Patient participation in pressure injury prevention: giving patient's a voice |
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Authors: | Wendy Chaboyer RN BScHon MN PhD Brigid Gillespie RN B Hlth Sc PhD |
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Affiliation: | 1. School of Nursing and Midwifery, Griffith University, Logan Campus, , Meadowbrook, Qld, Australia;2. Griffith University, Gold Coast Campus, NHMRC Research Centre for Excellence in Nursing Interventions (NCREN), , Southport, Qld, Australia |
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Abstract: | Pressure injuries burden patients and healthcare organisations, with some preventative practices having little impact on prevalence reduction. Patient participation in care may be an effective pressure injury prevention strategy, yet patient preferences are unknown. The aim of this interpretive study was to describe patients' perceptions of their current and future role in pressure injury prevention. Semi‐structured interviews were conducted with 20 adult inpatients recruited from four medical units, at two Australian metropolitan hospitals. Interview data were analysed using content analysis, with three categories emerging: ‘experiencing pressure injuries’; ‘participating in pressure injury prevention’; and ‘resourcing pressure injury prevention and treatment’. These categories reflect the complex nature of participants’ pressure injury experience. The findings suggest participants gather pressure injury knowledge from first‐hand and vicarious experience; knowledge they bring to hospital. Most participants preferred a proactive pressure injury prevention role. Many identified barriers in the healthcare environment that impeded their participation and affected their experience of pressure injuries and pressure injury prevention. If patient participation as a pressure injury prevention strategy is to be considered, nurses and organisations need to view patients as partners. |
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Keywords: | pressure ulcer patient experiences content analysis decision‐making interviews |
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