Suva G, Sharma T, Campbell KE, Sibbald RG, An D, Woo K, et al.
International wound journal. Date of publication 2018 Aug 1;volume 15(4):580-589.
1. Int Wound J. 2018 Aug;15(4):580-589. doi: 10.1111/iwj.12901. Epub 2018 Mar 30.
Strategies to support pressure injury best practices by the inter-professional
team: A systematic review.
Suva G(1), Sharma T(2), Campbell KE(3), Sibbald RG(4), An D(1), Woo K(5).
Author information:
(1)Provincial Council for Maternal and Child Health, Toronto, Canada.
(2)The Regional Municipality of York, Toronto, Canada.
(3)Western University, Toronto, Canada.
(4)Dalla Lana Faculty of Public Health, Women's College Hospital, Trillium Health
Care Partners, University of Toronto, Toronto, Canada.
(5)School of Nursing, School of Rehabilitation Therapy, Queen's University,
Kingston, Canada.
Optimal pressure injury (ulcer) management by the inter-professional team
requires appropriate health care system and organisational resources,
infrastructure, and policies. A systematic review was conducted on pressure
injury care-related education and health care system-/organisation-level
strategies. A search for relevant articles published between January 2006 and
October 2014 was applied to 8 databases. Ultimately, 22 articles pertaining to
education and training and 12 articles pertaining to health care system and
organisation supports for pressure injury care were included in the systematic
review. A lack of pressure injury assessment and management knowledge by health
care professionals was an overriding theme in the education literature. Some of
the methods preferred for pressure injury education among nurses and physicians
included information technology (eg, e-learning) with technology support and the
use of high-quality wound pictures. Although the evidence is scarce, the
literature did highlight specific system- and organisation-level barriers and
enablers that influence practice change, including inter-professional
communication and human resource investments. In conclusion, (1) the current
evidence on the education and system-level enablers, barriers, and strategies to
optimise pressure injury best practices requires further investigation, and (2)
multi-faceted, up-stream, evidence-based approaches for pressure injury care are
essential to improve health care and patient-related outcomes.
© 2018 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
DOI: 10.1111/iwj.12901
PMID: 29600545
