Purpose: The purpose of this study was to examine pressure ulcer occurrence, facility and nursing factors that are
associated with occurrence of pressure ulcers among patients at risk for pressure ulcer in long-term care hospitals.
Methods: For this cross-sectional descriptive study, 1,021 elders who were at risk for pressure ulcer and 274 nurses
from 14 long-term care hospitals were recruited. Data collection was conducted from September 24, 2009 to July
23, 2010. Survey data were analyzed using descriptive statistics and hierarchical multiple regression. Results:
About one out of ten patients had a pressure ulcer (11.2%). Nursing personnel, use of pressure ulcer assessment
tools and nurses' attitude toward pressure ulcer prevention were predictors of pressure ulcer occurrence. The most
powerful predictor was number of nursing personnel (ß=-1.53, p<.001). Conclusion: Prevention strategies to
decrease the occurrence of pressure ulcers should include the use of optimal nursing personnel, use of pressure
ulcer assessment tools, and nurses' proactive attitudes towards pressure ulcer prevention