Nurses' experiences of preventing pressure ulcers in somatic inpatient care : Literature based study

Background: Pressure ulcers are a significant issue in somatic inpatient care, causing patient suffering and increasing healthcare costs. Nurses have a central role in preventing pressure ulcers by performing risk assessments, implementing preventive measures, and involving patients in their care. However, organizational challenges and resource shortages hinder effective prevention. Aim: The aim of this study was to describe nurses’ experiences of preventing pressure ulcers in somatic inpatient care. Method: The method used was based on analysis of qualitative research: to contribute to evidence-based nursing based on analysis of qualitative research (Friberg, 2017). The analysis of scientific articles resulted in three themes and seven subthemes. Results: The three themes were: Challenges in identifying at-risk patients, Inadequate organizational conditions, and Leading care that addresses the patient’s overall needs. The results show that nurses face difficulties using risk assessment tools due to lack of training and tool adaptability. Organizational challenges such as resource shortages, high workloads, and limited time further delay preventive efforts. Additionally, involving patients in care and interdisciplinary collaboration were highlighted as essential but often insufficiently implemented. Conclusion: Nurses play a crucial role in preventing pressure ulcers, but improvements in education, resources, and interdisciplinary teamwork are necessary. Organizational support and patient-centered approaches can enhance care quality, reduce patient suffering, and promote sustainability in healthcare. Strengthening nurses’ competencies and creating supportive environments are key to addressing these challenges.