Evidence map›Paper›PMID 40470684›Full record

SynthesisJournal of advanced nursing2026

Effectiveness of Organisational Strategies for Pressure Injury Prevention and Treatment in Acute Hospital Settings: A Systematic Review.

Jake McMahon, Elizabeth McInnes, Ching Shan Wan, Nicola Straiton, Louisa Lam, Jane Rodgers, Jessica Dickson, Paul Fulbrook

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jake McMahonSchool of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.ORCID https://orcid.org/0000-0002-0105-8381
Elizabeth McInnesSt Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.ORCID https://orcid.org/0000-0002-0567-9679
Ching Shan WanNational Health and Medical Research Council Centre of Research Excellence in Wiser Wound Care, Griffith University, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0003-3871-1118
Nicola StraitonNursing Research Institute, St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne, Australian Catholic University, Darlinghurst, New South Wales, Australia.ORCID https://orcid.org/0000-0002-5013-0159
Louisa LamSchool of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.ORCID https://orcid.org/0000-0002-1439-0893
Jane RodgersNursing Research Institute, St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne, Australian Catholic University, Darlinghurst, New South Wales, Australia.
Jessica DicksonRMIT University Library, RMIT University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-2114-9974
Paul FulbrookSchool of Nursing, Midwifery and Paramedicine, Australian Catholic University, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-6547-1861

Funding

NHMRC Centre of Research Excellence in Wiser Wound Care PhD Scholarship
6 · The paper itself

Abstract

aimTo investigate the effects of organisational interventions on the incidence, healing and management of pressure injuries in adult patients in acute hospital settings.

designSystematic review.

methodsThe review included adult patients at risk of or with pre-existing pressure injuries in acute hospital settings, excluding mental health units, emergency departments or operating theatres. Interventions employed in the included studies were categorised using the Cochrane Effective Practice and Organisation of Care taxonomy. DATA SOURCES: Cochrane Central Register of Controlled Trials, Ovid MEDLINE, Ovid Embase, EBSCO CINAHL Complete and Web of Science Core Collection were searched from 01 January 2012 to 31 December 2023.

resultsOf 8861 records identified, 7 prevention studies met the inclusion criteria. Six studies reported reductions in pressure injury incidence. Included studies employed various combinations of 14 organisational strategies to enhance practices. Educational interventions were utilised in six studies, including educational meetings, materials and outreach visits. Other common strategies included audit and feedback, communities of practice and continuous quality improvement. The interventions targeted patients and clinicians, primarily nurses, with some involving multidisciplinary teams. The focus was on enhancing healthcare practices through systematic approaches and stakeholder engagement.

conclusionsOrganisational strategies targeting both patients and clinicians as part of an intervention bundle may enhance the prevention of pressure injuries in acute hospital settings. Further, high-quality effectiveness-implementation hybrid trials are required to evaluate these strategies. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: Organisational factors influence clinicians' ability to implement evidence-based practices. The effectiveness of specific organisational strategies in acute settings is uncertain. Multiple organisational strategies targeting patients and clinicians may improve the implementability of a pressure injury prevention intervention. REPORTING

methodThis study adhered to PRISMA guidelines. PATIENT OR PUBLIC CONTRIBUTION: Neither patients nor the public were directly involved in this study.

Indexed as

Pressure UlcerAdultAgedFemaleHospitalsHumansMaleMiddle Agedacute caredelivery of health carehospitalsimplementation strategiespressure injurypreventionsystematic review

Identifiers

PMID40470684
PMCPMC12907601

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.