila, Philippines

Learning Objective 1: Realize the importance of attitude in using the Braden Scale to prevent the occurrence of pressure ulcer

Learning Objective 2: Know how the attitude of nurses towards the use of Braden Scale from intensive care units differ from those working in medical wards


This cross-sectional, descriptive correlational study investigated the relationship between the nurses’ clinical area and their attitude towards the use of Braden Scale.


Thirty nine and thirty two full time staff nurses (n=71), working from intensive care units and medical wards respectively, who at least experienced using the Braden Scale were selected through purposive sampling. Pilot tested and validated questionnaire was circulated in two tertiary hospitals in Metro Manila, Philippines to assess their attitude towards the use of Braden Scale (response rate = 64%).


Staff nurses from the intensive care units and medical wards both showed a positive attitude towards the use of Braden scale (M= 4.03; 3.88, SD= 0.52; 0.38). Though most of them believed that they need to concern themselves in using Braden scale in their practice (84%), they were still uncertain if Braden Scale is better than their clinical judgement (68%).

Moreover, nurses’ clinical area was significantly associated with their attitude towards the use of Braden Scale (x2= 9.1268, α=0.05). It was found that attitude of nurses working in the intensive care units was significantly higher than those in medical wards (z= 1.669, CV= 1.645).


Nurses’ work area depicts their attitude in carrying out Braden Scale as a risk assessment tool to prevent their patients from developing pressure ulcer. While nurses from both clinical areas have positive attitude, this tends to be greater in intensive care units than in medical wards. This difference poses variation on the assessment execution and compliance of nurses in using the Braden Scale. Motivational strategies should be implemented to balance the quality and type of care across these clinical areas.Though their positive attitude could be harnessed to sustain their motivation, absence of hesitancy in using the Braden Scale is not well guaranteed.