Amêndoa Daniela, Gugg Lara, Gomes Carolina, Diniz Catarina, Ferreira Óscar, Baixinho Cristina Lavareda
Nursing School of Lisbon, Lisbon, Portugal.
Hospital Vila Franca de Xira, Vila Franca de Xira, Portugal.
Int Wound J. 2025 Sep;22(9):e70212. doi: 10.1111/iwj.70212.
Pressure injuries (PIs) remain a problem for patient safety and the sustainability of healthcare systems. Difficulties persist in their assessment, prevention and monitoring by multidisciplinary teams. International recommendations point to this problem as a priority area for resolution in terms of patient safety. Research on the subject has been positive, resulting in several guidelines for clinical practice, but professionals' adherence remains below what is expected for their implementation. This scoping review aimed to identify interventions that increase multidisciplinary teams' adherence to the prevention and management of PIs between hospitals and the communities. The search was carried out in the MEDLINE (via PubMed), CINAHL, Scopus, Web of Science, JBI, Cochrane and grey literature databases by two independent reviewers, and led to the identification of 16 articles that met the eligibility criteria and made it possible to answer the research question. Strategies to improve adherence by health professionals include the creation and training of multidisciplinary teams, the implementation of new risk assessment models, Wound Boards, injury prevention reminders, video consultation apps, multidisciplinary rounds, documentation and recording. No studies were identified that assessed staff adherence to interventions aimed at preventing and managing PIs in the continuum between hospitals and communities, which is suggestive of the need for further research in this area.
压力性损伤（PIs）仍然是患者安全和医疗系统可持续性的一个问题。多学科团队在其评估、预防和监测方面仍然存在困难。国际建议指出，就患者安全而言，这一问题是需要优先解决的领域。关于该主题的研究取得了积极成果，产生了若干临床实践指南，但专业人员的依从性仍低于实施预期。本范围综述旨在确定能够提高医院与社区之间多学科团队对压力性损伤预防和管理依从性的干预措施。两名独立评审员在MEDLINE（通过PubMed）、CINAHL、Scopus、Web of Science、JBI、Cochrane和灰色文献数据库中进行了检索，共识别出16篇符合纳入标准的文章，从而能够回答研究问题。提高卫生专业人员依从性的策略包括创建和培训多学科团队、实施新的风险评估模型、伤口管理小组、损伤预防提醒、视频咨询应用程序、多学科查房、文档记录。未发现有研究评估工作人员对旨在预防和管理医院与社区之间连续过程中压力性损伤的干预措施的依从性，这表明该领域需要进一步研究。
