A new conceptual model for how pressure ulcer risk is negotiated and adherence to preventative advice in the community setting

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability Pub Date : 2025-03-18 DOI:10.1016/j.jtv.2025.100890

Lisa Ledger , Jo Hope , Lisette Schoonhoven , Peter R. Worsley

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引用次数: 0

Abstract

Aim(s)

To identify potential factors affecting patient adherence to preventative advice and to explore how pressure ulcer risk is negotiated between nurse and patient in the community setting.

Design

A qualitative research design using a pragmatist approach.

Methods

Observation of interactions between nurse and patient, evaluation of documentation, and semi-structured interviews with 15 community patients following the nursing interaction. Data was analysed using the principles of Thematic Analysis.

Results

Five overarching themes affected patient adherence to pressure ulcer preventative advice: Patient decision-making, difficulty implementing advice, carer involvement, trust in the nurse and the nursing approach. These factors were complex, individualised, dynamic, and context and time specific. How pressure ulcer avoidance was negotiated diverged according to the type of nursing approach adopted, which impacted on adherence.

Conclusion

The new conceptual model identifies the importance of an open, participatory nursing approach to support shared decision-making. It accommodates the dynamic nature of patient factors, which affect their ability to acquire and understand PU advice and adhere to preventative strategies.

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来源期刊

Journal of tissue viability DERMATOLOGY-NURSING

CiteScore

3.80

自引率

16.00%

发文量

110

审稿时长

>12 weeks

期刊介绍： The Journal of Tissue Viability is the official publication of the Tissue Viability Society and is a quarterly journal concerned with all aspects of the occurrence and treatment of wounds, ulcers and pressure sores including patient care, pain, nutrition, wound healing, research, prevention, mobility, social problems and management. The Journal particularly encourages papers covering skin and skin wounds but will consider articles that discuss injury in any tissue. Articles that stress the multi-professional nature of tissue viability are especially welcome. We seek to encourage new authors as well as well-established contributors to the field - one aim of the journal is to enable all participants in tissue viability to share information with colleagues.