Pressure injury (PI) represents a major issue in nursing homes across China, largely driven by the country’s fast-growing elderly population. Nursing assistants are central to preventing and handling pressure injuries, yet they frequently receive insufficient training. To address this shortfall, a structured training program grounded in social learning theory (SLT) was developed specifically for nursing assistants to strengthen their skills in pressure injury prevention and management. Expert agreement on the program’s framework and content was obtained through the modified Delphi technique. A two-round Delphi survey was carried out with a panel of specialists from wound care, community nursing, geriatric nursing, and nursing education. The training program was constructed according to SLT principles, with a strong focus on observational learning, enactive mastery, and behavioral reinforcement. Multiple experts reviewed the program content, which drew upon findings from systematic literature reviews and qualitative stakeholder interviews. Statistical measures used in data analysis included the experts’ positive coefficient, authority coefficient (Cr), coordination coefficient (Kendall’s W), and coefficient of variation (CV) to assess reliability and consensus.
Agreement was achieved on 79 core indicators for the training program. These consisted of 4 first-level indicators (training objectives, content, methods, and evaluation), 13 second-level indicators, and 62 third-level indicators. The expert authority coefficient reached 0.93. Kendall’s W was 0.372 (P < 0.001) in the first round and 0.177 (P < 0.001) in the second round, demonstrating robust expert consensus. The program incorporates key SLT elements—attention, retention, motor reproduction, and motivation—to maximize training effectiveness. This study established a detailed SLT-based training program for pressure injury prevention and management targeted at nursing assistants working in Chinese nursing homes, developed via the modified Delphi method. The program meets the pressing requirement for competency-focused education in this area. Subsequent studies should examine the real-world application and outcomes of this program to assess its impact on enhancing nursing assistants’ capabilities and lowering pressure injury rates among elderly residents.
