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Nursing issues
Complex interactions between provider, organisation and patient level characteristics influence the effect of pressure ulcer preventive care interventions
  1. Rossana Urrutia-Bastardo1,
  2. Tanvir C Turin2,3
  1. 1 University of Calgary, Calgary, Alberta, Canada
  2. 2 Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
  3. 3 Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
  1. Correspondence to Dr Tanvir C Turin, University of Calgary, Calgary, AB T2N 4N1, Canada; turin.chowdhury{at}

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Commentary on: Baernholdt M, Yan G, Hinton ID, et al. Effect of preventive care interventions on pressure ulcer rates in a national sample of rural and urban nursing units: longitudinal associations over 4 years. Int J Nurs Stud 2019:103455. doi:

Implications for practice and research

  • Organisational structures that support an improved work environment and workflow for nurses are important contributors towards the prevention of pressure ulcers.

  • Future research on pressure ulcer prevention needs to consider the complex interactions between the characteristics patients, care providers and care organisations.


Pressure ulcers develop due to persisting pressure on a bony site leading to obstruction of the blood flow in healthy capillaries resulting in tissue injury.1 These commonly occur in patients with limited mobility such as those in hospitals or long-term care settings.1 2 The key components in preventing pressure ulcers are early and accurate identification of at-risk …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.