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

• Published in: Journal of clinical nursing 2024-05, Vol.33 (5), p.1709-1723
• Main Authors: Yang, L. F., Mu, J. X., Zhang, J., Zang, S., Zhang, L., Qi, J. H., Ni, C. P., Liu, Y.
• Format: Article
• Language: English
• Subjects: aged; Clinical decision making; Decision support systems; Elder care; implementation science; Injury prevention; Nursing homes; pressure injury; pressure ulcer; Pressure ulcers; Quality improvement; scoping review
• ISSN: 0962-1067; 1365-2702; 1365-2702
• DOI: 10.1111/jocn.16983

Aims To 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 Method A 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 Sources Six 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. Results Forty 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. Conclusion The 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. Impact This 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 REGISTRATION The protocol of this scoping review was published as an open‐access article in June 2022 (Yang et al., 2022).