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Community-Acquired Pressure Injuries: Prevalence, Risk Factors and Effect of Care Bundles-An Integrative Review
Fazila Aloweni1, Siew Hoon Lim1, Nanthakumahrie Gunasegaran1
1Nursing Division, Singapore General Hospital, Singapore.
Journal of Clinical Nursing
|October 6, 2024
Summary
Community-acquired pressure injuries (CAPIs) are common, with risk factors including age and immobility. Evidence on effective CAPI care bundles in community settings is limited, highlighting a gap in understanding and implementation.
Area of Science:
- Community health nursing
- Wound care research
- Public health initiatives
Background:
- Pressure injury (PI) care bundles have proven effective in reducing PI rates in acute care settings.
- However, there is a significant lack of evidence and implementation of PI care bundles specifically within community healthcare environments.
Purpose of the Study:
- To synthesize current evidence on pressure injury care bundles in the community.
- To examine the prevalence and incidence of community-acquired pressure injuries (CAPIs) over the past decade.
- To identify risk factors associated with CAPIs and evaluate the components and outcomes of community-based PI care bundles.
Main Methods:
- An integrative review guided by the Whittemore and Knafl framework.
- Adherence to Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines.
- Searches conducted in PubMed, Medline, CINAHL, and Web of Science for English-language studies published between 2012 and 2022, with quality appraisal of selected articles.
Main Results:
- 25 out of 89 retrieved articles met inclusion criteria. Prevalence rates for CAPIs ranged from 0.02% to 10.8% (point) and 2.7% to 86.4% (period), with a cumulative incidence of 1.3%.
- Commonly reported risk factors include older age, poor nutrition, immobility, and multiple comorbidities. Socioeconomic and caregiving factors were largely unexamined.
- Very few studies evaluated PI care bundles in the community, and their components varied significantly.
Conclusions:
- Pressure injury development is multifactorial, with significant gaps in understanding the role of socioeconomic and caregiving factors.
- There is a critical need for further research into the components and outcomes of effective pressure injury care bundles tailored for community settings.
- CAPIs are often underreported, and preventive care bundles are underutilized in the community compared to acute care.
Keywords:
care bundlecare outcomescommunity‐dwellingevidence‐based inquiryintegrative reviewpressure ulcersMore Related Videos
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