Förebyggande av trycksår : En allmän litteraturöversikt om sjuksköterskors erfarenheter

Background: Pressure ulcers are a common healthcare related injury that causes significant suffering, reduced quality of life for patients, and poses a risk to patient safety. Problem: Despite preventive opportunities, pressure ulcers continue to cause patient suffering and negative care outcomes, while nurses’ preventive work is constrained by factors such as competence gaps and organizational barriers. Purpose: The aim was to describe nurses’ experiences of pressure ulcer prevention. Method: A litterature review of thirteen scientific articles with qualitativ, quantitativ, and mixed-methods design was conducted. The analysis followed a four-step model and focused on systematically synthesizing prior research, while ethical considerations where continuosly adressed. Result: Four central themes were identified: clinical competence, preventive measures, ethical dilemmas, and organizational conditions. Quantitative findings showed that nurses’ knowledge of pressure ulcer prevention was moderate (64.5%), and only 8.5% achieved a high level of evidence-based knowledge. Conclusion: Nurses’ experiences indicate that several interrelated challenges hinder effective pressure ulcer prevention. Such work requires adequate competence, clear organizational structures, and ethical support for nurses in order to promote patient safety and equitable care. The findings also highlight the need for further research on how educational and organizational interventions can strengthen pressure ulcer prevention.