The Development of a Conceptual Framework and an Accompanying Technology Enhanced Learning Tool to Reduce the Incidence of Pressure Ulcers: A New Model for Practice.

Toner, Louise (2023) The Development of a Conceptual Framework and an Accompanying Technology Enhanced Learning Tool to Reduce the Incidence of Pressure Ulcers: A New Model for Practice. Doctoral thesis, Birmingham City University.

Louise Toner PhD Thesis published_Final version_Submitted Feb 2022_Final Award Sept 2023 .pdf - Accepted Version

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The incidence and prevalence of pressure ulcers has been an ongoing challenge for healthcare providers for decades, resulting in pain, suffering and a reduced quality of life for patients and an ever increasing financial burden for the NHS. The plethora of government initiatives, national and international guidelines all aimed at reducing their incidence has had little impact. Education and Training of healthcare professionals in pressure ulcer prevention, recognition and treatment has been shown to have a positive impact on incidence, and indeed there are some high quality free resources available, however, due to the lack of consistency in the quality and frequency of education and training the challenge remains. This study was commissioned by two NHS Trusts for the development of a new conceptual framework and model for practice to include a bespoke online learning tool with a specific focus on pressure ulcer risk assessment that could be accessed across a large geographic location.

A critical action research approach was chosen for this study as this enabled the researcher to build on each cycle, developing the conceptual framework and model for practice concurrently with the online learning tool. Thus developing and integrated approach to the prevention of pressure ulcers in all healthcare settings.

Building on the work of others, a conceptual framework has been developed that, for the first time combines all elements required to reduce the incidence of pressure ulcers, including the currency of competency testing, for healthcare staff involved in caring for patients at risk of developing pressure ulcers. It has been designed as a multimodal approach linking research, government strategies, education programmes such as “the TELT”, care provision and practice, as it is only through integration that consistency in practice will be achieved, leading to a reduction in incidence and prevalence of pressure ulcers.

For the TELT, the results reveal that that the bespoke, patient focussed, simulation technology enhanced learning tool has the potential to be used effectively as an integral component of the commissioning Trusts CPD portfolio. The TELT was well received by healthcare staff who approved the interactivity and challenges it posed. However, some technical issues did emerge, which for some impacted on the overall learning experience of the user. These have now all been addressed, and the programme can now be launched across the Trusts.

Overall the study positively supports the UK Government’s ambition, through the National Wound Care Strategy Programme, to reduce the incidence and prevalence of pressure ulcers, reducing the financial burden on the NHS and more importantly the pain and suffering of patients.

Item Type: Thesis (Doctoral)
2 February 2022Submitted
27 September 2023Accepted
Uncontrolled Keywords: Pressure Ulcers, Pressure Ulcer Risk Assessment Tools, Technology Enhanced Learning, Conceptual Frameworks
Subjects: CAH01 - medicine and dentistry > CAH01-01 - medicine and dentistry > CAH01-01-03 - medicine by specialism
Divisions: Doctoral Research College > Doctoral Theses Collection
Faculty of Health, Education and Life Sciences > School of Health Sciences
Depositing User: Jaycie Carter
Date Deposited: 18 Jan 2024 15:37
Last Modified: 18 Jan 2024 15:37

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