RNOtherRevista da Escola de Enfermagem da U S P2025

Strategies adopted by the nursing team for the prevention of pressure ulcers in hospitalized older people: a scoping review.

Maria Clara Nascimento Oliveira, Antonio Rosa de Sousa Neto, Esteffany Vaz Pierot and 3 others

PMID 41288328

WHAT IT FOUND

11 studies mapped 10 nursing strategies for preventing pressure ulcers in hospitalized older adults: risk assessment, skin checks, repositioning, support surfaces, moisture care, nutrition, education, training, protocols, and technology.

Key findings

01The review included 11 studies and identified 10 nursing strategies for pressure ulcer prevention in hospitalized older adults.

02Several included studies reported lower pressure ulcer incidence in intervention groups than in control groups.

03In a qualitative study, older patients using continuous bedside pressure mapping reported greater prevention knowledge and more frequent self-repositioning.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This was a scoping review, so it mapped available literature rather than estimating how effective any strategy is. Only 11 studies were included, and 13 full texts could not be retrieved. The review did not formally assess the methodological quality of included studies. Included studies varied in design and setting, with three from China and 72.73% in English, so findings may not transfer to all hospitals. Some included studies evaluated bundled nursing care, such as conventional care plus continuous nursing, so the contribution of individual components cannot be separated. The search was limited to the listed databases and gray literature sources on June 17, 2024, and no additional studies were identified by other methods.

Declared interests

Financial support came from Fundação de Amparo à Pesquisa do Estado do Piauí (FAPEPI) and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES).

The easy way to misread this

Do not read this as proof that any single nursing strategy works for all hospitalized older adults. It is a scoping review of 11 studies with no formal quality appraisal, and included interventions often combined multiple nursing actions.

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