Health service provision and the use of pressure-redistributing devices: mixed methods study of community dwelling individuals with pressure injuries
Jackson, D, Durrant, L, Bishop, E, Walthall, H, Betteridge, R, Gardner, S, Coulton, W, Hutchinson, M, Neville, S, Davison, PM & Usher, K 2017, 'Health service provision and the use of pressure-redistributing devices: mixed methods study of community dwelling individuals with pressure injuries', Contemporary Nurse, vol. 53, no. 3, pp. 378-389.
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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.