Barriers and facilitators to pressure ulcer prevention behaviours by older people living in their own homes and their lay carers: a qualitative study

Author:

Roddis JenniferORCID,Dyson JudithORCID,Woodhouse Marjolein,Devrell Anne,Oakley Karen,Cowdell FionaORCID

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

Publisher

BMJ

Reference28 articles.

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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

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