Background: Various methods for preventing pressure injury have been developed across the globe, particularly in Saudi Arabia. Current available research has investigated the knowledge, attitudes, and practices regarding pressure injury prevention. However, no systematic review and meta-analysis have yet examined the associations among knowledge, attitudes, and practices regarding pressure injury prevention based on the perspectives of registered nurses. Objective: This study examines and summarizes the reported relationships among knowledge, attitudes, and practices regarding pressure injury prevention on the basis of the perceptions of registered nurses. Methods: The CINAHL, ProQuest, PubMed, ScienceDirect, and Web of Science databases were searched for quantitative evidence published in English between 2019 and 2025. The systematic review and meta-analysis adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (2021) guidelines. Results: Out of the 1986 records that were initially examined, a total of 10 quantitative, cross-sectional, and correlational studies were included in the final systematic review and meta-analysis. In the context of the meta-analysis, 10 studies were included for the association between knowledge and attitudes, whereas only 3 studies were available for the association between knowledge and practice, and similarly, only 3 studies addressed the association between attitudes and practice of pressure injury prevention. Collectively, 2457 registered nurses were involved in these studies, mostly working in intensive care units. The studies were conducted in various countries across Asia and the Middle East, mostly in Turkiye, within the last five years. The registered nurses in the 10 studies reported associations among knowledge, attitudes, and practices toward pressure injury prevention that ranged from insignificant to weak, indirect, and strong direct. Conclusions: Relationships among knowledge, attitudes, and practices toward pressure injury prevention are both positive and negative from the global perspective and are shaped by various confounding and mediating factors, including socio-demographic, nursing-related, and hospital-related factors. Improving the knowledge base of registered nurses and promoting a favorable attitude toward pressure ulcer prevention would provide healthcare organizations with the potential to enhance the already commendable levels of practice and prevention noted in this review.

OBJECTIVE: Pressure injuries (PIs) remain a significant challenge in healthcare, causing patient discomfort, prolonging hospital stays, and imposing substantial financial burdens on healthcare systems. Despite advancements in prevention strategies, determining the most cost-effective interventions remains paramount for healthcare providers and policymakers. The study authors aimed to assess the cost-effectiveness of various PI prevention strategies within a quasi-experimental design framework. METHODS: A quasi-experimental study with 2 arms was conducted between September 2022 and February 2023 in a hospital in Saudi Arabia: the routine care for the PI group, group 1, and the PI prevention bundle group, group 2. Data on PI incidence, severity, and associated costs were collected to compare outcomes between group 1 and group 2. RESULTS: A total of 368 patients were enrolled in the study: 218 patients in group 1 and 150 in group 2. Mortality was higher in the routine care group. The mean PI-free day in the prevention bundle group was 298.8 days compared with 19.7 days in the routine care group. Overall, the mean total cost for the bundle care group was ~$9600 lower than that of the routine care group. CONCLUSIONS: This quasi-experimental study confirmed that PI prevention is cost-effective. Hospitals should invest in interdisciplinary teams and prevention bundles to improve patient outcomes and resource utilization.

Background: Self-compassion is an important concept for women facing breast cancer, yet there is limited research on changes in self-compassion during the postoperative phase. This concept analysis aims to explore the nuances of self-compassion in women recovering from breast cancer surgery, enhancing our understanding of their emotional journeys and informing future clinical practices to support their well-being. Methods: This concept analysis utilizes a concept analysis method to investigate the attributes, antecedents, and consequences of self-compassion in women following breast cancer surgery. The Google Scholar and Summon search engines were used to access relevant articles supporting this analysis, which were gathered from PubMed and MEDLINE databases, encompassing journals from both nursing and non-nursing fields. The analysis is based on Walker and Avant’s method, which entails identifying a concept, reviewing its prior applications, defining its attributes, cases, antecedents, and consequences, and establishing empirical referents. Results: This concept analysis highlights the importance of self-compassion among women who have undergone breast cancer surgery. It suggests that self-compassion positively impacts their physical and mental well-being post-surgery, reducing stress and promoting overall quality of life. This emphasizes the need to include self-compassion practices in the psychological support provided during post-operative care. Conclusion: This concept analysis identified its attributes, antecedents, consequences, and cases of the analyzed concept. This paper may guide healthcare providers and institutions to develop standards and strategies to assess and enhance self-compassion and promote well-being in the study population.

Background: and objective: Globally, breast cancer (BC) raises global health concerns, being the most common cancer. Women with BC experience a significant increase in perception of stress. Therefore, this study aims to evaluate the stress levels and associated sociodemographic and clinical factors among BC women in Saudi Arabia. Methods: A cross-sectional study was conducted between January and May 2025. Women diagnosed with BC, who were at least 18 years old, were recruited conveniently from outpatient and inpatient departments in King Fahad Specialist Hospital, Dammam, Saudi Arabia. Data were collected in the Arabic language through self-reported questionnaires, including sociodemographic/clinical characteristics and the Cohen’s Perceived Stress Scale. The data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 27. Results: A total of 200 participants were included in the study. The mean stress perception score was 26.52 ± 7.34. A high proportion (71.5%) of the sample reported elevated stress. A significant association was observed between age and stress levels. Most women aged 20–40 and 41–60 reported high stress, compared to women in the 61–80 age group (p = 0.003). Among all predictors, age was the only variable significantly associated with stress scores. Increasing age was associated with lower stress levels (B = −0.179, p = 0.013), indicating that younger participants tended to report higher stress. This corresponds to an adjusted decrease of approximately 1.8 points in the PSS-10 score per 10-year increase in age. Although participants with Stage IV cancer showed higher stress scores compared to those with Stage I cancer, this association approached but did not reach statistical significance (p = 0.054). Conclusions: This study highlights the substantial psychological burden experienced by women living with BC in Saudi Arabia. The majority of participants reported high levels of perceived stress. Younger women were particularly vulnerable to elevated stress. These findings highlight the need for targeted psychosocial support within oncology care to improve emotional well-being and quality of life.

Objectives: The perceived stress experienced by women with breast cancer in Saudi Arabia is a significant concern. Mindfulness can effectively reduce levels of perceived stress. However, the specific relationship between mindfulness practices and perceived stress among breast cancer patients in Saudi Arabia has not been thoroughly explored. This study aims to investigate the relationships between mindfulness and perceived stress, with particular attention to variations in perceived stress across sociodemographic groups of women with breast cancer in Saudi Arabia. Method: A total of 152 women from Saudi Arabia who were diagnosed with breast cancer participated in this cross-sectional study, all of whom received care at a hospital located in Dammam, Eastern Province, and were selected through convenience sampling. Data collection was conducted from January to May 2025, utilizing a sociodemographic questionnaire in conjunction with the validated Perceived Stress Scale and the Cognitive and Affective Mindfulness Scale. Only a Correlational survey has been conducted without employing any intervention. Results: The level of perceived stress was average (Mean = 16.2, SD = 7), while mindfulness levels were also average (Mean = 34.5, SD = 5.5). The two variables exhibited a significant, strong negative correlation ( r = -.53, p < .001). Age is the only sociodemographic significantly correlated with participants’ perceived stress (r=_.16, p = .04). Conclusion: The study’s findings highlight the essential relationship between perceived stress, age, and mindfulness among women with breast cancer in Saudi Arabia. These insights can inform nurses and healthcare professionals as they implement targeted interventions that incorporate mindfulness practices, considering age and the cultural nuances of Saudi Arabia. Ultimately, this approach aims to reduce stress levels and enhance patients’ overall well-being. As the study was conducted in a single center and used convenience sampling, the findings cannot be generalized beyond the study sample.

Medical device‐related pressure injuries (MDRPIs) are a patient safety concern in acute and critical care settings. Registered nurses must implement preventive strategies, yet gaps remain in their knowledge, attitudes, and clinical practices related to MDRPI prevention. This study aimed to evaluate the effectiveness of a structured educational intervention in improving registered nurses' knowledge, attitudes, and practices related to MDRPI prevention. A quasi‐experimental pre–post intervention study was conducted in a tertiary care hospital in Saudi Arabia, with 311 registered nurses participating. Data were collected using a questionnaire assessing knowledge, attitudes, and practices related to MDRPI prevention. Participants received a one‐day structured educational program based on the knowledge, attitude, practice (KAP) framework and the evidence‐based SKINCARE bundle. The educational intervention resulted in significant improvements. Mean scores increased from 14.17 (SD = 2.38) pre‐intervention to 16.25 (SD = 1.97) post‐intervention ( t = −11.81, p < 0.001). The intervention demonstrated a moderate‐to‐large effect size (Cohen's d = 0.67), indicating meaningful improvement in nurses' preventive competencies. Structured educational programs can enhance registered nurses' knowledge and practices in MDRPI prevention. Integrating evidence‐based training programs into routine hospital education may strengthen pressure injury prevention guidelines and improve patient safety outcomes.