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Accepted VersionCC BY-NC-ND V4.0, Open Access
Journal article
Health service provision and the use of pressure-redistributing devices: mixed methods study of community dwelling individuals with pressure injuries
Contemporary Nurse, Vol.53(3), pp.378-389
2017
PMID: 28786743
Abstract
Background:
Health care within the home setting is a vital and growing component of pressure injury (PI) prevention and management.
Objectives:
To describe the use of health services and pressure-redistributing devices in community dwelling patients with PI’s. Design: Mixed-methods collective case study of a defined, diverse geographic postcode area in the United Kingdom.
Methods:
Quantitative retrospective analysis of electronic and paper medical records of adult PI patients from 2015 district nursing reports. Qualitative semi-structured interviews of community dwelling adult patients receiving, or received, treatment for PI in 2016.
Results:
Mandatory reports (n = 103) revealed that 90 patients were supplied with a variety of pressure-redistributing devices but only one-third of patients used the equipment as recommended. Qualitative interviews (n = 12), reported to COREQ guidelines, revealed that patients felt reliant on community health services, and were concerned about the consistency of their care.
Conclusions:
Authentic patient involvement is required to provide care and interventions that are acceptable to PI patients and can be incorporated into self-care strategies and effectively monitored interventions that are acceptable to PI patients and can be incorporated into self-care strategies and effectively monitored.
Details
- Title
- Health service provision and the use of pressure-redistributing devices: mixed methods study of community dwelling individuals with pressure injuries
- Authors
- Debra Jackson (Corresponding Author) - Oxford Brookes UniversityLisa Durrant - Oxford Brookes UniversityEmily Bishop - Oxford Health NHS Foundation TrustHelen Walthall - Oxford Brookes UniversityRia Betteridge - Oxford University Hospitals NHS TrustSarah Gardner - Oxford Health NHS Foundation TrustWendy Coulton - Oxford Brookes UniversityMarie Hutchinson - Southern Cross UniversityStephen Neville - Auckland University of TechnologyPatricia M. Davidson - Johns Hopkins UniversityKim Usher - University of New England
- Publication details
- Contemporary Nurse, Vol.53(3), pp.378-389
- Publisher
- Routledge
- Date published
- 2017
- DOI
- 10.1080/10376178.2017.1364973
- ISSN
- 1839-3535
- PMID
- 28786743
- Grant note
- Oxford Brookes University
- Organisation Unit
- School of Health - Nursing
- Language
- English
- Record Identifier
- 991110935502621
- Output Type
- Journal article
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