Open AccessTurning frequency in adult bedridden patients to prevent hospital‐acquired pressure ulcer: A scoping review
Author(s) -
Jocelyn Chew HS,
Thiara Emelia,
Lopez Violeta,
Shorey Shefaly
Publication year - 2018
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.12855
Subject(s) - medicine , cinahl , psycinfo , scopus , cochrane library , medline , data extraction , electronic journal , systematic review , intervention (counseling) , nursing , psychological intervention , meta analysis , free access , world wide web , political science , computer science , law
The aim of this study was to identify current research on turning frequencies of adult bed‐bound patients and inform future turning practices for hospitals based on evidence‐based practice. We undertook a scoping review framework that provided a transparent and systematic methodology using 8 electronic databases (CINAHL, PubMed, Cochrane Library, ScienceDirect, PsycINFO, Scopus, ProQuest, and Web of Science) to identify articles published from 2000 to 2016. Articles were included if they focused on the prevention of hospital‐acquired pressure ulcers related to the frequency of turning or repositioning of bed‐bound patients. Literature search and data extraction were performed independently by 3 authors. The study followed the PRISMA guidelines. In total, 911 articles were identified, of which 10 were eligible. Of the eligible articles, 8 studies could not reach a conclusion on the effective frequency of turning and duration for repositioning patients to prevent the development of pressure ulcers. Only 2 studies found significant differences among the intervention and control groups. Results regarding turning and repositioning schedules are inconclusive; however, the topic needs further exploration to improve the outdated guidelines surrounding pressure ulcer prevention. This may, in turn, make the work of nurses more efficient and make treatment cost‐effective for both the patients and the hospitals.