Jocelyn Chew HS, Thiara E, Lopez V, Shorey S, et al.
International wound journal. Date of publication 2018 Apr 1;volume 15(2):225-236.
1. Int Wound J. 2018 Apr;15(2):225-236. doi: 10.1111/iwj.12855. Epub 2017 Dec 15.
Turning frequency in adult bedridden patients to prevent hospital-acquired
pressure ulcer: A scoping review.
Jocelyn Chew HS(1), Thiara E(2), Lopez V(3), Shorey S(3).
Author information:
(1)The Nethersole School of Nursing, Chinese University of Hong Kong, China.
(2)Paediatric Intensive Care Unit, National University Hospital, Singapore.
(3)Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine,
National University of Singapore, Singapore.
The aim of this study was to identify current research on turning frequencies of
adult bed-bound patients and inform future turning practices for hospitals based
on evidence-based practice. We undertook a scoping review framework that provided
a transparent and systematic methodology using 8 electronic databases (CINAHL,
PubMed, Cochrane Library, ScienceDirect, PsycINFO, Scopus, ProQuest, and Web of
Science) to identify articles published from 2000 to 2016. Articles were included
if they focused on the prevention of hospital-acquired pressure ulcers related to
the frequency of turning or repositioning of bed-bound patients. Literature
search and data extraction were performed independently by 3 authors. The study
followed the PRISMA guidelines. In total, 911 articles were identified, of which
10 were eligible. Of the eligible articles, 8 studies could not reach a
conclusion on the effective frequency of turning and duration for repositioning
patients to prevent the development of pressure ulcers. Only 2 studies found
significant differences among the intervention and control groups. Results
regarding turning and repositioning schedules are inconclusive; however, the
topic needs further exploration to improve the outdated guidelines surrounding
pressure ulcer prevention. This may, in turn, make the work of nurses more
efficient and make treatment cost-effective for both the patients and the
hospitals.
© 2017 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
DOI: 10.1111/iwj.12855
PMID: 29243356 [Indexed for MEDLINE]
