Roles, Barriers and Facilitators of Multidisciplinary Teams Supporting People With Stage 3 and 4 Pressure Injuries in...

This scoping review examined the literature on the roles of healthcare professionals involved in multidisciplinary team (MDT) management of pressure injuries (PIs), as well as the barriers and facilitators influencing team-based care. Pressure injuries represent a significant global disease burden with physical and psychological impacts on individuals, requiring coordinated management from multiple disciplines. Understanding MDT composition, roles, and care delivery is essential to optimise patient outcomes and team performance across the care continuum. Eligible English-language papers on multidisciplinary PI care in hospital and community settings were identified through searching CINAHL, Cochrane, Embase, MEDLINE, and Scopus. After duplicates were removed, the remaining articles were independently screened by two reviewers, with discrepancies resolved by consensus. Data from 41 eligible papers were extracted and analysed thematically. MDT roles spanned wound care, rehabilitation, education, nutritional support, and care coordination, with substantial interdisciplinary overlap. Key facilitators included dedicated leadership, regular meetings, shared documentation, and ongoing training, while barriers encompassed unclear role definitions, inconsistent guidelines, poor hospital-to-community integration, and patient complexity. Critical gaps remained in psychosocial support, telehealth, and care for diverse populations. Multidisciplinary teams must be adaptable, holistic, and guided by patient experiences to optimise both healing and long-term prevention.