J Korean Clin Nurs Res.  2019 Apr;25(1):67-79. 10.22650/JKCNR.2019.25.1.67.

Updates of Nursing Practice Guideline for Pressure Injury

  • 1Assistant Professor, Department of Nursing Science, The University of Suwon, Korea.
  • 2Wound Ostomy Continence Nurse, Department of Nursing, Seoul National University Bundang Hospital, Korea. 102100410@hanmail.net
  • 3Wound Ostomy Continence Nurse, Department of Nursing, Korea University Ansan Hospital, Korea.
  • 4Wound Ostomy Continence Nurse, Department of Nursing, Samsung Medical Center, Korea.
  • 5Assistant Manager, Division of Nursing, Severance Hospital, Korea.
  • 6Wound Ostomy Continence Nurse, Department of Nursing, Asan Medical Center, Korea.


This study was conducted to update the existing evidence-based nursing clinical practice guideline in management of pressure injury in South Korea.
The update process underwent the 22 steps according to the update method based on the international standards.
The updated nursing practice guideline for pressure injury consists of 4 domains and 436 recommendations. The numbers of recommendations in each domain were 25 for hospital policies, 51 for assessment, 350 for prevention and management, and 10 for education. There were 2.5% of A, 13.3% of B, 84.2% of C in terms of grading of recommendations. Among these, the major revision was done in 32 recommendations (7.4%). A total of 299 recommendations (68.6%) were added newly. Minor revisions, such as change or addition of some words, were also made in 25 recommendations(5.7%). No change was made in 80 recommendations (18.3%) compared to the previous ones.
The nursing practice guideline for pressure injury has been updated. This updated guideline can be used as educational materials for both healthcare workers and patients with pressure injury.


Pressure Ulcer; Practice Guideline; Evidence-Based Nursing
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