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Background <p>Low-value care (LVC) is increasingly recognized as a contributor to inefficiency in healthcare. Pressure injury (PI) is a key nursing-sensitive quality indicator and involve numerous interventions. However, to date, no studies have systematically identified which practices qualify as low-value. This scoping review aims to synthesize existing evidence on LVC in PI management to inform research priorities and clinical improvements.</p> Method <p>We conducted a comprehensive search of PubMed, Embase, Web of Science, CINAHL, CNKI, Wanfang, VIP, and CBM databases up to December 10, 2024, to identify eligible articles. Two reviewers independently screened the abstracts and full texts, with conflicts resolved through discussion until consensus was reached. Data were extracted using a piloted data-charting form.</p> Results <p>Of the 1884 publications screened, 25 met the inclusion criteria. The focus areas of the included articles included PI prevention (<i>n</i> = 13), PI treatment (<i>n</i> = 10), and both prevention and treatment (<i>n</i> = 2). The identified low-value care targets were diverse. They included unrestricted practices (<i>n</i> = 6), dressings and topical agents (<i>n</i> = 4), repositioning (<i>n</i> = 3), support surfaces (<i>n</i> = 3), education (<i>n</i> = 2), risk assessment tools (<i>n</i> = 1), nutritional intervention (<i>n</i> = 1), electrical stimulation (<i>n</i> = 1), negative pressure wound therapy (<i>n</i> = 1), phototherapy (<i>n</i> = 1), electromagnetic therapy (<i>n</i> = 1), and therapeutic ultrasound (<i>n</i> = 1).</p> Conclusions <p>This scoping review found that some progress has been made in identifying low-value practices in PI management. However, significant gaps remain. Future research should focus on generating high-quality evidence and incorporating patient preferences to address these gaps.</p>

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Low-value clinical practices in pressure injury management: a scoping review

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月8日

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  • Mengyao Jiang,
  • Xuejun Wang,
  • Yujie Wu,
  • Yaru Xiao,
  • Qi Xiao,
  • Jie Xiong,
  • Weiwei Shang

摘要

Background

Low-value care (LVC) is increasingly recognized as a contributor to inefficiency in healthcare. Pressure injury (PI) is a key nursing-sensitive quality indicator and involve numerous interventions. However, to date, no studies have systematically identified which practices qualify as low-value. This scoping review aims to synthesize existing evidence on LVC in PI management to inform research priorities and clinical improvements.

Method

We conducted a comprehensive search of PubMed, Embase, Web of Science, CINAHL, CNKI, Wanfang, VIP, and CBM databases up to December 10, 2024, to identify eligible articles. Two reviewers independently screened the abstracts and full texts, with conflicts resolved through discussion until consensus was reached. Data were extracted using a piloted data-charting form.

Results

Of the 1884 publications screened, 25 met the inclusion criteria. The focus areas of the included articles included PI prevention (n = 13), PI treatment (n = 10), and both prevention and treatment (n = 2). The identified low-value care targets were diverse. They included unrestricted practices (n = 6), dressings and topical agents (n = 4), repositioning (n = 3), support surfaces (n = 3), education (n = 2), risk assessment tools (n = 1), nutritional intervention (n = 1), electrical stimulation (n = 1), negative pressure wound therapy (n = 1), phototherapy (n = 1), electromagnetic therapy (n = 1), and therapeutic ultrasound (n = 1).

Conclusions

This scoping review found that some progress has been made in identifying low-value practices in PI management. However, significant gaps remain. Future research should focus on generating high-quality evidence and incorporating patient preferences to address these gaps.