Abstract
Abstract Objective To explore the factors affecting nurses’ compliance with repositioning policy. Methods An integrative review was conducted following the Whittemore and Knafl methodology to identify the problem related to repositioning policy compliance. We searched the following databases: Coherence Wounds Group Specialized Register (Jan 1997 to Jun 2019), Ovid MEDLINE (Jan 1997 to Jun 2019), EBSCO CINAHL (Jan 1997 to Jun 2019), and Clinical Key database (Jan 2014 to Oct 2018). Results The review revealed three factors that influence repositioning compliance: nurse-related factors, patient-related factors, and Environment-related factors. Conclusions These factors directly impact one another and, in turn, influence the compliance of nurses to the repositioning policy. However, there is no evidence currently available that explains the collective impact of these factors and how they interact to affect repositioning policy compliance. Nevertheless, all these factors are important and should be considered to enhance and further improve the quality of nursing care and adherence to the repositioning policy.
Highlights
The pressure ulcer advisory panels defined a pressure ulcer/injury as “localized damage to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear, but may occur from medical devices or other objects.”[1,2]A lack of repositioning compliance results in vessels being constricted under gravitational pressure, which stops or critically minimizes the amount of blood passing through to the target tissues.[3]
An integrative review was conducted following the Whittemore and Knafl methodology to identify the problem related to repositioning policy compliance
A total of 30 studies did not discuss factors related to repositioning policy compliance as a concern, and the authors differed in their opinions about five studies
Summary
The pressure ulcer advisory panels defined a pressure ulcer/injury as “localized damage to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear, but may occur from medical devices or other objects.”[1,2]. This article aimed to identify factors affecting repositioning policy compliance among nurses at the clinical level to support stakeholders in understanding repositioning compliance phenomena and to aid in the design of suitable changes to evidence-based repositioning policy. To achieve this goal, we followed the methodology used by Whittemore and Knafl[30] to answer the review question: “What are the factors affecting repositioning compliance among nurses in clinical units?” The review methodology consists of five steps: problem identification, review of the studies, evaluation of the data, data analysis, and presentation of findings
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