Interventions to promote the implementation of pressure injury prevention measures in nursing homes: A scoping review

Author:

Yang L. F.1ORCID,Mu J. X.2,Zhang J.3,Zang S.2,Zhang L.4,Qi J. H.5,Ni C. P.6,Liu Y.6

Affiliation:

1. Department of Nursing Chinese Academy of Medical Sciences and Peking Union Medical College Hospital Beijing China

2. Department of Nursing The Fourth Affiliated Hospital of China Medical University Shenyang Liaoning Province China

3. The Operating Room The First Affiliated Hospital of China Medical University Shenyang Liaoning Province China

4. Public Health Clinical Center of Chengdu Chengdu Sichuan Province China

5. Department of Pharmacy and Health Management Hebei Chemical & Pharmaceutical College Shijiazhuang Hebei Province China

6. School of Nursing China Medical University Shenyang Liaoning Province China

Abstract

AbstractAimsTo identify studies and the content of the interventions that have facilitated the implementation of pressure injury (PI) prevention measures in nursing home settings.Design and MethodA scoping review methodology was employed. The author has carried out the following steps successively: Identified this scoping review's questions, retrieved potentially relevant studies, selected relevant studies, charted the data, summarised the results, and consulted with stakeholders from nursing homes in China.Data SourcesSix electronic databases and three resources of grey literature—PubMed, CINAHL, Web of Science Core Collection, Embase, Cochrane Central Register of Controlled Trials, Psych INFO, Open Grey, MedNar, ProQuest Dissertations, and Theses Full Texts were searched from January 2002 through May 2022.ResultsForty articles were included, among which the primary interventions were quality improvement, training and education, evidence‐based practice, device‐assisted PI prophylaxis, nursing protocols, and clinical decision support systems. Twenty‐three outcome indicators were summarised in 40 articles, which included 10 outcome indicators, seven process indicators, and six structural indicators. Furthermore, only five articles reported barriers in the process of implementing interventions.ConclusionThe common interventions to promote the implementation of PI prevention measures in nursing homes are quality improvement, training, and education. Relatively limited research has been conducted on evidence‐based practice, clinical decision support systems, device‐assisted PI prophylaxis, and nursing protocols. In addition, there is a paucity of studies examining the impediments to implementing these measures and devising targeted solutions. Therefore, it is recommended that future studies include analysis and reporting of barriers and facilitators as part of the article to improve the sustainability of the intervention.ImpactThis article reminds nursing home managers that they should realise the importance of implementation strategies between the best evidence of PI prevention and clinical practice. Also, this review provides the types, contents, and outcome indicators of these strategies for managers of nursing homes to consider what types of interventions to implement in their organisations.TRIAL AND PROTOCOL REGISTRATIONThe protocol of this scoping review was published as an open‐access article in June 2022 (Yang et al., 2022).

Publisher

Wiley

Subject

General Medicine,General Nursing

Reference88 articles.

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