Abstract
ObjectiveTo identify barriers and facilitators to pressure ulcer prevention behaviours in community-dwelling older people and their lay carers.DesignTheoretically informed qualitative interviews with two-phase, deductive then inductive, thematic analysis.SettingThe study was conducted in one geographical region in the UK, spanning several community National Health Service Trusts.ParticipantsCommunity-dwelling older patients at risk of pressure ulcer development (n=10) and their lay carers (n=10).ResultsSix themes and subthemes were identified: (1) knowledge and beliefs about consequences (nature, source, timing and taboo); (2) social and professional role and influences (who does what, conflicting advice and disagreements); (3) motivation and priorities (competing self-care needs and carer physical ability); (4) memory; (5) emotion (carer exhaustion and isolation, carergiver role conflict and patient feelings) and (6) environment (human resource shortage and equipment).ConclusionsThere is minimal research in pressure ulcer prevention in community-dwelling older people. This study has robustly applied the theoretical domains framework to understanding barriers and facilitators to pressure ulcer prevention behaviours. Our findings will support co-design of strategies to promote preventative behaviours and are likely to be transferable to comparable healthcare systems nationally and internationally.
Funder
National Institute for Health and Care Research
Reference28 articles.
1. European Pressure Ulcer Advisory Panel, National Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance (2019) . Prevention and treatment of pressure ulcers/ injuries: Clinical Practice Guideline. The International Guideline,
2. Global prevalence and incidence of pressure injuries in hospitalised adult patients: A systematic review and meta-analysis
3. Prevalence and incidence of pressure injuries among older people living in nursing homes: A systematic review and meta-analysis;Sugathapala;International Journal of Nursing Studies,2023
4. NHS Digital . Hospital Admitted Patient Care Activity 2017-2018, Available: https://digital.nhs.uk/data-and-information/publications/statistical/hospital-admitted-patient-care-activity/2018-192023
5. Impact of Pressure Ulcers on Quality of Life in Older Patients: A Systematic Review
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