Abstract
Objective - To identify barriers and facilitators to pressure ulcer 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 UK, spanning several community National Health Service 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: (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).
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 healthcare systems nationally and internationally.
Design - Theoretically informed qualitative interviews with two-phase, deductive then inductive, thematic analysis.
Setting - The study was conducted in one geographical region in the UK, spanning several community National Health Service 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: (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).
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 healthcare systems nationally and internationally.
Original language | English |
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Article number | e080398 |
Number of pages | 8 |
Journal | BMJ Open |
Volume | 14 |
Issue number | 3 |
DOIs | |
Publication status | Published - 18 Mar 2024 |