Pressure injury prevention and quality of nursing service: A Systematic review
Keywords:
pressure injury, staff nurses, quality of nursing serviceAbstract
Pressure injuries remain a significant challenge in healthcare settings, affecting patient outcomes and increasing healthcare costs. Effective prevention strategies led by staff nurses are critical to enhancing the quality of nursing services and reducing the incidence of pressure injuries. This systematic review aims to evaluate the effectiveness of pressure injury prevention programs for staff nurses and their impact on the quality of nursing service. A systematic search of peer-reviewed literature was conducted across major databases, including PubMed, CINAHL, and Scopus. Studies published within the last ten years were included, focusing on nurse-led pressure injury prevention interventions, education programs, and their outcomes. Data were synthesized thematically to assess the impact on patient outcomes, nurse knowledge, adherence to guidelines, and overall nursing service quality. The review identified that structured educational programs, adherence to evidence-based guidelines, and multidisciplinary collaboration significantly reduced the incidence of pressure injuries. Nurse-led interventions, such as early risk assessment using standardized tools, frequent repositioning protocols, and skin integrity monitoring, were associated with improved patient outcomes. Additionally, facilities implementing comprehensive prevention strategies reported higher nursing service quality, including better patient satisfaction, reduced hospital-acquired pressure injury rates, and increased nursing confidence in managing at-risk patients. Pressure injury prevention programs tailored for staff nurses play a pivotal role in enhancing nursing service quality. Effective implementation of training, adherence to best practices, and institutional support contribute to a marked reduction in pressure injuries and improved patient care. Future research should focus on long-term sustainability and the integration of technology in prevention strategies.
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