The Role of Nurses in Preventing Pressure Ulcers in Hospitalized Patients: Strategies, Challenges, and Evidence-Based Practices

Mamdoh suwayyid r Alanazi (1) , Adel Ali k Alanazi (1) , Taghreed Ghazi J Alenazi (1) , Faizah Matar Aldhafeeri (1) , Ahmed salem alenzi (1) , Ibtisam Hamed Aldhafeeri (1) , Abdulaziz Ibrahim Alanazi (1) , Naji Sewaid Rashed Alanazi (1) , Meshal Suwayyid Rashid Alanazi (1) , Khalid Ibrahim G Alanazi (1) , Sami Bader Alanazi (1) , Thamer Muteb M Alkhaldi (1) , Maher Matar M Alanazi (1) , Farhan Ayed F Aldhafeeri (1) , Fawaz Aiyed F Aldhafeeri (1)
(1) Ministry Of Health, Saudi Arabia

Abstract

Pressure ulcers present a serious health issue among hospitalized patients causing pain, infection, spending a long time in hospitals, and adding healthcare expenses. Nurses have a central role to play in the prevention of pressure ulcers by early risk identification, repositioning patients, skin, nutritional interventions, placing pressure-relieving devices and educating patients. This study examines the complexities of the role of a nurse in the prevention of pressure ulcers with references to evidence-based interception, interdisciplinary cooperation, and the need to undergo constant training. It also looks at some of the problems encountered by nurses, advances in technology, the implementation of policies and case studies that portray effective nursing interventions. This paper highlights the role of nurses in enhancing patient outcomes and the overall healthcare system in general due to their focus on patient-centered and proactive patient care methods. The results justify the implementation of uniformed principles, life-long learning, and interdisciplinary practices to reduce the rate of pressure ulcers in hospitals.

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References

Bazaliński, D., Zmora, M., Przybek-Mita, J., & Kózka, M. (2017). The impact of nurses’ qualifications on their knowledge in the field of prevention and treatment of pressure ulcers. Pielęg. Chir. Angiol. Surg. Vasc. Nurs., 11, 13–19.

Järbrink, K., Ni, G., Sönnergren, H., Schmidtchen, A., Pang, C., Bajpai, R., & Car, J. (2017). The humanistic and economic burden of chronic wounds: A protocol for a systematic review. Systematic Reviews, 6(15). https://doi.org/10.1186/s13643-016-0400-8

Olsson, M., Järbrink, K., Divakar, U., Bajpai, R., Upton, Z., Schmidtchen, A., & Car, J. (2019). The humanistic and economic burden of chronic wounds: A systematic review. Wound Repair and Regeneration, 27, 114–125. https://doi.org/10.1111/wrr.12683

Kottner, J., Cuddigan, J., Carville, K., Balzer, K., Berlowitz, D., Law, S., Litchford, M., Mitchell, P., Moore, Z., Pittman, J., et al. (2019). Prevention and treatment of pressure ulcers/injuries: The protocol for the second update of the international clinical practice guideline 2019. Journal of Tissue Viability, 28, 51–58. https://doi.org/10.1016/j.jtv.2019.01.001

Li, Z., Lin, F., Thalib, L., & Chaboyer, W. (2020). Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. International Journal of Nursing Studies, 105, 103546. https://doi.org/10.1016/j.ijnurstu.2020.103546

Kielo, E., Suhonen, R., Ylönen, M., Viljamaa, J., Wahlroos, N., & Stolt, M. (2020). A systematic and psychometric review of tests measuring nurses’ wound care knowledge. International Wound Journal, 17, 1209–1224. https://doi.org/10.1111/iwj.13417

Szewczyk, M. T., Kózka, M., Cierzniakowska, K., Cwajda-Białasik, J., Mościcka, P., Jawień, A., Sopata, M., Bazaliński, D., Spannbauer, A., Kozłowska, E., et al. (2020). Prophylaxis of the pressure ulcers—Recommendations of the Polish Wound Management Association. Part I. Leczenie Ran/Polish Journal of Wound Management, 17, 113–146.

Szewczyk, M. T., Cwajda-Białasik, J., Mościcka, P., Cierzniakowska, K., Bazaliński, D., Jawień, A., Spannbauer, A., Polak, A., Sopata, M., Kozłowska, E., et al. (2020). Treatment of pressure ulcers—Recommendations of the Polish Wound Management Association. Part II. Leczenie Ran/Polish Journal of Wound Management, 17, 151–184.

Yilmazer, T., Tuzer, H., Inkaya, B., & Elcin, M. (2020). The impact of standardized patient interactions on nursing students’ preventive interventions for pressure ulcers. Journal of Tissue Viability, 29, 19–23. https://doi.org/10.1016/j.jtv.2019.11.004

Klein, T. M., Andrees, V., Kirsten, N., Protz, K., Augustin, M., & Blome, C. (2021). Social participation of people with chronic wounds: A systematic review. International Wound Journal, 18, 287–311. https://doi.org/10.1111/iwj.13533

Moharramzadeh, H., Heidarzadeh, M., & Aghamohammadi-Kalkhoran, M. (2021). Investigating the psychometric properties of the Pieper-Zulkowski Pressure Ulcer Knowledge Test among nurses in Iran. Advances in Skin & Wound Care, 34, 1–6. https://doi.org/10.1097/01.ASW.0000732744.23554.0c

Avsar, P., Renjith, V., Chima, C., Patton, D., O’Connor, T., & Moore, Z. (2023). Assessing nurses’ attitudes towards pressure ulcer prevention: An updated systematic review. Journal of Wound Care, 32, 544–554. https://doi.org/10.12968/jowc.2023.32.9.544

Ghorbani Vajargah, P., Mollaei, A., Falakdami, A., Takasi, P., Moosazadeh, Z., Esmaeili, S., Emami Zeydi, A., & Karkhah, S. (2023). A systematic review of nurses’ practice and related factors toward pressure ulcer prevention. International Wound Journal, 20, 2386–2401. https://doi.org/10.1111/iwj.14062

Visconti, A. J., Sola, O. I., & Raghavan, P. V. (2023). Pressure injuries: Prevention, evaluation, and management. American Family Physician, 108, 166–174.

Halász, B. G. (2024). The value of epidemiological data for pressure ulcer/injury management. Journal of Wound Care, 33, 636–642. https://doi.org/10.12968/jowc.2024.0120

Przybek-Mita, J., Bazaliński, D., Małek, E., Kozieł, D., Kachaniuk, J., Kózka, M., & Szewczyk, M. T. (2024). Psychometric properties of the Pressure Ulcer Knowledge Test (PZ-PUKT) among nurses. Medical Studies/Studia Medyczne, 40, 248–262. https://doi.org/10.5114/ms.2024.141694

Wójcik, A. M., Szarek, W., Przyboś, E., Bazaliński, D., & Nowak, A. (2024). Selected correlates conditioning the occurrence of pressure ulcers and their actual occurrence among residents of long-term residential care. Test/Reports in Medical Studies, 40, 263–272.

Cangelosi, G., Grappasonni, I., Nguyen, C. T. T., Acito, M., Pantanetti, P., Benni, A., Petrelli, F. (2023). Mediterranean Diet (MedDiet) and Lifestyle Medicine (LM) for support and care of patients with Type II diabetes in the COVID-19 era: A cross-observational study. Acta Biomedica, 94, e2023189. https://doi.org/10.23750/abm.v94iS3.14406

Furtado, K., Lopes, T., Afonso, A., Infante, P., Voorham, J., & Lopes, M. (2022). Content validity and reliability of the Pressure Ulcer Knowledge Test and the knowledge level of Portuguese nurses at long-term care units: A cross-sectional survey. Journal of Clinical Medicine, 11, 583. https://doi.org/10.3390/jcm11030583

Li, Z., Lin, F., Thalib, L., & Chaboyer, W. (2020). Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis. International Journal of Nursing Studies, 105, 103546. https://doi.org/10.1016/j.ijnurstu.2020.103546

Cangelosi, G., Mancin, S., Pantanetti, P., Nguyen, C. T. T., Morales Palomares, S., Biondini, F., Sguanci, M., & Petrelli, F. (2024). Lifestyle medicine case manager nurses for type two diabetes patients: An overview of a job description framework—A narrative review. Diabetology, 5, 375–388. https://doi.org/10.3390/diabetology5040029

Scrimaglia, S., Ricci, M., Masini, A., Montalti, M., Conti, A., Camedda, C., Panella, M., Dallolio, L., & Longobucco, Y. (2024). The role of family or community nurse in dealing with frail and chronic patients in Italy: A scoping review. Geriatrics, 9, 81. https://doi.org/10.3390/geriatrics9030081

Mancin, S., Khadhraoui, S., Starace, E., Cosmai, S., Petrelli, F., Sguanci, M., & Cangelosi, G. (2024). Prevention and management of malnutrition in patients with chronic obstructive pulmonary disease: A scoping review. Advances in Respiratory Medicine, 92, 356–369. https://doi.org/10.3390/arm92050034

Mancin, S., Sguanci, M., Andreoli, D., Piredda, M., & De Marinis, M. G. (2024). Nutritional assessment in acute stroke patients: A systematic review of guidelines and systematic reviews. International Journal of Nursing Studies, 158, 104859. https://doi.org/10.1016/j.ijnurstu.2024.104859

Indridadottir, O., & Nisco-Madden, J. (2024). Holistic physical assessment: A new framework for nursing practice honoring the whole person. Journal of Holistic Nursing, 1–8. https://doi.org/10.1177/08980101241261261

Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C., Bischoff, S. C., et al. (2022). ESPEN practical guideline: Clinical nutrition and hydration in geriatrics. Clinical Nutrition, 41, 958–989. https://doi.org/10.1016/j.clnu.2022.01.024

Volkert, D., Beck, A. M., Faxén-Irving, G., Frühwald, T., Hooper, L., Keller, H., Porter, J., Rothenberg, E., Suominen, M., Wirth, R., et al. (2024). ESPEN guideline on nutrition and hydration in dementia—Update 2024. Clinical Nutrition, 43, 1599–1626. https://doi.org/10.1016/j.clnu.2024.04.039

Petrelli, F., Cangelosi, G., Scuri, S., Cuc Thi Thu, N., Debernardi, G., Benni, A., Vesprini, A., Rocchi, R., De Carolis, C., Pantanetti, P., et al. (2020). Food knowledge of patients at the first access to a diabetology center. Acta Biomedica, 91, 160–164. https://doi.org/10.23750/abm.v91i3-S.9418

Afaneh, T., Abu-Moghli, F., & Ahmad, M. (2021). Nursing-sensitive indicators: A concept analysis. Nursing Management, 28, 28–33. https://doi.org/10.7748/nm.2021.e1982

Olivo, S., Canova, C., Peghetti, A., Rossi, M., & Zanotti, R. (2020). Prevalence of pressure ulcers in hospitalised patients: A cross-sectional study. Journal of Wound Care, 29, S20–S28. https://doi.org/10.12968/jowc.2020.29.Sup3.S20

Bottega, M., Tempesta, M., Piovesan, C., Rigo, F., Bordignon, J., Vedelago, D., Calo, L., Marchet, P., Dorigo, M., Scarpa, G., et al. (2023). The risk and prevalence of pressure injuries in older people in the home care service: A cross-sectional study. Journal of Wound Care, 32, ccxi–ccxviii. https://doi.org/10.12968/jowc.2023.32.Sup10.ccxi

Ward, J., Holden, J., Grob, M., & Soldin, M. (2019). Management of wounds in the community: Five principles. British Journal of Community Nursing, 24, S20–S23. https://doi.org/10.12968/bjcn.2019.24.Sup6.S20

Hernández-Martínez-Esparza, E., Santesmases-Masana, R., Román, E., Abades Porcel, M., Torner Busquet, A., Berenguer Pérez, M., & Verdú-Soriano, J. (2021). Prevalence and characteristics of older people with pressure ulcers and leg ulcers in nursing homes in Barcelona. Journal of Tissue Viability, 30, 108–115. https://doi.org/10.1016/j.jtv.2021.01.003

Rafiei, H., Vanaki, Z., Mohammadi, E., & Hosseinzadeh, K. (2021). The role of family caregivers in pressure injury prevention guidelines: A scoping review. Home Healthcare Now, 39, 253–260. https://doi.org/10.1097/NHH.0000000000001000

Jafari, M., Nassehi, A., Rafiei, H., Taqavi, S., Karimi, Y., Bardsiri, T. I., & Bellón, J. A. (2021). Pressure injury prevention knowledge among family caregivers of patients needing home care. Home Healthcare Now, 39, 203–210. https://doi.org/10.1097/NHH.0000000000000975

Cederholm, T., Barazzoni, R., Austin, P., Ballmer, P., Biolo, G., Bischoff, S. C., Compher, C., Correia, I., Higashiguchi, T., Holst, M., et al. (2017). ESPEN guidelines on definitions and terminology of clinical nutrition. Clinical Nutrition, 36, 49–64. https://doi.org/10.1016/j.clnu.2016.09.004

Fleurke, M., Voskuil, D. W., & Beneken Genaamd Kolmer, D. M. (2020). The role of the dietitian in the management of malnutrition in the elderly: A systematic review of current practices. Nutrition & Dietetics, 77, 60–75. https://doi.org/10.1111/1747-0080.12546

Yeung, S. S. Y., Kwan, M., & Woo, J. (2021). Healthy diet for healthy aging. Nutrients, 13, 4310. https://doi.org/10.3390/nu13124310

Yeung, S. S. Y., Kwan, M., & Woo, J. (2024). Composition of healthy diets for older persons. Current Opinion in Clinical Nutrition & Metabolic Care, 27, 17–23. https://doi.org/10.1097/MCO.0000000000000972

Grossini, E., Rinaldi, C., Panella, M., & Zeppegno, P. (2021). Non-pharmacological approaches to depressed elderly with no or mild cognitive impairment in long-term care facilities: A systematic review of the literature. Frontiers in Public Health, 9, 685860. https://doi.org/10.3389/fpubh.2021.685860

Grossini, E., Venkatesan, S., Pour, M. M. O., Conti, A., Concina, D., Opizzi, A., Sanguedolce, A., Rinaldi, C., Russotto, S., Gramaglia, C. M., et al. (2024). Beneficial effects of a combined lifestyle intervention for older people in a long-term-care facility on redox balance and endothelial function. Heliyon, 10, e35850. https://doi.org/10.1016/j.heliyon.2024.e35850

Amir-Behghadami, M., & Janati, A. (2020). Population, intervention, comparison, outcomes and study (PICOS) design as a framework to formulate eligibility criteria in systematic reviews. Emergency Medicine Journal, 37, 387. https://doi.org/10.1136/emermed-2020-209567

Cangelosi, G., Acito, M., Grappasonni, I., Nguyen, C. T. T., Tesauro, M., Pantanetti, P., Morichetti, L., Ceroni, E., Benni, A., & Petrelli, F. (2024). Yoga or mindfulness on diabetes: Scoping review for theoretical experimental framework. Annali di Igiene, 36, 153–168. https://doi.org/10.7416/ai.2024.2600

Petrelli, F., Grappasonni, I., Nguyen, C. T. T., Tesauro, M., Pantanetti, P., Xhafa, S., & Cangelosi, G. (2023). Metformin and COVID-19: A systematic review of systematic reviews with meta-analysis. Acta Biomedica, 94, e2023138. https://doi.org/10.23750/abm.v94iS3.14405

Corbett, L. Q., Funk, M., Fortunato, G., & O’Sullivan, D. M. (2017). Pressure injury in a community population: A descriptive study. Journal of Wound, Ostomy and Continence Nursing, 44, 221–227. https://doi.org/10.1097/WON.0000000000000320

Chen, H. L., Cao, Y. J., Zhang, W., Wang, J., & Huai, B. S. (2017). Braden Scale (ALB) for assessing pressure ulcer risk in hospital patients: A validity and reliability study. Applied Nursing Research, 33, 169–174. https://doi.org/10.1016/j.apnr.2016.12.001

Afaneh, T., Abu-Moghli, F., & Ahmad, M. (2021). Nursing-sensitive indicators: A concept analysis. Nursing Management, 28, 28–33. https://doi.org/10.7748/nm.2021.e1982

Hernández-Martínez-Esparza, E., Santesmases-Masana, R., Román, E., Abades Porcel, M., Torner Busquet, A., Berenguer Pérez, M., & Verdú-Soriano, J. (2021). Prevalence and characteristics of older people with pressure ulcers and leg ulcers in nursing homes in Barcelona. Journal of Tissue Viability, 30, 108–115. https://doi.org/10.1016/j.jtv.2021.01.003

Rafiei, H., Vanaki, Z., Mohammadi, E., & Hosseinzadeh, K. (2021). The role of family caregivers in pressure injury prevention guidelines: A scoping review. Home Healthcare Now, 39, 253–260. https://doi.org/10.1097/NHH.0000000000001000

Jafari, M., Nassehi, A., Rafiei, H., Taqavi, S., Karimi, Y., Bardsiri, T. I., & Bellón, J. A. (2021). Pressure injury prevention knowledge among family caregivers of patients needing home care. Home Healthcare Now, 39, 203–210. https://doi.org/10.1097/NHH.0000000000000975

Yeung, S. S. Y., Kwan, M., & Woo, J. (2021). Healthy diet for healthy aging. Nutrients, 13, 4310. https://doi.org/10.3390/nu13124310

Volkert, D., Beck, A. M., Cederholm, T., Cruz-Jentoft, A., Hooper, L., Kiesswetter, E., Maggio, M., Raynaud-Simon, A., Sieber, C., Bischoff, S. C., et al. (2022). ESPEN practical guideline: Clinical nutrition and hydration in geriatrics. Clinical Nutrition, 41, 958–989. https://doi.org/10.1016/j.clnu.2022.01.024

Grossini, E., Venkatesan, S., Pour, M. M. O., Conti, A., Concina, D., Opizzi, A., Sanguedolce, A., Rinaldi, C., Russotto, S., Gramaglia, C. M., et al. (2024). Beneficial effects of a combined lifestyle intervention for older people in a long-term-care facility on redox balance and endothelial function. Heliyon, 10, e35850. https://doi.org/10.1016/j.heliyon.2024.e35850

Cangelosi, G., Mancin, S., Pantanetti, P., Nguyen, C. T. T., Morales Palomares, S., Biondini, F., Sguanci, M., & Petrelli, F. (2024). Lifestyle medicine case manager nurses for type two diabetes patients: An overview of a job description framework—A narrative review. Diabetology, 5, 375–388. https://doi.org/10.3390/diabetology5040029

Scrimaglia, S., Ricci, M., Masini, A., Montalti, M., Conti, A., Camedda, C., Panella, M., & Dallolio, L. (2024). The role of family or community nurse in dealing with frail and chronic patients in Italy: A scoping review. Geriatrics, 9, 81. https://doi.org/10.3390/geriatrics9030081

Aloweni, F., Gunasegaran, N., Lim, S. H., Leow, B. W., Agus, N., Goh, I. H., & Ang, S. Y. (2024). Socio-economic and environmental factors associated with community-acquired pressure injuries: A mixed method study. Journal of Tissue Viability, 33, 27–42. https://doi.org/10.1016/j.jtv.2023.11.007

Santo, A. C. S. D. E., Sugizaki, C. S. A., de Morais Junior, A. C., Costa, N. A., Bachion, M. M., & Mota, J. F. (2024). Impact of oral nutritional supplement composition on healing of different chronic wounds: A systematic review. Nutrition, 124, 112449. https://doi.org/10.1016/j.nut.2024.112449

Shafrin, J., Wang, S., & Kerr, K. W. (2023). Wound-specific oral nutritional supplementation can reduce the economic burden of pressure injuries for nursing homes: Results from an economic model. Journal of Long Term Care, 166–177. https://doi.org/10.31389/jltc.173

Palmisano, A., Angileri, S., Soekeland, F., Gazineo, D., Godino, L., Savini, S., Andreoli, D., & Mancin, S. (2023). Chronic kidney disease and mobile health: Quality of renal nutritional apps in Italy. Acta Biomedica, 94, e2023169. https://doi.org/10.23750/abm.v94i4.14576

Sguanci, M., Mancin, S., Gazzelloni, A., Diamanti, O., Ferrara, G., Morales Palomares, S., Parozzi, M., Petrelli, F., & Cangelosi, G. (2024). The Internet of Things in the nutritional management of patients with chronic neurological cognitive impairment: A scoping review. Healthcare, 13, 23. https://doi.org/10.3390/healthcare13010023

Scuri, S., Tesauro, M., Petrelli, F., Argento, N., Damasco, G., Cangelosi, G., Nguyen, C. T. T., Savva, D., & Grappasonni, I. (2022). Use of an online platform to evaluate the impact of social distancing measures on psycho-physical well-being in the COVID-19 era. International Journal of Environmental Research and Public Health, 19, 6805. https://doi.org/10.3390/ijerph19116805

Grega, M. L., Shalz, J. T., Rosenfeld, R. M., Bidewell, J. H., Bonnet, J. P., Bowman, D., Brown, M. L., Dwivedi, M. E., Ezinwa, N. M., Kelly, J. H., et al. (2024). American College of Lifestyle Medicine expert consensus statement: Lifestyle medicine for optimal outcomes in primary care. American Journal of Lifestyle Medicine, 18, 269–293. https://doi.org/10.1177/15598276231202970

Keyworth, C., Epton, T., Goldthorpe, J., Calam, R., & Armitage, C. J. (2020). Delivering opportunistic behavior change interventions: A systematic review of systematic reviews. Prevention Science, 21, 319–331. https://doi.org/10.1007/s11121-020-01087-6

Zucatti, K. P., Teixeira, P. P., Wayerbacher, L. F., Piccoli, G. F., Correia, P. E., Fonseca, N. K. O., Moresco, K. S., Guerra, B. A., Maduré, M. G., Farenzena, L. P., et al. (2022). Long-term effect of lifestyle interventions on the cardiovascular and all-cause mortality of subjects with prediabetes and type 2 diabetes: A systematic review and meta-analysis. Diabetes Care, 45, 2787–2795. https://doi.org/10.2337/dc22-0642

LeBlanc, E. L., Patnode, C. D., Webber, E. M., Redmond, N., Rushkin, M., & O’Connor, E. A. (2018). Behavioral and pharmacotherapy weight loss interventions to prevent obesity-related morbidity and mortality in adults: An updated systematic review for the U.S. Preventive Services Task Force. North Bethesda, MD, USA: Agency for Healthcare Research and Quality (US). Report No.: 18-05239-EF-1.

Patnode, C. D., Perdue, L. A., Rossom, R. C., Rushkin, M. C., Redmond, N., Thomas, R. G., & Lin, J. S. (2020). Screening for cognitive impairment in older adults: An evidence update for the U.S. Preventive Services Task Force. North Bethesda, MD, USA: Agency for Healthcare Research and Quality (US). Report No.: 19-05257-EF-1.

Authors

Mamdoh suwayyid r Alanazi
Amnakhateeb1@gmail.com (Primary Contact)
Adel Ali k Alanazi
Taghreed Ghazi J Alenazi
Faizah Matar Aldhafeeri
Ahmed salem alenzi
Ibtisam Hamed Aldhafeeri
Abdulaziz Ibrahim Alanazi
Naji Sewaid Rashed Alanazi
Meshal Suwayyid Rashid Alanazi
Khalid Ibrahim G Alanazi
Sami Bader Alanazi
Thamer Muteb M Alkhaldi
Maher Matar M Alanazi
Farhan Ayed F Aldhafeeri
Fawaz Aiyed F Aldhafeeri
Alanazi, M. suwayyid r, Adel Ali k Alanazi, Taghreed Ghazi J Alenazi, Faizah Matar Aldhafeeri, Ahmed salem alenzi, Ibtisam Hamed Aldhafeeri, … Fawaz Aiyed F Aldhafeeri. (2024). The Role of Nurses in Preventing Pressure Ulcers in Hospitalized Patients: Strategies, Challenges, and Evidence-Based Practices. Saudi Journal of Medicine and Public Health, 1(2). https://doi.org/10.64483/202412390

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