ORIGINAL RESEARCH article
Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Evidence-Based Management of Stage 2 Pressure Injuries in country-specific context
Provisionally accepted
- Department of Nursing,Xi 'an Municipal People's Hospital, Xi'an, China
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Background: The prevalence of pressure injuries (PI) among hospitalized adults worldwide remains high, posing a serious challenge to global healthcare systems. In China, the scarcity of specialized wound care nurses often leads to the suboptimal management of Stage 2 PI by general nursing staff. Therefore, enhancing the wound management capabilities of these non-specialist nurses is crucial for improving healing rates and patient outcomes. This study aimed to systematically summarize the best evidence for Stage 2 PI wound management and develop a standardized, evidence-based practice protocol for clinical nurses. Method: We employed an evidence-based continuous quality improvement model, which comprised four phases: evidence gathering, baseline review, evidence introduction, and effectiveness evaluation. The study was conducted in a tertiary hospital in China, involving 80 skin liaison nurses and 70 patients with Stage 2 PI. Results: Following the implementation of the evidence-based strategy, nurses' PI knowledge scores (PZ-PUKT) significantly increased from 53.31±4.75 to 56.29±4.72 (P<0.01) . The implementation rate of key review indicators improved markedly, with some increasing from 0% to 100%. Patient outcomes also improved significantly, as evidenced by reduced PUSH scores (P<0.05) , lower pain scores (VAS), and higher wound healing rates in the intervention group. Discussion: Research findings indicate that structured, evidence-based nursing strategies significantly enhance nurses' understanding and implementation of best practices, thereby accelerating wound healing and alleviating patient pain. This study provides a feasible model for implementing standardized Stage 2 PI care in resource-limited healthcare settings and lays the groundwork for future multicenter research on intelligent nursing interventions.
Keywords: Evidence-Based Practice, Knowledge translation and dissemination, Non-wound specialist nurse, pressure injuries, wound management,
Received: 06 Jul 2025; Accepted: 08 Dec 2025.
Copyright: © 2025 Luo, Hao, Wen, Tang and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Liang Hao
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