Cesca Nicole, Szczepanski Ann, Malik Walee, Cheema Manpreet, Allen Brady, Dutta Tilak, Cameron Jill I, Gabison Sharon
Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
KITE Research Institute, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada.
Int Wound J. 2024 Jan;21(1):e14371. doi: 10.1111/iwj.14371. Epub 2023 Sep 2.
This study aims to (1) characterize healthcare professionals' (HCPs') experiences related to the prevention and management of pressure injuries (PIs) and (2) explore the educational needs of individuals with a past or current history of PIs and their caregivers from the perspective of HCPs. This is a qualitative descriptive study. HCPs (n = 18) were interviewed using a semi-structured interview guide. Interviews were audio-recorded, transcribed verbatim and coded using NVivo. Three overarching themes encompassing various dimensions were identified: (1) Facilitators related to PI prevention and management, (2) Challenges related to PI prevention and management and (3) Recommendations for improving patient and caregiver PI education. HCPs identified a greater number of challenges than facilitators related to PI care. This study emphasizes the importance of a patient-centred and interprofessional approach to patient education for PI prevention and management. Meaningful interventions focused on the patient may improve health literacy and empower patients and caregivers in PI care. Investing in preventive measures and raising awareness are crucial to reducing PI incidence. The findings have implications for HCPs and researchers seeking to enhance patient care and promote effective PI prevention strategies.
（1）描述医疗保健专业人员（HCPs）在压力性损伤（PIs）预防和管理方面的经历；（2）从HCPs的角度探索有PIs既往史或现病史的个体及其护理人员的教育需求。这是一项定性描述性研究。使用半结构化访谈指南对18名HCPs进行了访谈。访谈进行了录音，逐字转录，并使用NVivo进行编码。确定了涵盖各个维度的三个总体主题：（1）与PI预防和管理相关的促进因素；（2）与PI预防和管理相关的挑战；（3）改善患者和护理人员PI教育的建议。HCPs指出，与PI护理相关的挑战比促进因素更多。本研究强调了以患者为中心的跨专业方法在PI预防和管理患者教育中的重要性。针对患者的有意义干预措施可能会提高健康素养，并使患者和护理人员在PI护理中更有能力。投资于预防措施和提高认识对于降低PI发生率至关重要。这些发现对寻求改善患者护理和推广有效的PI预防策略的HCPs和研究人员具有启示意义。
