Systematic ReviewResearchWorkflowQuality Improvement

Bedside pressure mapping improved repositioning processes, but randomized trials did not show clear pressure-injury prevention

Journal of clinical nursing (PubMed)Jul 16, 2026

AI-summarized from the linked source. Educational brief, not medical advice.

Brief summary

A mixed-methods systematic review of 18 studies found that continuous bedside pressure mapping supported timelier repositioning and staff and patient awareness, but randomized trials did not show a significant overall preventive effect on pressure injuries.

What NurseJet pulled from the source

This prospectively registered mixed-methods systematic review searched eight databases and included 18 studies of continuous bedside pressure mapping in adult hospital and long-term care settings. Observational cohorts suggested lower pressure-injury incidence in selected high-risk settings, but randomized trials found no significant overall preventive effect. An exploratory meta-analysis of interface pressure showed a borderline reduction with substantial heterogeneity that was not robust in sensitivity analysis. Process findings were more encouraging: the technology was associated with timelier repositioning, greater staff knowledge, and patient awareness and acceptability. The authors position pressure mapping as decision support alongside established prevention protocols, not as a stand-alone intervention.

Why this matters for nurses

Wound-care nurses and bedside teams often lead repositioning, skin surveillance, and pressure-injury prevention workflows. This review matters because it separates useful workflow feedback from the still-uncertain evidence that the technology prevents injuries.

Bedside takeaway

Bedside pressure mapping may improve repositioning workflows, but current randomized evidence does not show clear pressure-injury prevention.

How This Applies in Practice

Use this when: Using a facility-approved continuous pressure-mapping system for an adult at risk of pressure injury.

On your shift

Use pressure feedback as one input for repositioning, then continue the ordered skin assessment, support-surface, and prevention plan.
Document the response to alerts and escalate persistent high-pressure areas or skin changes through the unit pathway.

Keep in mind: The technology is an adjunct, not a stand-alone prevention strategy. Follow facility policy and the patient-specific care plan and provider orders.

Explain this for my unit

Key takeaways

The review included 18 studies across adult hospital and long-term care settings.
Randomized trials did not show a significant overall pressure-injury prevention effect.
The exploratory interface-pressure result was borderline, heterogeneous, and not robust to sensitivity analysis.
Pressure mapping was associated with timelier repositioning and greater staff and patient awareness.

Practice implications

Use continuous pressure mapping, where approved, to inform repositioning and patient education while continuing established risk assessment, skin inspection, support-surface, and repositioning protocols. Evaluate workload, alert thresholds, and local outcomes rather than assuming that better process measures guarantee fewer injuries.

Limitations & cautions

The 18 studies used varied designs, settings, protocols, and outcomes. Observational findings may be confounded, randomized trials did not show a significant overall preventive effect, and the exploratory pressure meta-analysis had substantial heterogeneity and was not robust to sensitivity analysis. Economic evidence was also limited.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations

Exact source links

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Journal of clinical nursing (PubMed)

Journal of clinical nursing (PubMed). The Effectiveness of Continuous Bedside Pressure Mapping for Pressure Injury Prevention: A Mixed-Methods Systematic Review.

Open original source

https://pubmed.ncbi.nlm.nih.gov/42463426/

Professional education only

This summary does not replace clinical judgment, facility policy, provider orders, or official guidelines. Verify practice changes against the original source and local protocol.

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The network meta-analysis included 54 randomized trials and 10,455 adults receiving chemotherapy.
Olanzapine-containing regimens improved multiple nausea and vomiting outcomes versus placebo-containing regimens.
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Why this matters on shift

Oncology nurses assess nausea control, oral intake, function, and medication adverse effects across chemotherapy cycles. This review matters because it clarifies that a lower olanzapine dose may retain efficacy while not reliably eliminating the sedation concern.

Bedside takeaway

Olanzapine 5 mg retained substantial CINV-prevention efficacy versus 10 mg, but lower dosing did not clearly remove sedation risk.

Nursing implications

Assess both breakthrough nausea or vomiting and sedation when olanzapine is part of an ordered antiemetic regimen. Do not interpret a lower dose as sedation-free, and communicate symptom-control or tolerability concerns to the oncology team rather than changing prophylaxis independently.

Limitations & cautions

Network estimates combine direct and indirect comparisons across different chemotherapy regimens, emetogenic-risk groups, and antiemetic backbones. The abstract does not report certainty ratings for each comparison. Evidence for 2.5 mg was sparse, and dose reduction from 10 mg to 5 mg did not clearly reduce sedation.
AI-summarized from the linked source. Review the original article before applying to practice.

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Support Care Cancer (PubMed). Olanzapine (10 mg vs 5 mg vs 2.5 mg) for the prophylaxis of chemotherapy-induced nausea and vomiting (CINV) - a systematic review and network meta-analysis.

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Why this matters on shift

Pediatric and neonatal nurses closely monitor bilirubin trends, phototherapy delivery, hydration, neurologic status, and infusion reactions. This review matters because it synthesizes dose-comparison evidence while leaving the clinical choice of IVIG and dose within the neonatal treatment protocol.

Bedside takeaway

Higher-dose IVIG plus phototherapy was associated with fewer exchange transfusions, but the dose decision still belongs to the neonatal protocol and care team.

Nursing implications

When IVIG is ordered for neonatal hemolytic disease, verify the weight-based dose and infusion plan, maintain prescribed phototherapy, and trend bilirubin and clinical status on schedule. Promptly escalate worsening jaundice, neurologic concerns, or an infusion reaction through the neonatal pathway.

Limitations & cautions

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AI-summarized from the linked source. Review the original article before applying to practice.

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Key takeaways

The trial randomized 8,250 patients at 97 centers after 12 event-free months following multivessel PCI.
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Why this matters on shift

Cardiology nurses reinforce antiplatelet adherence, reconcile medications, assess bleeding, and teach patients when to seek help after PCI. This trial adds evidence for a selected multivessel-disease population while preserving the need for individualized prescribing decisions.

Bedside takeaway

Extended DAPT reduced composite ischemic events in selected event-free multivessel-PCI patients, so verify the prescribed duration and keep bleeding surveillance active.

Nursing implications

Confirm the intended antiplatelet duration during transitions of care and assess adherence, bleeding symptoms, interacting medicines, and upcoming procedures. Do not stop or extend therapy based on the study alone; route concerns to the cardiology or prescribing team.

Limitations & cautions

The trial was open label, conducted at 97 centers in China, enrolled patients 18 to 75 years old, and selected only those without major ischemic or bleeding events during the first 12 months of DAPT. The findings may not generalize to higher-bleeding-risk patients, older adults, other regimens, or patients with an event during the first year.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

The New England journal of medicine (PubMed). Extended Dual Antiplatelet Therapy for Multivessel Coronary Artery Disease.

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How This Applies in Practice

Key takeaways

Practice implications

Limitations & cautions

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More updates for this clinical area

Olanzapine 5 mg preserved substantial antiemetic efficacy versus 10 mg, but dose reduction did not clearly lower sedation risk

Higher-dose IVIG with phototherapy was associated with fewer exchange transfusions in neonatal hemolytic disease

Extended dual antiplatelet therapy lowered composite ischemic events after multivessel PCI without a detected bleeding increase