Pressure Injury Prevention Bundles in Adult Critical Care: A Narrative Review
College of Nursing and Critical Care Unit, Kolkata, West Bengal, India
Corresponding Author: Fernandes L, Doctus Journal of Nursing Science.
Abstract
Pressure injury remains a common and largely preventable complication of critical illness. This narrative review examines the components of prevention bundles reported in critical care over the past decade and the evidence for each in isolation. Risk assessment scales perform poorly on their own; repositioning schedules, support surface selection and prophylactic sacral dressings each show benefit, and the effect of bundles exceeds the sum of documented individual components. Reported implementation failures cluster around repositioning during haemodynamic instability, where written protocols rarely give usable guidance. We identify this as the priority gap for future protocol development.
Keywords
Pressure Injury; Critical Care; Prevention Bundle; Repositioning; Support Surfaces; Nursing Practice
How to Cite
Fernandes L and Saha P. “Pressure Injury Prevention Bundles in Adult Critical Care: A Narrative Review”. Doctus Journal of Nursing Science 1.6 (2025): 44-60.
Copyright and Licence
© 2025 Fernandes L. This is an open access article distributed under the Creative Commons Attribution Licence, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.