| Title: |
Detailing Prevention Recommendations From the RNAO Best Practice Guideline - Pressure Injury Management: Risk Assessment, Prevention, and Treatment, Fourth Edition ; Présentation détaillée des recommandations en matière de prévention issues de la ligne directrice sur les pratiques exemplaires de l’Association des infirmières et infirmiers autorisés de l’Ontario (AIIAO) – Gestion des lésions de pression : évaluation du risque, prévention et traitement, quatrième édition |
| Authors: |
Stade, Brenda; Burt, Amy; Nizum, Nafsin; Howitt, Lyndsay; Zucal, Giulia; Heerschap, Corey; Beeckman, Dimitri |
| Source: |
Canadian Journal of Wound, Ostomy and Continence; Vol. 1 No. 3 (2025): Canadian Journal of Wound, Ostomy and Continence; 31-43 ; Journal canadian en plaies, stomies et continence; Vol. 1 No. 3 (2025): Journal canadien en plaies, stomies et continence; 31-43 ; 2819-1927 ; 2819-1919 |
| Publisher Information: |
Nurses Specialized in Wound, Ostomy and Continence Canada |
| Publication Year: |
2026 |
| Subject Terms: |
Pressure injury; prevention; repositioning; care bundle; prophylactic dressings; lésion de pression; prévention; repositionnement; ensemble de soins; pansements prophylactiques |
| Description: |
BackgroundPressure injuries (PIs) constitute some of the costliest adverse events in hospitals, in long-term care facilities, and in homecare settings. PIs are painful and can impact quality of life. Depending on the stage of the injury and whether there are complications or comorbidities, healing may take weeks, months, or years and can contribute to premature mortality. The Registered Nurses’ Association of Ontario (RNAO) released a best practice guideline (BPG) in November 2024 with evidence-based recommendations on the assessment, prevention, and treatment of PIs. This paper focuses on the prevention of PIs that are outlined in this guideline. Methods Best practice guidelines are based on systematic reviews and developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. A panel of PI experts was convened to guide the process. We conducted a systematic literature review focusing on three preventive areas as related to PIs: repositioning frequency, care bundles, and use of prophylactic dressings. We searched seven databases for relevant English-language studies published since January 2018. Two reviewers independently assessed the research for eligibility and for risk of bias and determined the validity of the evidence using the GRADE approach. ResultsWe screened 1,295 articles for 3 priority research questions. Of these articles, 234 full-text publications were reviewed for relevance, and 14 were used to inform 3 recommendations on repositioning frequency, preventive care bundles, and the use of prophylactic dressings. ConclusionThis paper provides nurses and other members of the interprofessional team, including persons and their families, with evidence-based recommendations for preventing PIs. ; ContexteLes lésions de pression (LP) constituent l’un des événements indésirables les plus coûteux dans les hôpitaux, les établissements de soins de longue durée et les milieux de soins à domicile. Les LP sont douloureuses et peuvent nuire à la qualité devie. Selon le ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English; French |
| Relation: |
https://cjwoc.ca/index.php/cjwoc/article/view/16185/11951; https://cjwoc.ca/index.php/cjwoc/article/view/16185/11953; https://cjwoc.ca/index.php/cjwoc/article/view/16185 |
| DOI: |
10.63354/cjwoc.v1i3.16185 |
| Availability: |
https://cjwoc.ca/index.php/cjwoc/article/view/16185; https://doi.org/10.63354/cjwoc.v1i3.16185 |
| Rights: |
Copyright (c) 2026 Canadian Journal of Wound, Ostomy and Continence ; https://creativecommons.org/licenses/by/4.0 |
| Accession Number: |
edsbas.9D83085E |
| Database: |
BASE |