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The Practice Experience of ICU Nurses in Preventing Pressure Injuries: A Qualitative Meta-Synthesis
Siyao Huang1, Meiyun Yang2, Fangfang Xu3
1School of Nursing, Jiangxi Medical College, Nanchang University, Department of Neurosurgery, The Second Affiliated Hospital of Jiangxi Medical College, Nanchang University, Nanchang, China.
Journal of Advanced Nursing
|June 26, 2026
Summary
Intensive care unit (ICU) nurses face complex challenges in preventing pressure injuries. Addressing barriers and facilitators through coordinated strategies can improve preventive care quality and patient outcomes.
Area of Science:
- Nursing Science
- Healthcare Quality Improvement
- Patient Safety
Background:
- Pressure injuries are a significant concern in intensive care units (ICUs).
- Understanding nurses' experiences is crucial for effective prevention strategies.
Purpose of the Study:
- To synthesize qualitative evidence on ICU nurses' experiences with pressure injury prevention.
- To identify facilitators and barriers influencing these practices.
- To inform the development of targeted intervention strategies.
Main Methods:
- Qualitative meta-synthesis following Joanna Briggs Institute methodology.
- Utilized Theoretical Domains Framework and COM-B model.
- Systematic search across nine databases up to January 2026.
Main Results:
- Included 12 studies with 52 findings, synthesized into 13 categories.
- Identified key facilitators and barriers impacting nurses' pressure injury prevention behaviors.
- Consolidated findings mapped using the Theoretical Domains Framework and COM-B model.
Conclusions:
- Pressure injury prevention is a complex behavior influenced by multiple factors.
- Interventions should enhance knowledge, skills, resources, environment, beliefs, and motivation.
- Multi-component approaches are recommended for high-quality pressure injury prevention in ICUs.
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