Support Care Cancer. 2025 Dec 1;33(12):1154. doi: 10.1007/s00520-025-10210-8.
ABSTRACT
BACKGROUND: Pressure injuries are a significant concern in oncologic surgical patients due to factors such as hypoproteinemia and complex surgeries. These injuries impact the quality of care and patient safety. Despite the importance of prevention, nurses often rely on empirical methods, leading to procedural errors. Checklist management, a structured approach to quality control, has shown promise in improving outcomes in various medical contexts. This study aims to explore the clinical application and effectiveness of checklist management in preventing pressure injuries among oncologic surgical patients.
OBJECTIVE: To investigate the impact of implementing checklist management on the execution of pressure injury prevention programs among operating room nurses, aiming to establish a standardized operational procedure through the use of a task checklist.
METHODS: A convenience sampling method was used to select patients undergoing elective surgery under general anesthesia at a tertiary-level cancer hospital in Tianjin between August and December 2022. Patients from August to September 2022 (4658 cases) were assigned to the control group, which implemented conventional pressure injury prevention management. Patients from November to December 2022 (4508 cases) were assigned to the observation group, which implemented checklist-based pressure injury prevention management. Compare the compliance rate of nursing staff in risk assessment, the pass rate of patient positioning, the proper use rate of pressure-relieving dressings, comprehensive knowledge of prevention management, the incidence of pressure injuries, and feedback on the implementation of the Evidence-Based Nursing Practice Plan for Pressure Injury Prevention in Surgical Patients between the two groups.
RESULTS: After implementing checklist-based management, compared to the control group, the observation group showed significant improvements: risk assessment compliance rate increased from 83.02% to 95.23%;Patient positioning pass rate increased from 81.25% to 95.25%; proper use rate of pressure-relieving dressings increased from 72.75% to 96.50%; average score for comprehensive knowledge of prevention management increased from 77.69 ± 4.67 to 92.89 ± 1.54; incidence of pressure injuries decreased from 0.322% to 0.067%, with the incidence of Stage 2 or higher pressure injuries decreasing from 0.086% to 0.000%. Additionally, the observation group scored significantly higher than the control group in terms of implementation convenience, operational proficiency, and team collaboration efficiency, and it had a long-term positive impact. All indicators showed statistical significance (P < 0.05).
CONCLUSION: Checklist management facilitates the routine implementation of pressure injury prevention management programs for oncologic surgical patients, effectively enhances nurses’ preventive practice abilities, thereby reducing the incidence of pressure injuries. It promotes refined and homogeneous development in operating room nursing quality control.
PMID:41324795 | DOI:10.1007/s00520-025-10210-8
