Debra Jackson1,2,3, Lisa Durrant1,2, Emily Bishop4, Helen Walthall1, Ria Betteridge2, Sarah Gardner4, Wendy Coulton1, Marie Hutchinson5, Stephen Neville6, Patricia M Davidson7, Kim Usher8. 1. a Oxford Institute for Nursing, Midwifery & Allied Health Research (OxINMAHR), The Colonnade, Oxford Brookes University , Oxford , UK. 2. b Oxford University Hospitals NHS Foundation Trust , Oxford , UK. 3. c Faculty of Health , University of Technology , Sydney , Australia. 4. d Oxford Health NHS Foundation Trust , Oxford , UK. 5. e School of Health and Human Sciences , Southern Cross University , Lismore , Australia. 6. f Department of Nursing , Auckland University of Technology , Auckland , New Zealand. 7. g School of Nursing , Johns Hopkins University , Baltimore , MD , USA. 8. h School of Health , University of New England , Armidale , Australia.
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.
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.