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1. Using Advanced Search, enter your search strategy into CINAHL

2. Filter results by last 5 years and population age

3. Filter to best evidence studies (hint: use publication type limit)

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In critical care patients how does turning less than every 2 hours as compared to current practice affect pressure injuries

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P - Increased number of pressure ulcers in elderly population of ICU

I - turning more frequently than two hours

C - turning at two hours or less than two hours

O - Fewer pressure ulcers

T - ?

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In ICU patients how does turning more frequently than every 2 hours better than current practice in preventing pressure injuries?

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adult critical care patients AND turning q 2 hours and pressure injuries

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In elderly ICU patients, does turning patients more often than every 2 hours compared to the standard 2 hour interval decrease the rate of pressure ulcers during ICU stay?

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Patient - older adults

Intervention - turning every two hours

Comparison - more frequent turning every 1 hour

Outcome - decrease pressure injuries occurrences

Time - during hospitalization

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P- Elderly ICU patients

I- prevention strategies

C- turning

O- best practice

T- last 5 years

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Adult critically ill OR ICU patients AND turning more frequently than every 2 hours

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Asiri, S. (2023). Turning and Repositioning Frequency to Prevent Hospital-Acquired Pressure Injuries Among Adult Patients: Systematic Review. Inquiry (00469580), 1–10. https://doi.org/10.1177/00469580231215209

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SICHIERI, K. et al. Pressure injury prevention in an intensive care unit: implementing the best practices. Revista Gaucha de Enfermagem, [s. l.], v. 45, p. 1–23, 2024. DOI 10.1590/1983-1447.2024.20240166.en. Disponível em: https://research.ebsco.com/linkprocessor/plink?id=2a6c670a-0762-3236-81ea-5b10e475d074. Acesso em: 24 abr. 2025.

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ICU AND elderly AND pressure ulcer OR pressure injury AND repositioning or positioning or turning

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pressure ulcers AND (icu or intensive care unit or critical care) AND (interventions or strategies or best practices)

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pressure injury prevention

past 5 years

used age filter and special area selected critical care

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Pressure sores OR Pressure injuries OR Bed sores and including turning

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(ICU OR intensive care) AND (turning OR repositioning) AND (pressure ulcers OR pressure injuries)

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P elderly ICU patients

I turning interval less than 2 hours

C standard practice

O change in number of pressure ulcers

T during hospitalization