Barriers and facilitators to pressure ulcer prevention behaviours by older people living in their own homes and their lay carers: a qualitative study.
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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.
SUBMITTER: Roddis J
PROVIDER: S-EPMC10953097 | biostudies-literature | 2024 Mar
REPOSITORIES: biostudies-literature
Publications
Barriers and facilitators to pressure ulcer prevention behaviours by older people living in their own homes and their lay carers: a qualitative study.
Roddis Jennifer J Dyson Judith J Woodhouse Marjolein M Devrell Anne A Oakley Karen K Cowdell Fiona F
BMJ open 20240318 3
<h4>Objective</h4>To identify barriers and facilitators to pressure ulcer prevention behaviours in community-dwelling older people and their lay carers.<h4>Design</h4>Theoretically informed qualitative interviews with two-phase, deductive then inductive, thematic analysis.<h4>Setting</h4>The study was conducted in one geographical region in the UK, spanning several community National Health Service Trusts.<h4>Participants</h4>Community-dwelling older patients at risk of pressure ulcer developmen ...[more]
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