Identifying barriers and facilitators to participation in pressure ulcer prevention in allied healthcare professionals: a mixed methods evaluation

Abstract

Objectives
To evaluate the barriers and facilitators for allied health professional's participation in pressure ulcer prevention.

Design
Mixed method cohort study.

Setting
Single centre study in an acute university hospital trust.

Participants
Five physiotherapists and four occupational therapists were recruited from the hospital trust. Therapists had been working in the National Health Service (NHS) for a minimum of one year.

Main outcome measures
Therapist views and experiences were collated using an audio recorded focus group. This recording was analysed using constant comparison analysis. Secondary outcomes included assessment of attitudes and knowledge of pressure ulcer prevention using questionnaires.

Results
Key themes surrounding barriers to participation in pressure ulcer prevention included resources (staffing and equipment), education and professional boundaries. Fewer facilitators were described, with new training opportunities and communication being highlighted. Results from the questionnaires showed the therapists had a positive attitude towards pressure ulcer prevention with a median score of 81% (range 50 to 83%). However, there were gaps in knowledge with a median score of 69% (range 50 to 77%).

Conclusions
The therapist reported several barriers to pressure ulcer prevention and few facilitators. The primary barriers were resources, equipment and education. Attitudes and knowledge in AHPs were comparable to data previously reported from experienced nursing staff.

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Identifiers

ORCID for P. Worsley: orcid.org/0000-0003-0145-5042

ORCID for P. Clarkson: orcid.org/0000-0001-5955-5711

ORCID for D. Bader: orcid.org/0000-0002-1208-3507

ORCID for L. Schoonhoven: orcid.org/0000-0002-7129-3766

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