Hospital-acquired pressure injury prevention in people with a BMI of 30.0 or higher: A scoping review.
adult nursing
clinical guidelines
hospital care
patient safety
pressure injury
pressure ulcers
quality of care
systematic reviews and meta-analyses
tissue viability
wound care
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
03 Oct 2023
03 Oct 2023
Historique:
revised:
28
08
2023
received:
07
12
2022
accepted:
05
09
2023
pubmed:
3
10
2023
medline:
3
10
2023
entrez:
3
10
2023
Statut:
aheadofprint
Résumé
To: (1) explore current best practices for hospital-acquired pressure injury prevention in high BMI patients; (2) summarize nurses' experiences in preventing and managing them; (3) explore the association between a high BMI and occurrence and severity of pressure injury. Exploratory. Scoping review. Ovid MEDLINE, EBSCO CINAHL Plus, JBI Evidence Synthesis, Scopus, Embase, clinical registries and grey literature (search dates: January 2009 to May 2021). Overall, 1479 studies were screened. The included studies were published between 2010 and 2022. Five interventional studies and 32 best practice recommendations (Objective 1) reported low-quality evidence. Findings of thematic analysis reported in nine studies (Objective 2) identified nurses' issues as insufficient bariatric equipment, inadequate staffing, weight bias, fatigue, obese-related terminology issues, ethical dilemmas and insufficient staff education in high BMI patients' pressure injury prevention. No association between hospital-acquired pressure injury occurrence and high BMI were reported by 18 out of 28 included studies (Objective 3). Quality of evidence was low for the interventional studies and best practice recommendations. Current (2019) International Pressure Injury Guideline to be used despite the low quality of evidence of most best practice recommendations. This study addressed hospital-acquired pressure injury prevention in high BMI patients. Greater proportion of studies in this review found no association between high BMI and occurrence of hospital-acquired pressure injury. Nurses need educational interventions on pressure injury prevention in high body mass index people, sufficient staffing for repositioning and improved availability of bariatric equipment. We adhered to relevant EQUATOR guidelines, PRISMA extension for scoping reviews. No patient or public contribution. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Larger clinical trials are needed on repositioning frequency, support surfaces, prophylactic dressings and risk assessment tools to inform clinical practice guidelines on pressure injury prevention in high BMI people. Wound Practice and Research (https://doi.org/10.33235/wpr.29.3.133-139).
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : 2021-2023 MNM Research Development Grant for Health Service Focussed Established Research Team
Organisme : the Australian Government's Medical Research Future Fund
Informations de copyright
© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
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