Background: Constant pressure on certain body regions can cause bedsores, also called pressure ulcers, which are lesions to the skin or soft tissues that can have fatal implications if left untreated. This study highlights areas where nurses' competencies are lacking. It demonstrates how evidence-based interventions, targeted education, and institutional support can effectively reduce the prevalence of pressure ulcers and enhance patient safety in intensive care units.

Objective: The purpose of this review is to summarize and critically evaluate the body of research on ICU nurses' knowledge, attitudes, and practices around pressure ulcer prevention.

Methods: This review analyzed pressure ulcer prevention studies among ICU nurses using keywords like “prevalence, incidence, risk factors, complications, knowledge, attitude, and practices”. Relevant peer-reviewed articles were retrieved from multiple databases, including PubMed (via Medline), ScienceDirect, Google Scholar, ResearchGate, and the Cochrane Library. Methodological quality was ensured to maintain reliability and validity. The articles were retrieved from the period between 2015 and 2025.

Results: The study identified 515 articles, screened 477, and selected 19 for inclusion in a narrative review. The studies examined nurses' knowledge, attitudes, and practices regarding pressure ulcer prevention in intensive care settings.

Conclusion: Nurses play a critical role in preventing pressure ulcers, and educating them about risk assessment and prevention can improve patient outcomes. Best practices include routine skin exams, systematic risk assessments, care planning, continuous pressure mapping, and the use of prophylactic dressings.

Implications for Nursing Practice: The review highlights the importance of ongoing education and competency-based training in nursing practice for preventing pressure ulcers in ICUs. It suggests integrating standardized guidelines, ensuring adequate staffing, and fostering accountability.