What influences the impact of pressure ulcers on health-related quality of life? A qualitative patient-focused exploration of contributory factors

Gorecki, Claudia; Nixon, Jane; Madill, Anna; Firth, Jill

doi:10.1016/j.jtv.2011.11.001

Cited by 100 publications

(92 citation statements)

References 18 publications

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“…They can lead to morbidity, [1] lengthy hospital stays, [2] higher costs of treatment, [3] and negative impact on patients' quality of life. [4] Intensive care units (ICUs) are reported to be among the hospital settings with the highest PU prevalence rates [5,6] since critically ill patients are likely to suffer from several morbidities that increase the risk of PU development. [7] As ulcers are considered to be avoidable problem, nurses who are in direct contact with these patients have a major role in preventing them from developing.…”

Section: Introductionmentioning

confidence: 99%

Attitudes of intensive care nurses towards pressure ulcer prevention

Habiballah

2018

CNS

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Background: The development of pressure ulcer is a common problem across a full range of healthcare settings, including intensive care units. Nurses' attitudes towards pressure ulcer prevention have an important influence on their ability to deliver this practice. Aim: To assess nurses' attitude towards pressure ulcer prevention and to identify any factors that could affect these attitudes. Methods: A descriptive cross-sectional study was conducted in the ICUs of three conveniently selected hospitals in Jordan. Data were collected from 112 nurses working in intensive care units in three hospitals in Jordan by means of a self-administered questionnaire. An attitudes towards pressure ulcer prevention tool designed by Moore and Price was used to collect the data. Results: Intensive care nurses hold positive attitudes towards pressure ulcer prevention. Both nurses' experience and previous training on pressure ulcer prevention were the most significant predictors of these attitudes. Conclusions: Positive attitudes should be supported since nurses with a positive attitude will be more willing to implement pressure ulcer prevention measures. Any barriers which exist to prevent nurses who have a positive attitude from delivering the prevention strategies should be investigated.

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Section: Introductionmentioning

confidence: 99%

Attitudes of intensive care nurses towards pressure ulcer prevention

Habiballah

2018

CNS

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“…Pressure ulcers (PU) represent an important challenge in relation to the care provided to hospitalized patients, since they significantly impact morbidity/mortality and quality of life (1)(2) . In addition, treating these wounds is often prolonged and costly (2)(3) , and their occurrence is an important indicator of the quality of care.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with the incidence of pressure ulcer during hospital stay

Matozinhos

Velásquez-Meléndez

Tiensoli

et al. 2017

Rev. esc. enferm. USP

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Objective:Estimating the incidence rate of pressure ulcers and verifying factors associated with this occurrence in a cohort of hospitalized patients. Method: This is a cohort study in which the considered outcome was the time until pressure ulcer occurrence. Estimated effect of the variables on the cumulative incidence ratio of the outcome was performed using the Cox proportional hazards model. Variable selection occurred via the Logrank hypothesis test. Results: The sample consisted of 442 adults, with 25 incidents of pressure ulcers. Patients with high scores on the Braden scale presented a higher risk of pressure ulcer incidence when compared to those classified into the low score category. Conclusion: These results reinforce the importance of using the Braden Scale to assist in identifying patients more likely to develop pressure ulcers.

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“…They have a negative effect on patients quality of life [2, 3] and are costly to health care organisations world wide [4–7]. …”

Section: Introductionmentioning

confidence: 99%

Using cognitive pre-testing methods in the development of a new evidenced-based pressure ulcer risk assessment instrument

Coleman

Nixon

Keen

et al. 2016

BMC Med Res Methodol

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BackgroundVariation in development methods of Pressure Ulcer Risk Assessment Instruments has led to inconsistent inclusion of risk factors and concerns about content validity. A new evidenced-based Risk Assessment Instrument, the Pressure Ulcer Risk Primary Or Secondary Evaluation Tool - PURPOSE-T was developed as part of a National Institute for Health Research (NIHR) funded Pressure Ulcer Research Programme (PURPOSE: RP-PG-0407-10056). This paper reports the pre-test phase to assess and improve PURPOSE-T acceptability, usability and confirm content validity.MethodsA descriptive study incorporating cognitive pre-testing methods and integration of service user views was undertaken over 3 cycles comprising PURPOSE-T training, a focus group and one-to-one think-aloud interviews. Clinical nurses from 2 acute and 2 community NHS Trusts, were grouped according to job role. Focus group participants used 3 vignettes to complete PURPOSE-T assessments and then participated in the focus group. Think-aloud participants were interviewed during their completion of PURPOSE-T.After each pre-test cycle analysis was undertaken and adjustment/improvements made to PURPOSE-T in an iterative process. This incorporated the use of descriptive statistics for data completeness and decision rule compliance and directed content analysis for interview and focus group data. Data were collected April 2012-June 2012.ResultsThirty-four nurses participated in 3 pre-test cycles. Data from 3 focus groups, 12 think-aloud interviews incorporating 101 PURPOSE-T assessments led to changes to improve instrument content and design, flow and format, decision support and item-specific wording. Acceptability and usability were demonstrated by improved data completion and appropriate risk pathway allocation. The pre-test also confirmed content validity with clinical nurses.ConclusionsThe pre-test was an important step in the development of the preliminary PURPOSE-T and the methods used may have wider instrument development application. PURPOSE-T proposes a new approach to pressure ulcer risk assessment, incorporating a screening stage, the inclusion of skin status to distinguish between those who require primary prevention and those who require secondary prevention/treatment and the use of colour to support pathway allocation and decision making. Further clinical evaluation is planned to assess the reliability and validity of PURPOSE-T and it’s impact on care processes and patient outcomes.

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What influences the impact of pressure ulcers on health-related quality of life? A qualitative patient-focused exploration of contributory factors

Cited by 100 publications

References 18 publications

Attitudes of intensive care nurses towards pressure ulcer prevention

Attitudes of intensive care nurses towards pressure ulcer prevention

Factors associated with the incidence of pressure ulcer during hospital stay

Using cognitive pre-testing methods in the development of a new evidenced-based pressure ulcer risk assessment instrument

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