Barriers and facilitators to pressure ulcer prevention behaviours by older people and their lay carers in community settings: A qualitative study
Roddis, Jennifer and Dyson, Judith and Woodhouse, Marjolein and Devrell, Anne and Oakley, Karen and Cowdell, Fiona (2024) Barriers and facilitators to pressure ulcer prevention behaviours by older people and their lay carers in community settings: A qualitative study. BMJ Open, 14. ISSN 2044-6055
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Abstract
Objective: To identify barriers and facilitators to pressure ulcer (PU) prevention behaviours in community dwelling older people and their lay carers.
Design: Theoretically informed qualitative interviews with two phase, deductive then inductive thematic analysis.
Setting: The study was conducted in one geographical region in the United Kingdom, spanning several community NHS Trusts.
Participants: Community dwelling older patients at risk of pressure ulcer development (n=10) and their lay carers (n=10).
Results: Six themes and subthemes were identified: i) knowledge and beliefs about consequences (nature, source, timing and taboo), ii) social and professional role and influences (who does what, conflicting advice and disagreements), iii) motivation and priorities (competing self-care needs and carer physical ability), iv) memory, v) emotion (carer exhaustion and isolation, carer role versus partner role and patient feelings) and vi) environment (human resource and response, and equipment).
Conclusions: There 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 health care systems nationally and internationally.
Strengths and limitations
● A structured theoretical approach was adopted to data collection and analysis Both
inductive and deductive understandings of barriers and facilitators to PU prevention
behaviours were gained, leading to a detailed analysis of influencing factors
● Service users were involved in the design, analysis and reporting of this research
● Recruitment was undertaken in a single geographical area.
| Item Type: | Article | ||||||
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| Identification Number: | https://doi.org/10.1136/bmjopen-2023-080398 | ||||||
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| Subjects: | CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-01 - nursing (non-specific) | ||||||
| Divisions: | Faculty of Health, Education and Life Sciences > School of Nursing and Midwifery | ||||||
| Depositing User: | Gemma Tonks | ||||||
| Date Deposited: | 12 Mar 2024 11:45 | ||||||
| Last Modified: | 21 Mar 2024 15:42 | ||||||
| URI: | https://www.open-access.bcu.ac.uk/id/eprint/15338 |
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