Nursing interventions for pressure injury prevention among critically ill patients: A systematic review

2021 ◽  
Author(s):  
Bassam Alshahrani ◽  
Jenny Sim ◽  
Rebekkah Middleton
Keyword(s):  
Systematic Review ◽  
Injury Prevention ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Nursing Interventions ◽  
Pressure Injury ◽  
Pressure Injury Prevention

scholarly journals Effects and Interventions of Pressure Injury Prevention Bundles of Care in Critically Ill Patients: A Systematic Review

2021 ◽  
Vol 11 (2) ◽  
pp. 154-176
Author(s):  
Wenny Trisnaningtyas ◽  
Retnaningsih Retnaningsih ◽  
Nana Rochana
Keyword(s):  
Injury Prevention ◽  
Nutrition Education ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Developed Countries ◽  
Support Surface ◽  
Intervention Measures ◽  
Pressure Injury ◽  
Single Intervention ◽  
Pressure Injury Prevention

Background: Many studies on pressure injury prevention bundles have been conducted outside the Intensive Care Unit (ICU). The bundles, which include multi interventions, have proven effective in reducing pressure ulcer incidents compared to a single intervention. However, the existing review studies on pressure injury prevention in ICUs still only investigate a single intervention rather than multi interventions. Only few reviews, to our knowledge, involves prevention bundle strategies in the ICU.Purpose: This study aims to review the effects of the pressure injury prevention bundles of care on the incidents of pressure injury in critically ill patients and the intervention measures of the care bundles.Methods: This review searched published articles from several databases, namely EBSCO, ScienceDirect, PubMed, ProQuest, Google Scholar, and Scopus from 2009 up to 2020. PRISMA flowchart was used to select relevant articles using several inclusion and exclusion criteria, resulting in 17 article from 50 eligible full-text articles for assessment. The included studies were assessed for their quality using Joanna Briggs Institute (JBI) critical appraisal tools. The synthesis was then conducted narratively.Results: As many as 17 studies, which mostly had good quality yet evidence level of II, were included in the analysis. The findings showed that the pressure injury prevention bundles of care decreased pressure injury incidents as many as 4.3%-36.2% in developed countries and 4.16%-21% in developing countries. Moreover, the bundles of care which significantly reduced the incidents of pressure injury consisted of 7 intervention measures, which were pressure injury risk assessment using Cubbin Jackson scale, skin assessment and care, repositioning, nutrition, education, support surface, and medical device care.Conclusion:The review concluded that the pressure injury prevention bundles of care in critically ill patients significantly reduced the incidents of pressure injury. The study recommends more studies with stronger evidence levels to carry out and utilize 7 intervention measures as a preventive standard of care in critically ill patients. 

scholarly journals Medical device-related pressure injury prevention in critically ill patients: nursing care

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Sabrina Guterres da Silva Galetto ◽  
Eliane Regina Pereira do Nascimento ◽  
Patrícia Madalena Vieira Hermida ◽  
Josefine Busanello ◽  
Luciana Bihain Hagemann de Malfussi ◽  
...  
Keyword(s):  
Injury Prevention ◽  
Medical Device ◽  
Critically Ill ◽  
Nursing Care ◽  
Critically Ill Patients ◽  
Early Assessment ◽  
Pressure Injury ◽  
Respiratory Devices ◽  
Nursing Professionals ◽  
Pressure Injury Prevention

ABSTRACT Objectives: to know the care implemented by the nursing team to prevent medical device-related pressure injuries in critically ill patients. Methods: this is a qualitative research conducted with 15 nursing professionals from Intensive Care Unit. Sampling was carried out by theoretical saturation. For data analysis, the Discourse of the Collective Subject technique was used. Results: six speeches emerged, whose central ideas were interventions for medical device-related pressure injury prevention: care in fixation; frequent repositioning; protection and padding of body areas in contact; preferences for flexible materials, when available; attention of professionals so that they do not comer under patients; early assessment and removal, when clinically possible. Final Considerations: nursing care was directed mainly to respiratory devices, catheters in general and monitoring equipment, indicating that professionals have the knowledge to provide safe assistance consistent with the literature.

scholarly journals Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis

2021 ◽  
Vol 29 ◽  
Author(s):  
Carolina Beatriz Cunha Prado ◽  
Elaine Alves Silva Machado ◽  
Karina Dal Sasso Mendes ◽  
Renata Cristina de Campos Pereira Silveira ◽  
Cristina Maria Galvão
Keyword(s):  
Systematic Review ◽  
Relative Risk ◽  
Injury Prevention ◽  
Meta Analysis ◽  
High Tech ◽  
Significant Difference ◽  
Pressure Injury ◽  
Intraoperative Period ◽  
Support Surfaces ◽  
Pressure Injury Prevention

Objective: to evaluate evidence on effectiveness support surfaces for pressure injury prevention in the intraoperative period. Method: systematic review. The search for primary studies was conducted in seven databases. The sample consisted of 10 studies. The synthesis of the results was carried out descriptively and through meta-analysis. Results: when comparing low-tech support surfaces with regular care (standard surgical table mattress), the meta-analysis showed that there is no statistically significant difference between the investigated interventions (Relative Risk = 0.88; 95%CI: 0.30-2.39). The Higgins inconsistency test indicated considerable heterogeneity between studies (I2 = 83%). The assessment of the certainty of the evidence was very low. When comparing high-tech and low-tech support surfaces, the meta-analysis showed that there is a statistically significant difference between the interventions studied, with high-tech being the most effective (Relative Risk = 0.17; 95%CI: 0.05-0.53). Heterogeneity can be classified as not important (I2 = 0%). The assessment of certainty of evidence was moderate. Conclusion: the use of high-tech support surfaces is an effective measure to prevent pressure injuries in the intraoperative period.

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