The effect of pressure injury prevention care bundles on pressure injuries in hospital patients: A complex intervention systematic review and meta-analysis

Chaboyer, W; Latimer, S; Priyadarshani, U; Harbeck, E; Patton, D; Sim, J; Moore, Z; Deakin, J; Carlini, J; Lovegrove, J; Jahandideh, S; Gillespie, BM

The effect of pressure injury prevention care bundles on pressure injuries in hospital patients: A complex intervention systematic review and meta-analysis

Chaboyer, W Latimer, S Priyadarshani, U Harbeck, E Patton, D Sim, J

Moore, Z Deakin, J Carlini, J Lovegrove, J Jahandideh, S Gillespie, BM

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: International Journal of Nursing Studies, 2024, 155, pp. 104768
Issue Date:: 2024-07

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Field	Value	Language
dc.contributor.author	Chaboyer, W
dc.contributor.author	Latimer, S
dc.contributor.author	Priyadarshani, U
dc.contributor.author	Harbeck, E
dc.contributor.author	Patton, D
dc.contributor.author	Sim, J https://orcid.org/0000-0001-6863-0541
dc.contributor.author	Moore, Z
dc.contributor.author	Deakin, J
dc.contributor.author	Carlini, J
dc.contributor.author	Lovegrove, J
dc.contributor.author	Jahandideh, S
dc.contributor.author	Gillespie, BM
dc.date.accessioned	2025-03-30T18:58:30Z
dc.date.available	2024-03-27
dc.date.available	2025-03-30T18:58:30Z
dc.date.issued	2024-07
dc.identifier.citation	International Journal of Nursing Studies, 2024, 155, pp. 104768
dc.identifier.issn	0020-7489
dc.identifier.issn	1873-491X
dc.identifier.uri	http://hdl.handle.net/10453/186308
dc.description.abstract	BACKGROUND Numerous interventions for pressure injury prevention have been developed, including care bundles. OBJECTIVE To systematically review the effectiveness of pressure injury prevention care bundles on pressure injury prevalence, incidence, and hospital-acquired pressure injury rate in hospitalised patients. DATA SOURCES The Medical Literature Analysis and Retrieval System Online (via PubMed), the Cumulative Index to Nursing and Allied Health Literature, EMBASE, Scopus, the Cochrane Library and two registries were searched (from 2009 to September 2023). STUDY ELIGIBILITY CRITERIA Randomised controlled trials and non-randomised studies with a comparison group published in English after 2008 were included. Studies reporting on the frequency of pressure injuries where the number of patients was not the numerator or denominator, or where the denominator was not reported, and single subgroups of hospitalised patients were excluded. Educational programmes targeting healthcare professionals and bundles targeting specific types of pressure injuries were excluded. PARTICIPANTS AND INTERVENTIONS Bundles with 3 components directed towards patients and implemented in 2 hospital services were included. STUDY APPRAISAL AND SYNTHESIS METHODS Screening, data extraction and risk of bias assessments were undertaken independently by two researchers. Random effects meta-analyses were conducted. The certainty of the body of evidence was assessed using Grading of Recommendations, Assessment, Development and Evaluation. RESULTS Nine studies (seven non-randomised with historical controls two randomised) conducted in eight countries were included. There were four to eight bundle components most were core, and only a few were discretionary. Various strategies were used prior to (six studies), during (five studies) and after (two studies) implementation to embed the bundles. The pooled risk ratio for pressure injury prevalence (five non-randomised studies) was 0.55 (95 confidence inter
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	International Journal of Nursing Studies
dc.relation.isbasedon	10.1016/j.ijnurstu.2024.104768
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.subject.classification	4204 Midwifery
dc.subject.classification	4205 Nursing
dc.subject.mesh	Pressure Ulcer
dc.subject.mesh	Humans
dc.subject.mesh	Patient Care Bundles
dc.subject.mesh	Hospitalization
dc.subject.mesh	Humans
dc.subject.mesh	Hospitalization
dc.subject.mesh	Pressure Ulcer
dc.subject.mesh	Patient Care Bundles
dc.subject.mesh	Pressure Ulcer
dc.subject.mesh	Humans
dc.subject.mesh	Patient Care Bundles
dc.subject.mesh	Hospitalization
dc.title	The effect of pressure injury prevention care bundles on pressure injuries in hospital patients: A complex intervention systematic review and meta-analysis
dc.type	Journal Article
utslib.citation.volume	155
utslib.location.activity	England
utslib.for	1110 Nursing
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2025-03-30T18:58:28Z
pubs.publication-status	Published
pubs.volume	155

Abstract:

BACKGROUND Numerous interventions for pressure injury prevention have been developed, including care bundles. OBJECTIVE To systematically review the effectiveness of pressure injury prevention care bundles on pressure injury prevalence, incidence, and hospital-acquired pressure injury rate in hospitalised patients. DATA SOURCES The Medical Literature Analysis and Retrieval System Online (via PubMed), the Cumulative Index to Nursing and Allied Health Literature, EMBASE, Scopus, the Cochrane Library and two registries were searched (from 2009 to September 2023). STUDY ELIGIBILITY CRITERIA Randomised controlled trials and non-randomised studies with a comparison group published in English after 2008 were included. Studies reporting on the frequency of pressure injuries where the number of patients was not the numerator or denominator, or where the denominator was not reported, and single subgroups of hospitalised patients were excluded. Educational programmes targeting healthcare professionals and bundles targeting specific types of pressure injuries were excluded. PARTICIPANTS AND INTERVENTIONS Bundles with 3 components directed towards patients and implemented in 2 hospital services were included. STUDY APPRAISAL AND SYNTHESIS METHODS Screening, data extraction and risk of bias assessments were undertaken independently by two researchers. Random effects meta-analyses were conducted. The certainty of the body of evidence was assessed using Grading of Recommendations, Assessment, Development and Evaluation. RESULTS Nine studies (seven non-randomised with historical controls two randomised) conducted in eight countries were included. There were four to eight bundle components most were core, and only a few were discretionary. Various strategies were used prior to (six studies), during (five studies) and after (two studies) implementation to embed the bundles. The pooled risk ratio for pressure injury prevalence (five non-randomised studies) was 0.55 (95 confidence inter

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http://hdl.handle.net/10453/186308