Evaluation of an Evidence‐Based Care Bundle for Preventing Hospital‐Acquired Pressure Injuries in High‐Risk Surgical Patients

• Published in: AORN journal 2023-11, Vol.118 (5), p.306-320
• Main Authors: Aloweni, Fazila Binte Abu Bakar, Lim, Siew Hoon, Agus, Nur Liyana Binte, Ang, Shin Yuh, Goh, Meh Meh, Yong, Patricia, Fook‐Chong, Stephanie, Tucker‐Kellogg, Lisa, Soh, Chai Rick
• Format: Article
• Language: English
• Subjects: Anesthesia; Collaboration; Erythema; Evidence-based nursing; Hospitals; Hydration; Injury prevention; Intervention; Nurses; Patients; Pressure ulcers; Risk assessment; Silicones; Skin; Surgical site infections; Systematic review
• ISSN: 0001-2092; 1878-0369
• DOI: 10.1002/aorn.14021

The aim of this study was to evaluate the effectiveness of an evidence-based care bundle to prevent perioperative pressure injuries. In a single facility, using a preintervention and postintervention quasi-experimental design, we compared the pressure injury incidence rate for two patient groups (ie, before and after care bundle implementation). The bundle included a variety of elements, such as educating patients, applying protection, controlling skin moisture, and using pressure-relieving devices according to the patient's risk. Before the intervention, patients received standard care before procedures that did not address risk for pressure injury development. The study involved a total of 944 patients, and the incidence of pressure injury was lower in the postintervention group than in the preintervention group (1.6% versus 4.8%; P < .001). However, the odds ratio was nonsignificant and therefore the clinical relevance of the bundle is unclear. Additional research with a control group and multiple sites is needed.