Alternative reactive support surfaces (non-foam and non-air-filled) for preventing pressure ulcers

Journal article


Shi, C., Dumville, J. C., Cullum, N., Rhodes, S. and McInnes, E.. (2021). Alternative reactive support surfaces (non-foam and non-air-filled) for preventing pressure ulcers. Cochrane Database of Systematic Reviews. (5), pp. 1-121. https://doi.org/10.1002/14651858.CD013623.pub2
AuthorsShi, C., Dumville, J. C., Cullum, N., Rhodes, S. and McInnes, E.
Abstract

Background
Pressure ulcers (also known as injuries, pressure sores, decubitus ulcers and bed sores) are localised injuries to the skin or underlying soft tissue, or both, caused by unrelieved pressure, shear or friction. Reactive surfaces that are not made of foam or air cells can be used for preventing pressure ulcers.

Objectives
To assess the effects of non‐foam and non‐air‐filled reactive beds, mattresses or overlays compared with any other support surface on the incidence of pressure ulcers in any population in any setting.

Search methods
In November 2019, we searched the Cochrane Wounds Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE (including In‐Process & Other Non‐Indexed Citations); Ovid Embase and EBSCO CINAHL Plus. We also searched clinical trials registries for ongoing and unpublished studies, and scanned reference lists of relevant included studies as well as reviews, meta‐analyses and health technology reports to identify additional studies. There were no restrictions with respect to language, date of publication or study setting.

Selection criteria
We included randomised controlled trials that allocated participants of any age to non‐foam or non‐air‐filled reactive beds, overlays or mattresses. Comparators were any beds, overlays or mattresses used.

Data collection and analysis
At least two review authors independently assessed studies using predetermined inclusion criteria. We carried out data extraction, 'Risk of bias' assessment using the Cochrane 'Risk of bias' tool, and the certainty of the evidence assessment according to Grading of Recommendations, Assessment, Development and Evaluations methodology. If a non‐foam or non‐air‐filled surface was compared with surfaces that were not clearly specified, then the included study was recorded and described but not considered further in any data analyses.

Main results
We included 20 studies (4653 participants) in this review. Most studies were small (median study sample size: 198 participants). The average participant age ranged from 37.2 to 85.4 years (median: 72.5 years). Participants were recruited from a wide range of care settings but were mainly from acute care settings. Almost all studies were conducted in Europe and America. Of the 20 studies, 11 (2826 participants) included surfaces that were not well described and therefore could not be fully classified. We synthesised data for the following 12 comparisons: (1) reactive water surfaces versus alternating pressure (active) air surfaces (three studies with 414 participants), (2) reactive water surfaces versus foam surfaces (one study with 117 participants), (3) reactive water surfaces versus reactive air surfaces (one study with 37 participants), (4) reactive water surfaces versus reactive fibre surfaces (one study with 87 participants), (5) reactive fibre surfaces versus alternating pressure (active) air surfaces (four studies with 384 participants), (6) reactive fibre surfaces versus foam surfaces (two studies with 228 participants), (7) reactive gel surfaces on operating tables followed by foam surfaces on ward beds versus alternating pressure (active) air surfaces on operating tables and subsequently on ward beds (two studies with 415 participants), (8) reactive gel surfaces versus reactive air surfaces (one study with 74 participants), (9) reactive gel surfaces versus foam surfaces (one study with 135 participants), (10) reactive gel surfaces versus reactive gel surfaces (one study with 113 participants), (11) reactive foam and gel surfaces versus reactive gel surfaces (one study with 166 participants) and (12) reactive foam and gel surfaces versus foam surfaces (one study with 91 participants). Of the 20 studies, 16 (80%) presented findings which were considered to be at high overall risk of bias.

Primary outcome: Pressure ulcer incidence

We did not find analysable data for two comparisons: reactive water surfaces versus foam surfaces, and reactive water surfaces versus reactive fibre surfaces. Reactive gel surfaces used on operating tables followed by foam surfaces applied on hospital beds (14/205 (6.8%)) may increase the proportion of people developing a new pressure ulcer compared with alternating pressure (active) air surfaces applied on both operating tables and hospital beds (3/210 (1.4%) (risk ratio 4.53, 95% confidence interval 1.31 to 15.65; 2 studies, 415 participants; I2 = 0%; low‐certainty evidence). For all other comparisons, it is uncertain whether there is a difference in the proportion of participants developing new pressure ulcers as all data were of very low certainty.

Included studies did not report time to pressure ulcer incidence for any comparison in this review.

Secondary outcomes

Support‐surface‐associated patient comfort: the included studies provide data on this outcome for one comparison. It is uncertain if there is a difference in patient comfort between alternating pressure (active) air surfaces and reactive fibre surfaces (one study with 187 participants; very low‐certainty evidence).

All reported adverse events: there is evidence on this outcome for one comparison. It is uncertain if there is a difference in adverse events between reactive gel surfaces followed by foam surfaces and alternating pressure (active) air surfaces applied on both operating tables and hospital beds (one study with 198 participants; very low‐certainty evidence).

We did not find any health‐related quality of life or cost‐effectiveness evidence for any comparison in this review.

Authors' conclusions
Current evidence is generally uncertain about the differences between non‐foam and non‐air‐filled reactive surfaces and other surfaces in terms of pressure ulcer incidence, patient comfort, adverse effects, health‐related quality of life and cost‐effectiveness. Reactive gel surfaces used on operating tables followed by foam surfaces applied on hospital beds may increase the risk of having new pressure ulcers compared with alternating pressure (active) air surfaces applied on both operating tables and hospital beds.

Future research in this area should consider evaluation of the most important support surfaces from the perspective of decision‐makers. Time‐to‐event outcomes, careful assessment of adverse events and trial‐level cost‐effectiveness evaluation should be considered in future studies. Trials should be designed to minimise the risk of detection bias; for example, by using digital photography and adjudicators of the photographs being blinded to group allocation. Further review using network meta‐analysis will add to the findings reported here.

Year2021
JournalCochrane Database of Systematic Reviews
Journal citation(5), pp. 1-121
PublisherJohn Wiley & Sons
ISSN1469-493X
Digital Object Identifier (DOI)https://doi.org/10.1002/14651858.CD013623.pub2
Scopus EID2-s2.0-85105598526
Open accessPublished as ‘gold’ (paid) open access
Research or scholarlyResearch
Page range1-121
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online06 May 2021
Publication process dates
Deposited29 Jul 2021
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Brown, Bernadette, Patel, Cyra, McInnes, Elizabeth, Mays, Nicholas, Young, Jane and Haines, Mary. (2016). The effectiveness of clinical networks in improving quality of care and patient outcomes: A systematic review of quantitative and qualitative studies. BMC Health Services Research. 16(6), pp. 1 - 16. https://doi.org/10.1186/s12913-016-1615-z
The effect of a patient centred care bundle intervention on pressure ulcer incidence (INTACT): A cluster randomised trial
Chaboyer, Wendy, Bucknall, Tracey, Webster, Joan, McInnes, Elizabeth Catherine, Gillespie, Brigid M., Banks, Merrilyn, Whitty, Jennifer A., Thalib, Lukman, Roberts, Shelley, Tallott, Mandy, Cullum, Nicky and Wallis, Marianne. (2016). The effect of a patient centred care bundle intervention on pressure ulcer incidence (INTACT): A cluster randomised trial. International Journal of Nursing Studies. 64, pp. 63 - 71. https://doi.org/10.1016/j.ijnurstu.2016.09.015
A survey of acute care clinicians views on factors influencing hand hygiene practice and actions to improve hand hygiene compliance
Jammali-Blasi, Asmara, McInnes, Elizabeth Catherine and Middleton, Sandra Jane. (2016). A survey of acute care clinicians views on factors influencing hand hygiene practice and actions to improve hand hygiene compliance. Infection, Disease and Health. 21(1), pp. 16 - 25. https://doi.org/10.1016/j.idh.2016.01.004
Disinvesting in ineffective and inappropriate practice: The neglected side of evidence-based health care?
Harvey, Gillian and McInnes, Elizabeth Catherine. (2015). Disinvesting in ineffective and inappropriate practice: The neglected side of evidence-based health care? Worldviews on Evidence-Based Nursing. 12(6), pp. 309 - 312. https://doi.org/10.1111/wvn.12137
Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care: effects of a targeted protocol implementation for nursing and medical staff.
Knowles, Serena, Lam, Lawrence, McInnes, Elizabeth, Elliott, Doug, Hardy, Jennifer and Middleton, Sandy. (2015). Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care: effects of a targeted protocol implementation for nursing and medical staff. BMC Nursing. 14(6), pp. 1 - 13. https://doi.org/10.1186/s12912-015-0056-z
Disinvesting in Ineffective and Inappropriate Practice: The Neglected Side of Evidence-Based Health Care?
Harvey, Gillian and McInnes, Elizabeth. (2015). Disinvesting in Ineffective and Inappropriate Practice: The Neglected Side of Evidence-Based Health Care? Worldviews on Evidence-Based Nursing. 12(6), pp. 309 - 312. https://doi.org/10.1111/wvn.12137
INTroducing A Care bundle To prevent pressure injury (INTACT) in at-risk patients: a protocol for a cluster randomised trial.
Griffith, Wendy, Bucknall, Tracey, Webster, Joan, McInnes, Elizabeth, Banks, Merrilyn, Wallis, Marianne, Gillespie, Brigid, Whitty, Jennifer, Thalib, Lukman, Roberts, Shelley and Cullum, Nicky. (2015). INTroducing A Care bundle To prevent pressure injury (INTACT) in at-risk patients: a protocol for a cluster randomised trial. International Journal of Nursing Studies. 52(11), pp. 1659 - 1668. https://doi.org/10.1016/j.ijnurstu.2015.04.018
Stroke unit Nurse Managers’ views of individual and organisational factors liable to influence evidence-based practice : A survey
Drury, Peta, McInnes, Elizabeth, Hardy, Jennifer, Dale, Simeon and Middleton, Sandy. (2015). Stroke unit Nurse Managers’ views of individual and organisational factors liable to influence evidence-based practice : A survey. International Journal of Nursing Practice. 22(2), pp. 169-178. https://doi.org/10.1111/ijn.12396
A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene
McInnes, Elizabeth, Phillips, Rosemary, Middleton, Sandy and Gould, Dinah. (2014). A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. BMC Infectious Diseases. 14(616), pp. 1 - 12. https://doi.org/10.1186/s12879-014-0611-3
Investigating characteristics of collaboration between nurse practitioners and medical practitioners in primary healthcare: A mixed methods multiple case study protocol
Schadewaldt, Verena, McInnes, Elizabeth, Hiller, Janet and Gardner, Anne. (2014). Investigating characteristics of collaboration between nurse practitioners and medical practitioners in primary healthcare: A mixed methods multiple case study protocol. Journal of Advanced Nursing. 70(5), pp. 1184 - 1193. https://doi.org/10.1111/jan.12269
Management of fever, hyperglycemia, and swallowing dysfunction following hospital admission for acute stroke in New South Wales, Australia
Drury, Peta, Levi, Chris, McInnes, Elizabeth, Hardy, Jennifer Lynette, Ward, Jeanette, Grimshaw, Jeremy, D'Este, Catherine, Dale, Simeon, McElduff, Patrick and Cheung, N Wah. (2014). Management of fever, hyperglycemia, and swallowing dysfunction following hospital admission for acute stroke in New South Wales, Australia. International Journal of Stroke. 9(1). https://doi.org/10.1111/ijs.12194
Repositioning for pressure ulcer prevention in adults
Gillespie, Brigid, Chaboyer, Wendy, McInnes, Elizabeth, Kent, Bridie, Whitty, Jennifer and Thalib, Lukman. (2014). Repositioning for pressure ulcer prevention in adults. Cochrane Database of Systematic Reviews. 4(4), pp. 1 - 35. https://doi.org/10.1002/14651858.CD009958.pub2
Quality in Acute Stroke Care (QASC): Process evaluation of an intervention to improve the management of fever, hyperglycaemia and swallowing dysfunction following acute stroke
Drury, Peta, Levi, Chris, D'Este, Catherine, McElduff, Patrick, McInnes, Elizabeth, Hardy, Jennifer, Dale, Simeon, Cheung, N Wah, Grimshaw, Jeremy and Quinn, Clare. (2014). Quality in Acute Stroke Care (QASC): Process evaluation of an intervention to improve the management of fever, hyperglycaemia and swallowing dysfunction following acute stroke. International Journal of Stroke. 9(6). https://doi.org/10.1111/ijs.12202
The role of patients in pressure injury prevention: A survey of acute care patients
McInnes, Elizabeth, Chaboyer, Wendy, Murray, Edel, Allen, Todd and Jones, Peter. (2014). The role of patients in pressure injury prevention: A survey of acute care patients. BMC Nursing. 13(41), pp. 1 - 8. https://doi.org/10.1186/s12912-014-0041-y
Evaluation of the implementation of a bowel management protocol in intensive care: Effect on clinical practices and patientn outcomes
Knowles, Serena, McInnes, Elizabeth, Elliott, Doug, Hardy, Jennifer and Middleton, Sandy. (2014). Evaluation of the implementation of a bowel management protocol in intensive care: Effect on clinical practices and patientn outcomes. Journal of Clinical Nursing. 23(5-6), pp. 716 - 730. https://doi.org/10.1111/jocn.12448
Educational outreach visits to improve nurses' use of mechanical venous thromboembolism prevention in hospitalized medical patients
Duff, Jed, Walker, Kim, Abdulla, Omari, Middleton, Sandy and McInnes, Elizabeth. (2013). Educational outreach visits to improve nurses' use of mechanical venous thromboembolism prevention in hospitalized medical patients. Journal of Vascular Nursing. https://doi.org/10.1016/j.jvn.2013.04.002
Acute care patient mobility patterns and documented pressure injury prevention: an observational study and survey
McInnes, Elizabeth, Chaboyer, Wendy, Allen, Todd, Murray, Edel and Webber, Louise. (2013). Acute care patient mobility patterns and documented pressure injury prevention: an observational study and survey. Wound Practice & Research.
Educational outreach visits to improve venous thromboembolism prevention in hospitalised medical patients: a prospective before-and-after intervention study
Duff, Jed, Omari, Abdulla, Middleton, Sandy, McInnes, Elizabeth and Walker, Kim. (2013). Educational outreach visits to improve venous thromboembolism prevention in hospitalised medical patients: a prospective before-and-after intervention study. BMC Health Services Research. 13(1), pp. 1 - 9.
P159: The views of senior hospital managers on innovative strategies to improve hand hygiene adherence: a qualitative study
McInnes, Elizabeth and Phillips, R. (2013). P159: The views of senior hospital managers on innovative strategies to improve hand hygiene adherence: a qualitative study. Antimicrobial Resistance and Infection Control. 2(1). https://doi.org/10.1186/2047-2994-2-S1-P159
Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care: An integrative review
Schadewaldt, Verena, McInnes, Elizabeth, Hiller, Janet and Gardner, Anne. (2013). Views and experiences of nurse practitioners and medical practitioners with collaborative practice in primary health care: An integrative review. BMC Family Practice. 14(132), pp. 1 - 11. https://doi.org/10.1186/1471-2296-14-132
Research involvement, support needs, and factors affecting research participation: A survey of Mental Health Consultation Liaison Nurses
McMaster, Rose, Jammali-Blasi, Asmara, Andersson-Noorgard, Kurt, Cooper, Kerrie and McInnes, Elizabeth. (2013). Research involvement, support needs, and factors affecting research participation: A survey of Mental Health Consultation Liaison Nurses. International Journal of Mental Health Nursing. https://doi.org/10.1111/j.1447-0349.2012.00857.x
Support surfaces for treating pressure injury: A Cochrane systematic review
McInnes, Elizabeth, Jammali-Blasi, Asmara, Cullum, Nicky, Bell-Syer, Sally and Dumville, Jo. (2013). Support surfaces for treating pressure injury: A Cochrane systematic review. International Journal of Nursing Studies. https://doi.org/10.1016/j.ijnurstu.2012.05.008
Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ
Tong, Allison, Flemming, Kate, McInnes, Elizabeth, Oliver, Sandy and Craig, Jonathon. (2012). Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology. 12(181), pp. 1 - 8. https://doi.org/10.1186/1471-2288-12-181
The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis
Flemmings, Kate and McInnes, Elizabeth. (2012). The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis. In In K. Haines and C. Lockwood (Ed.). Synthesizing qualitative research: Choosing the right approach pp. 59 - 82 John Wiley & Sons. https://doi.org/10.1002/9781119959847.ch4
Preventing pressure ulcers-are pressure-redistributiong support surfaces effective?: A Cochrane systematic review and meta-analysis
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally, Dumville, Jo and Cullum, Nicky. (2012). Preventing pressure ulcers-are pressure-redistributiong support surfaces effective?: A Cochrane systematic review and meta-analysis. International Journal of Nursing Studies. 49(3), pp. 345 - 359. https://doi.org/10.1016/j.ijnurstu.2011.10.014
A qualitative study of stakeholder views of the conditions for and outcomes of successful clinical networks
McInnes, Elizabeth, Middleton, Sandy, Gardner, Glenn, Haines, Mary, Haertsch, Maggie, Paul, Christine L. and Castaldi, Peter. (2012). A qualitative study of stakeholder views of the conditions for and outcomes of successful clinical networks. BMC Health Services Research. 12(1), pp. 1 - 12. https://doi.org/10.1186/1472-6963-12-49
Determinants of successful clinical networks: the conceptual framework and study protocol
Haines, Mary, Brown, Bernadette, Craig, Jonathan, D'Este, Catherine, Elliott, Elizabeth, Klineberg, Emily, McInnes, Elizabeth, Middleton, Sandy, Paul, Christine and Redman, Sally. (2012). Determinants of successful clinical networks: the conceptual framework and study protocol. Implementation Science. 7(16), pp. 1 - 10. https://doi.org/10.1186/1748-5908-7-16
Peri-operative nurses' knowledge and reported practice of pressure injury risk assessment and prevention: A before-after intervention study
Sutherland-Fraser, Sally, McInnes, Elizabeth, Maher, Elisabeth and Middleton, Sandy. (2012). Peri-operative nurses' knowledge and reported practice of pressure injury risk assessment and prevention: A before-after intervention study. BMC Nursing. 11(25), pp. 1 - 10. https://doi.org/10.1186/1472-6955-11-25
Preventing pressure ulcers -- Are pressure-redistributing support surfaces effective? A Cochrane systematic review and meta-analysis
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally, Dumville, Jo and Cullum, Nicky. (2012). Preventing pressure ulcers -- Are pressure-redistributing support surfaces effective? A Cochrane systematic review and meta-analysis. International Journal of Nursing Studies. 49(3), pp. 345 - 359. https://doi.org/10.1016/j.ijnurstu.2011.10.014
The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis
Flemmings, Kate and McInnes, Elizabeth. (2012). The use of morphine to treat cancer related pain: a worked example of critical interpretive synthesis. In In K. Haines and C. Lockwood (Ed.). Choosing the right approach pp. 59 - 82 John Wiley & Sons. https://doi.org/10.1002/9781119959847.ch4
Repositioning for pressure ulcer prevention in adults (Protocol)
Gillespie, Brigid, Chaboyer, Wendy, McInnes, Elizabeth, Kent, Bridie and Whitty, Jennifer. (2012). Repositioning for pressure ulcer prevention in adults (Protocol). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD009958
End-of-life care in the intensive care unit: A systematic review of qualitative studies investigating the experiences and perceptions of the patient's families
Coventry, Alysia, McInnes, Elizabeth and Rosenberg, John. (2012). End-of-life care in the intensive care unit: A systematic review of qualitative studies investigating the experiences and perceptions of the patient's families. JBI Database of Systematic Reviews and Implementation Reports. 10, pp. 95 - 106. https://doi.org/10.11124/jbisrir-2012-177
Older people's views in relation to risk of falling and need for intervention: A meta-ethnography
McInnes, Elizabeth, Seers, Kate and Tutton, Liz. (2011). Older people's views in relation to risk of falling and need for intervention: A meta-ethnography. Journal of Advanced Nursing. 67(12), pp. 2525 - 2536. https://doi.org/10.1111/j.1365-2648.2011.05707.x
Support surfaces for pressure ulcer prevention (Review)
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally E. M., Dumville, Jo C. and Cullum, Nicky. (2011). Support surfaces for pressure ulcer prevention (Review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD001735.pub4
A study of 90-day outcomes for a cohort of patients admitted to an Australian metropolitan acute stroke unit
Jammali-Blasi, Asmara, McInnes, Elizabeth, Markus, Romesh, Faux, Steven, O'Loughlin, Grainne, Dale, Simeon and Middleton, Sandy. (2011). A study of 90-day outcomes for a cohort of patients admitted to an Australian metropolitan acute stroke unit. Journal of Vascular Nursing. 29(1), pp. 3 - 10. https://doi.org/10.1016/j.jvn.2010.11.004
Support surfaces for treating pressure ulcers (Review)
McInnes, Elizabeth, Dumville, Jo C., Jammali-Blasi, Asmara and Bell-Syer, Sally E. M.. (2011). Support surfaces for treating pressure ulcers (Review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD009490
Support surfaces for pressure ulcer prevention (Review)
McInnes, Elizabeth, Jammali-Blasi, Asmara, Bell-Syer, Sally, Dumville, Jo and Cullum, Nicky. (2011). Support surfaces for pressure ulcer prevention (Review). Cochrane Database of Systematic Reviews. 21(21-22), pp. 3195 - 3198. https://doi.org/10.1002/14651858.CD001735.pub4
Who to turn to? Knowing the 'ropes' in an underbounded health care system
Chiarella, Mary and McInnes, Elizabeth. (2010). Who to turn to? Knowing the 'ropes' in an underbounded health care system. Contemporary Nurse. 36(February), pp. 10 - 20. https://doi.org/10.5172/conu.2010.36.1-2.010
Testing the effect of a targeted intervention on nurses' compliance with 'best practice' mechanical venous thromboembolism prevention
Li, Francesca, Walker, Kim, McInnes, Elizabeth and Duff, Jed. (2010). Testing the effect of a targeted intervention on nurses' compliance with 'best practice' mechanical venous thromboembolism prevention. Journal of Vascular Nursing. 28(3), pp. 92 - 96. https://doi.org/10.1016/j.jvn.2010.06.002
Celebrating connecting with communities: Coproduction in global primary health care
Chiarella, Mary, Savage, Jane and McInnes, Elizabeth. (2010). Celebrating connecting with communities: Coproduction in global primary health care. Primary Health Care Research and Development. 11(2), pp. 108 - 122.
In their own words: Support surfaces to prevent pressure ulcers
McInnes, Elizabeth. (2010). In their own words: Support surfaces to prevent pressure ulcers. Journal of Evidence-Based Medicine. 3(2), pp. 132 - 132. https://doi.org/10.1111/j.1756-5391.2010.01081.x
Letter: Evidence-based wound care in the UK: A response to David Leaper's Editorial in International Wound Journal April 2009 6(2)
Bell-Syer, Sally, Brady, Marian, Bruce, Julie, Cullum, Nicky A., Foxlee, Ruth, Jull, Andrew, Margolis, David, McInnes, Elizabeth, Nelson, Andre, O'Meara, Susan and Ubbink, Dirk. (2009). Letter: Evidence-based wound care in the UK: A response to David Leaper's Editorial in International Wound Journal April 2009 6(2). International Wound Journal. 6(4), pp. 306 - 309. https://doi.org/10.1111/j.1742-481X.2009.00620_1.x
Support surfaces for pressure ulcer prevention
McInnes, Elizabeth, Cullum, Nicky A., Bell-Syer, Sally, Dumville, Jo C. and Jammali-Blasi, Asmara. (2008). Support surfaces for pressure ulcer prevention. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD001735.pub3
Support surfaces for pressure ulcer prevention
McInnes, Elizabeth, Cullum, Nicky, Bell-Syer, Sally and Legood, Rosa. (2008). Support surfaces for pressure ulcer prevention. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD001735.pub2
An overview of the competency movement in nursing and midwifery
Tho, Debra, Chiarella, Mary, McInnes, Elizabeth and Lau, Cecilia. (2008). An overview of the competency movement in nursing and midwifery. Collegian. 15(2), pp. 45 - 53. https://doi.org/10.1016/j.colegn.2008.02.001
Using the qualitative assessment and review instrument (QARI) software to synthesise studies on older people's views and experiences of falls prevention
McInnes, Elizabeth and Wimpenny, Peter. (2008). Using the qualitative assessment and review instrument (QARI) software to synthesise studies on older people's views and experiences of falls prevention. International Journal of Evidence-Based Healthcare. 6(3), pp. 337 - 344.
Legality, morality and reality - the role of the nurse in maintaining standards of care
Chiarella, Mary and McInnes, Elizabeth. (2008). Legality, morality and reality - the role of the nurse in maintaining standards of care. Australian Journal of Advanced Nursing. 26(1), pp. 77 - 83.
A systematic review of older people's perceptions of facilitators and barriers to participation in falls-prevention interventions
Bunn, Frances, Dickinson, Angela, Barnett-Page, Elaine, McInnes, Elizabeth and Horton, Khim. (2008). A systematic review of older people's perceptions of facilitators and barriers to participation in falls-prevention interventions. Ageing and Society. 28(4), pp. 449 - 472. https://doi.org/10.1017/S0144686X07006861
Clinical practice guidelines for the assessment and prevention of falls in older people
McInnes, Elizabeth, Gibbons, Elizabeth and Chandler-Oatts, Jacqueline. (2005). Clinical practice guidelines for the assessment and prevention of falls in older people. Worldviews on Evidence-Based Nursing. 2(1), pp. 33 - 36. https://doi.org/10.1111/j.1524-475X.2005.04094.x
Developing a guideline on the use of pressure-relieving
Legood, Rosa and McInnes, Elizabeth. (2005). Developing a guideline on the use of pressure-relieving. Journal of Advanced Nursing. 50(3), pp. 307 - 314. https://doi.org/10.1111/j.1365-2648.2005.03394.x
The prevention of pressure ulcers
Rycroft-Malone, Jo and McInnes, Elizabeth. (2004). The prevention of pressure ulcers. Worldviews on Evidence-Based Nursing. 1(2), pp. 146 - 149. https://doi.org/10.1111/j.1741-6787.2004.04032.x
Evidence review on older people's views and experiences of falls prevention strategies
McInnes, Elizabeth and Askie, Lisa. (2004). Evidence review on older people's views and experiences of falls prevention strategies. Worldviews on Evidence-Based Nursing. 1(1), pp. 20 - 37. https://doi.org/10.1111/j.1741-6787.2004.04013.x
Developing national clinical practice guidelines :the NICE experience
McInnes, Elizabeth. (2004). Developing national clinical practice guidelines :the NICE experience. Implementing evidence based practice in nursing and midwifery. Adelaide, Australia: The Joanna Briggs Institute. pp. 73 - 76
The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care
McInnes, Elizabeth. (2004). The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care. Journal of Tissue Viability. 14(1), pp. 4 - 23.
Evidence-based practice
Richens, Yana, Loftus-Hills, Alison and McInnes, Elizabeth Catherine. (2003). Evidence-based practice. In In S. Hinchliff, S. Norman and J. Schober (Ed.). Nursing practice and health care pp. 149 - 176 Hodder Arnold.