Interventions and strategies to prevent medical device-related pressure injury in adult patients: A systematic review

Article


Lyu, Yang, Huang, Ya-Ling, Li, Zhao-Yu and Lin, Frances. 2023. "Interventions and strategies to prevent medical device-related pressure injury in adult patients: A systematic review." Journal of Clinical Nursing. 32 (19-20), pp. 6863-6878. https://doi.org/10.1111/jocn.16790
Article Title

Interventions and strategies to prevent medical device-related pressure injury in adult patients: A systematic review

ERA Journal ID14104
Article CategoryArticle
AuthorsLyu, Yang, Huang, Ya-Ling, Li, Zhao-Yu and Lin, Frances
Journal TitleJournal of Clinical Nursing
Journal Citation32 (19-20), pp. 6863-6878
Number of Pages16
Year2023
PublisherJohn Wiley & Sons
Place of PublicationUnited Kingdom
ISSN0962-1067
1365-2702
Digital Object Identifier (DOI)https://doi.org/10.1111/jocn.16790
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/jocn.16790
Abstract

Background
Current evidence shows that medical device-related pressure injury (MDRPI) has a high prevalence (10%) and incidence (12%), and much research has been done to prevent MDRPI in recent years. However, to our knowledge, there is limited systematic review available on interventions and strategies to prevent MDRPI.

Aim
To synthesise research evidence on interventions and strategies used to prevent MDRPI.

Methods
This systematic review adhered to the PRISMA Guidelines. We searched six databases including Medline, CINAHL, EMBASE, Cochrane library, Web of Science and ProQuest with no restriction to year of publication. Data were extracted and checked by two authors independently. A narrative summary technique was used to describe the findings. Implementation strategies were grouped into six classifications: dissemination/implementation process/integration/capacity building/sustainability/scale-up strategies.

Results
Twenty-four peer-reviewed papers met the inclusion criteria, which comprised of 11 quality improvement projects and 13 original research. Types of devices included respiratory devices (non-invasive ventilation mask, CPAP/BiPAP mask, endotracheal tube), gastrointestinal/urinary devices and other devices. Interventions used included the use of dressing, hyperoxygenated fatty acids, full-face mask, training, and/or multidisciplinary education, use of special securement devices or tube holder, repositioning, application of stockinette, early removal and foam ring use. Common implementation strategies included ongoing staff education, audit and standardising documentation or guideline development.

Conclusion
Much work on MDRPI prevention strategies has been undertaken. There were a variety of devices reported, however, it is evident that higher quality research is needed.

Relevance to clinical practice
Current evidence shows that interventions including use of dressing or special securement device, repositioning, and training/multidisciplinary education can be beneficial for MDRPI prevention. High-quality research, such as randomised controlled trials are needed to test the effectiveness of the interventions and their implementation strategies.

Keywordsimplementation; intervention; medical device-related pressure injury; prevention; strategies
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420312. Implementation science and evaluation
420599. Nursing not elsewhere classified
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Byline AffiliationsPeking Union Medical College, China
Southern Cross University
Gold Coast Hospital and Health Service, Australia
Griffith University
Capital Medical University,China
Flinders University
University of the Sunshine Coast
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