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The included studies were published between 2010 and 2022. Five interventional studies and 32 best practice recommendations (Objective 1) reported low\u2010quality evidence. Findings of thematic analysis reported in nine studies (Objective 2) identified nurses' issues as insufficient bariatric equipment, inadequate staffing, weight bias, fatigue, obese\u2010related terminology issues, ethical dilemmas and insufficient staff education in high BMI patients' pressure injury prevention. No association between hospital\u2010acquired pressure injury occurrence and high BMI were reported by 18 out of 28 included studies (Objective 3).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Quality of evidence was low for the interventional studies and best practice recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for the Profession and\/or Patient Care<\/jats:title><jats:p>Current (2019) International Pressure Injury Guideline to be used despite the low quality of evidence of most best practice recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Impact Statement<\/jats:title><jats:p>This study addressed hospital\u2010acquired pressure injury prevention in high BMI patients. Greater proportion of studies in this review found no association between high BMI and occurrence of hospital\u2010acquired pressure injury. Nurses need educational interventions on pressure injury prevention in high body mass index people, sufficient staffing for repositioning and improved availability of bariatric equipment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Reporting Method<\/jats:title><jats:p>We adhered to relevant EQUATOR guidelines, PRISMA extension for scoping reviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>No patient or public contribution.<\/jats:p><\/jats:sec><jats:sec><jats:title>What Does this Paper Contribute to the Wider Global Clinical Community?<\/jats:title><jats:p>Larger clinical trials are needed on repositioning frequency, support surfaces, prophylactic dressings and risk assessment tools to inform clinical practice guidelines on pressure injury prevention in high BMI people.<\/jats:p><\/jats:sec><jats:sec><jats:title>Protocol Registration<\/jats:title><jats:p>Wound Practice and Research (<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/doi.org\/10.33235\/wpr.29.3.133-139\">https:\/\/doi.org\/10.33235\/wpr.29.3.133\u2010139<\/jats:ext-link>).<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.15882","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T08:44:07Z","timestamp":1696409047000},"page":"1262-1282","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Hospital\u2010acquired pressure injury prevention in people with a <scp>BMI<\/scp> of 30.0 or higher: A scoping review"],"prefix":"10.1111","volume":"80","author":[{"given":"Victoria","family":"Marshall","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1542-4319","authenticated-orcid":false,"given":"Yunjing","family":"Qiu","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Monash University  Clayton Victoria Australia"},{"name":"School of Nursing and Midwifery University of Technology Sydney  Ultimo New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Jones","sequence":"additional","affiliation":[{"name":"Monash Partners Academic Health Science Centre  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina D.","family":"Weller","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Monash University Faculty of Medicine Nursing and Health Sciences  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6615-6874","authenticated-orcid":false,"given":"Victoria","family":"Team","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Monash University  Clayton Victoria Australia"},{"name":"Monash Partners Academic Health Science Centre  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,3]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnc.2020.08.001"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.08.006"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13804"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"issue":"3","key":"e_1_2_15_6_1","first-page":"4185","article-title":"Effect of early mobilization on nursing sensitive quality indicators among mechanically ventilated obese patients","volume":"32","author":"Atrous M. 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