Cochrane · systematic review · CD011620
Education of healthcare professionals for preventing pressure ulcers
Porter‐Armstrong, AP, Moore, ZEH, Bradbury, I, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
WoundsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
37
current version
GRADE rated
7
No studies
30
Included studies
NR
No studies 30 · 81.1%Ungraded 0 · 0%Very low 7 · 18.9%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Education compared to no education for preventing pressure ulcers
Population: staff caring for patients at risk of pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Knowledge in hospital group Education vs no education | no estimate extracted | 1 study · 10 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Knowledge in nursing‐home group Education vs no education | no estimate extracted | 1 study · 10 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Change in health professionals' clinical behaviour Education vs no education | no estimate extracted | NR | No studies |
Incidence of new pressure ulcers Education vs no education | no estimate extracted | NR | No studies |
Severity of pressure ulcers Education vs no education | no estimate extracted | NR | No studies |
Patient‐reported outcomes Education vs no education | no estimate extracted | NR | No studies |
Carer‐reported outcomes Education vs no education | no estimate extracted | NR | No studies |
Training, monitoring and observation compared to monitoring and observation for preventing pressure ulcers
Population: staff caring for patients at risk of pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in health professionals' knowledge Training, monitoring and observation vs monitoring and observation | no estimate extracted | NR | No studies |
Change in health professionals' clinical behaviour Training, monitoring and observation vs monitoring and observation | no estimate extracted | NR | No studies |
Incidence of new pressure ulcers Training, monitoring and observation vs monitoring and observation | RR 0.63 [0.37, 1.05] | 1 study · 345 participants | Very low Downgraded: imprecision |
Severity of new pressure ulcers Training, monitoring and observation vs monitoring and observation | no estimate extracted | NR | No studies |
Patient‐reported outcomes Training, monitoring and observation vs monitoring and observation | no estimate extracted | NR | No studies |
Carer‐reported outcomes Training, monitoring and observation vs monitoring and observation | no estimate extracted | NR | No studies |
Training, monitoring and observation compared to observation alone for preventing pressure ulcers
Population: staff caring for patients at risk of pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in health professionals' knowledge Training, monitoring and observation vs observation alone | no estimate extracted | NR | No studies |
Change in health professionals' clinical behaviour Training, monitoring and observation vs observation alone | no estimate extracted | NR | No studies |
Incidence of new pressure ulcers Training, monitoring and observation vs observation alone | RR 1.21 [0.6, 2.43] | 1 study · 325 participants | Very low Downgraded: imprecision |
Severity of new pressure ulcers Training, monitoring and observation vs observation alone | no estimate extracted | NR | No studies |
Patient‐reported outcomes Training, monitoring and observation vs observation alone | no estimate extracted | NR | No studies |
Carer‐reported outcomes Training, monitoring and observation vs observation alone | no estimate extracted | NR | No studies |
Monitoring and observation compared to observation alone for preventing pressure ulcers
Population: staff caring for patients at risk of pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in health professionals' knowledge Monitoring and observation vs observation alone | no estimate extracted | NR | No studies |
Change in health professionals' clinical behaviour Monitoring and observation vs observation alone | no estimate extracted | NR | No studies |
Incidence of new pressure ulcers Monitoring and observation vs observation alone | RR 1.93 [0.96, 3.88] | 1 study · 232 participants | Very low Downgraded: imprecision |
Severity of new pressure ulcers Monitoring and observation vs observation alone | no estimate extracted | NR | No studies |
Patient reported outcomes Monitoring and observation vs observation alone | no estimate extracted | NR | No studies |
Carer reported outcomes Monitoring and observation vs observation alone | no estimate extracted | NR | No studies |
Didactic education versus video education for preventing pressure ulcers
Population: staff caring for patients at risk of pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in health professionals' knowledge Didactic education vs video education | no estimate extracted | 1 study · 102 participants | Very low Downgraded: risk of bias, imprecision |
Change in health professionals' clinical behaviour Didactic education vs video education | no estimate extracted | NR | No studies |
Incidence of new pressure ulcers Didactic education vs video education | no estimate extracted | NR | No studies |
Severity of pressure ulcers Didactic education vs video education | no estimate extracted | NR | No studies |
Patient‐reported outcomes Didactic education vs video education | no estimate extracted | NR | No studies |
Carer‐reported outcomes Didactic education vs video education | no estimate extracted | NR | No studies |
E‐learning versus classroom education for preventing pressure ulcers
Population: staff caring for patients at risk of pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Knowledge of pressure ulcer classification E‐learning vs classroom education | RR 0.92 [0.8, 1.07] | 1 study · 18 participants | Very low Downgraded: risk of bias, imprecision |
Change in health professionals' clinical behaviour E‐learning vs classroom education | no estimate extracted | NR | No studies |
Incidence of new pressure ulcers E‐learning vs classroom education | no estimate extracted | NR | No studies |
Severity of pressure ulcers E‐learning vs classroom education | no estimate extracted | NR | No studies |
Patient‐reported outcomes E‐learning vs classroom education | no estimate extracted | NR | No studies |
Carer‐reported outcomes E‐learning vs classroom education | no estimate extracted | NR | No studies |