An exploration of the perspectives of individuals and their caregivers on pressure ulcer/injury prevention and management to inform the development of a clinical guideline.

Clinical guideline Consumer engagement Consumer perspective Pressure injury Pressure ulcer Survey

Journal

Journal of tissue viability
ISSN: 0965-206X
Titre abrégé: J Tissue Viability
Pays: England
ID NLM: 9306822

Informations de publication

Date de publication:
Feb 2022
Historique:
received: 19 03 2021
revised: 09 08 2021
accepted: 25 10 2021
pubmed: 16 11 2021
medline: 16 2 2022
entrez: 15 11 2021
Statut: ppublish

Résumé

Consumer engagement is a requirement of high quality clinical guidelines. Developing strategies to engage consumers and incorporate the perspectives of individuals with or at risk of pressure ulcers/injuries and their informal caregivers was one priority in the recent update of the EPUAP/NPIAP/PPPIA's Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. The aims were to determine the goals of individuals and caregivers for pressure ulcer/injury care, priorities for pressure ulcer/injury education and biggest problems related to pressure ulcers/injuries. An online, anonymous, international 10-item survey, accessible in nine languages was provided to individuals and their caregivers from April to October 2018. Descriptive statistics were used for quantitative data and a thematic analysis approach was used to analyse qualitative data. There were 1233 individuals from 27 countries who completed the survey. Overall, individuals and caregivers had similar goals of care. Reducing the size of pressure ulcer/injury was selected more often as a care goal than complete healing. Individuals, compared to caregivers, considered managing pain more important. Qualitative data analysis identified five themes including knowledge, attitudes, and skills; risk factors for pressure ulcer/injury; accessing pressure ulcer/injury care; quality of life for patients and caregivers; and the pressure ulcer/injury. The consumer survey provided consumer engagement and perspective that was incorporated into guideline development, including consideration during evaluation of the relevance and acceptability of recommendations, and assignment of recommendation strength ratings.

Sections du résumé

BACKGROUND BACKGROUND
Consumer engagement is a requirement of high quality clinical guidelines. Developing strategies to engage consumers and incorporate the perspectives of individuals with or at risk of pressure ulcers/injuries and their informal caregivers was one priority in the recent update of the EPUAP/NPIAP/PPPIA's Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline.
AIMS OBJECTIVE
The aims were to determine the goals of individuals and caregivers for pressure ulcer/injury care, priorities for pressure ulcer/injury education and biggest problems related to pressure ulcers/injuries.
METHODS METHODS
An online, anonymous, international 10-item survey, accessible in nine languages was provided to individuals and their caregivers from April to October 2018. Descriptive statistics were used for quantitative data and a thematic analysis approach was used to analyse qualitative data.
RESULTS RESULTS
There were 1233 individuals from 27 countries who completed the survey. Overall, individuals and caregivers had similar goals of care. Reducing the size of pressure ulcer/injury was selected more often as a care goal than complete healing. Individuals, compared to caregivers, considered managing pain more important. Qualitative data analysis identified five themes including knowledge, attitudes, and skills; risk factors for pressure ulcer/injury; accessing pressure ulcer/injury care; quality of life for patients and caregivers; and the pressure ulcer/injury.
CONCLUSIONS CONCLUSIONS
The consumer survey provided consumer engagement and perspective that was incorporated into guideline development, including consideration during evaluation of the relevance and acceptability of recommendations, and assignment of recommendation strength ratings.

Identifiants

pubmed: 34776327
pii: S0965-206X(21)00116-9
doi: 10.1016/j.jtv.2021.10.008
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1-10

Informations de copyright

Copyright © 2021 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved.

Auteurs

Emily Haesler (E)

Curtin University, Perth, Australia; La Trobe University, Melbourne, Australia; Australian National University Medical School, Canberra, Australia. Electronic address: emily.haesler@anu.edu.au.

Joyce Pittman (J)

University of South Alabama, Mobile, AL, USA; USA Health University Hospital, Mobile, AL, USA.

Janet Cuddigan (J)

University of Nebraska Medical Center College of Nursing, USA.

Susan Law (S)

Princess Margaret Hospital, Hong Kong.

Yee Yee Chang (YY)

Dover Park Hospice, Singapore.

Katrin Balzer (K)

Institute for Social Medicine and Epidemiology, University of Lübeck, Lübeck, Germany.

Dan Berlowitz (D)

University of Massachusetts Lowell, Lowell, MA, USA; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.

Keryln Carville (K)

Silver Chain Group and Curtin University, Perth, Australia.

Jan Kottner (J)

Charite-Universitätsmedidizin Berlin, Institute of Clinical Nursing Science, Berlin, Germany.

Mary Litchford (M)

CASE Software & Books, NC, USA.

Zena Moore (Z)

Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Ireland.

Pamela Mitchell (P)

Christchurch Hospital, New Zealand.

Dominique Sigaudo-Roussel (D)

Laboratory of Tissue Biology and Therapeutic Engineering, National Scientific Research Center (CNRS), University of Lyon, France.

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Classifications MeSH