Patient perceptions and understanding of pressure ulcer risk in the community: Empirical Research Qualitative

Journal article


Ledger, L., Peter R. Worsley, Jo Hope and Lisette Schoonhoven 2023. Patient perceptions and understanding of pressure ulcer risk in the community: Empirical Research Qualitative. Journal of Advanced Nursing. 79 (9), p. 3312–3323. https://doi.org/10.1111/jan.15637
AuthorsLedger, L., Peter R. Worsley, Jo Hope and Lisette Schoonhoven
Abstract

Aims
To explore patient perceptions and understanding of their pressure ulcer risk and how information is communicated between a nurse and patient in the home setting.

Design
A pragmatic qualitative research design including community-dwelling patients, who were deemed at risk of developing a pressure ulcer.

Methods
Observation of routine interactions between nurse and patient regarding their pressure ulcer risk and semi-structured interviews with 15 community patients following the nursing interaction.

Results
Four key overarching themes emerged from the data analysis that were related to patient perceptions and understanding of pressure ulcer risk. These included Pressure Ulcer Awareness, Importance of Repositioning, Healthy Eating and Risk Interpretation.

Conclusion
Patient perception and understanding of pressure ulcer risk is different from the scientific, professional view. Patient risk perception was based on heuristics and wider personal factors and social influences.

Impact
The study provides important new insights into clinical practice in relation to how pressure ulcer advice and information are provided and interpreted in the community setting.

Reporting Method
Adhered to the Standards for Reporting Qualitative Research (SRQR)

Patient or Public Contribution
A small selection of patients within the NHS Trust in which the research was conducted contributed to the design of the study, in particular some of the interview questions and timing.

Keywordspatient perceptions; pressure ulcer ; nurse and patient
Year2023
JournalJournal of Advanced Nursing
Journal citation79 (9), p. 3312–3323
PublisherWiley
ISSN 1365-2648
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.15637
Web address (URL)https://onlinelibrary.wiley.com/doi/10.1111/jan.15637
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates14 Mar 2023
Publication process dates
Deposited23 Apr 2024
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https://repository.derby.ac.uk/item/q5w89/patient-perceptions-and-understanding-of-pressure-ulcer-risk-in-the-community-empirical-research-qualitative

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Patient involvement in pressure ulcer prevention and adherence to prevention strategies: An integrative review
Ledger, Lisa, Worsley, Peter, Hope, Jo and Schoonhoven, Lisette 2019. Patient involvement in pressure ulcer prevention and adherence to prevention strategies: An integrative review. International Journal of Nursing Studies. 101, pp. 1-8. https://doi.org/10.1016/j.ijnurstu.2019.103449