Educational Needs for Pressure Injury and Diabetic Foot Care Among Community-Based Nurses in Korea: A Borich and Locus for Focus Analysis

Background/Objectives: Pressure injuries and diabetic foot ulcers are prevalent chronic wounds requiring nurses to provide prevention, assessment, treatment, and education, especially in community settings in Korea. Although knowledge–practice gaps have been reported for both conditions, evidence remains limited on which interventions should be prioritized for education. This study assessed community-based nurses’ perceived importance and self-reported performance of pressure injury management and diabetic foot care interventions to identify educational priorities using the Borich needs assessment and the Locus for Focus model. Methods: A descriptive survey was conducted with 128 registered nurses, fewer than the a priori minimum of 210. Participants rated the perceived importance and self-reported performance of 18 pressure injury interventions and 10 diabetic foot interventions on 3-point scales. Educational priorities were determined using the Borich needs assessment and the Locus for Focus model. Results: Perceived importance was significantly higher than self-reported performance for pressure injury management (1.79 ± 0.29 vs. 1.61 ± 0.47; discrepancy = 0.177; Borich = 0.316; t = 3.968, Cohen’s dz = 0.35, p < 0.001) and diabetic foot care (1.76 ± 0.31 vs. 1.53 ± 0.51; discrepancy = 0.228; Borich = 0.401; t = 5.143, dz = 0.45, p < 0.001). First-priority educational needs for pressure injury management centered on treatment interventions and positioning/repositioning, whereas diabetic foot priorities emphasized preventive foot care and patient education. Conclusions: First-priority educational needs were identified separately for pressure injury management and diabetic foot care. The findings can inform the relative emphasis of continuing education content for community-based nurses.