Cordina Joanne, Rolls Kaye, Sim Jenny
School of Nursing & Midwifery, University of Newcastle, University Drive, Callaghan, New South Wales, Australia.
School of Nursing, University of Wollongong, Wollongong, New South Wales, Australia.
J Adv Nurs. 2025 Sep;81(9):5763-5792. doi: 10.1111/jan.16776. Epub 2025 Jan 22.
To systematically explore research on nurses' clinical decision-making and factors influencing pressure injury prevention in hospitalised patients.
Scoping review.
Medline full text, Cumulative Index to Nursing and Allied Health Literature Plus with full text, and Scopus.
Arksey and O'Malley's five-step framework guided this scoping review. Studies published prior to 11 July 2024 were included.
Thirty-eight studies were included. The factors influencing nurses' decision-making in pressure injury prevention included: 'support systems', 'knowledge and attitudes', 'barriers to implementing prevention practices' and 'risk assessment tools and clinical judgement'. Limited research was conducted on nurses' clinical decision-making about implementation of pressure injury prevention interventions.
More research on nurses' clinical decision-making related to pressure injury prevention is needed to enhance education, support effective care and reduce the incidence of pressure injuries.
Nurses recognise the importance of preventing pressure injuries, however implementation of pressure injury prevention interventions are inconsistent, and pressure injuries remain common in hospitals. Limited research exists on the processes nurses use to make clinical decisions about pressure injury prevention for hospitalised adults at risk of pressure injury.
This scoping review adhered to the PRISMA Extension for Scoping Reviews (PRISMA-ScR) checklist.
No patient or public contribution.
系统探讨护士临床决策以及影响住院患者压力性损伤预防的因素的相关研究。
范围综述。
Medline全文数据库、护理学与健康相关学科累积索引全文版以及Scopus数据库。
采用阿克西和奥马利的五步框架指导本范围综述。纳入2024年7月11日前发表的研究。
共纳入38项研究。影响护士压力性损伤预防决策的因素包括：“支持系统”、“知识与态度”、“预防措施实施的障碍”以及“风险评估工具和临床判断”。关于护士对压力性损伤预防干预措施实施的临床决策的研究有限。
需要开展更多关于护士与压力性损伤预防相关临床决策的研究，以加强教育支持、实现有效护理并降低压力性损伤的发生率。
护士认识到预防压力性损伤的重要性，但压力性损伤预防干预措施的实施并不一致，且压力性损伤在医院中仍然很常见。关于护士对有压力性损伤风险的住院成年人进行压力性损伤预防临床决策过程的研究有限。
本范围综述遵循范围综述的PRISMA扩展版（PRISMA-ScR）清单。
无患者或公众参与。
