The University of Southampton
University of Southampton Institutional Repository

Patient involvement in pressure ulcer prevention and adherence to prevention strategies an integrative review

Patient involvement in pressure ulcer prevention and adherence to prevention strategies an integrative review
Patient involvement in pressure ulcer prevention and adherence to prevention strategies an integrative review

Background: Chronic wounds including pressure ulcers represent a significant burden to patients and healthcare providers. Increasingly patients are required to self-manage their care but patient adherence to prevention strategies is a significant clinical challenge. It is important to increase understanding of the factors affecting patients’ ability and willingness to follow pressure ulcer prevention interventions. Objectives: To investigate from a patient perspective the factors affecting adherence to pressure ulcer prevention strategies. Design: Integrative literature review. Data sources: A systematic search of electronic databases (Athens, Pub Med, Web of Science, Science Direct, AMED, CINAHL, Cochrane Library, PsychInfo, Google Scholar, Delphis) was initially conducted in May 2017 (repeated August 2018). Review methods: The methodological quality was assessed using the Critical Appraisal Skills Programme (CASP) principles. The Noticing, Collecting, Thinking (NCT) model of qualitative data analysis was used to identify key themes. Results: A total of twelve studies met the inclusion criteria and were included in the review. The majority of studies were qualitative and three key themes were identified: (i) individual/daily lifestyle considerations, (ii) patient involvement in the decision-making process, and (iii) pain and/or discomfort. Conclusion: There is limited research that focuses on the patient view of factors affecting adherence to prevention measures, particularly in community settings. Individual and daily lifestyle considerations and involvement in decision-making around pressure ulcer care are important aspects from the patient perspective. Further research is necessary to explore which factors affect patient adherence in order to improve clinical practice and support patient involvement in preventative strategies.

Adherence, Community, Decision-making, Non-adherence, Patient involvement, Pressure ulcer
0020-7489
Ledger, Lisa
d5f5e2fd-b6f2-47aa-bcd2-35c155e782ad
Worsley, Peter
6d33aee3-ef43-468d-aef6-86d190de6756
Hope, Jo
5d49099e-13bc-49d2-88d8-48e1ec6d25fc
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de
Ledger, Lisa
d5f5e2fd-b6f2-47aa-bcd2-35c155e782ad
Worsley, Peter
6d33aee3-ef43-468d-aef6-86d190de6756
Hope, Jo
5d49099e-13bc-49d2-88d8-48e1ec6d25fc
Schoonhoven, Lisette
46a2705b-c657-409b-b9da-329d5b1b02de

Ledger, Lisa, Worsley, Peter, Hope, Jo and Schoonhoven, Lisette (2020) Patient involvement in pressure ulcer prevention and adherence to prevention strategies an integrative review. International Journal of Nursing Studies, 101, [103449]. (doi:10.1016/j.ijnurstu.2019.103449).

Record type: Article

Abstract

Background: Chronic wounds including pressure ulcers represent a significant burden to patients and healthcare providers. Increasingly patients are required to self-manage their care but patient adherence to prevention strategies is a significant clinical challenge. It is important to increase understanding of the factors affecting patients’ ability and willingness to follow pressure ulcer prevention interventions. Objectives: To investigate from a patient perspective the factors affecting adherence to pressure ulcer prevention strategies. Design: Integrative literature review. Data sources: A systematic search of electronic databases (Athens, Pub Med, Web of Science, Science Direct, AMED, CINAHL, Cochrane Library, PsychInfo, Google Scholar, Delphis) was initially conducted in May 2017 (repeated August 2018). Review methods: The methodological quality was assessed using the Critical Appraisal Skills Programme (CASP) principles. The Noticing, Collecting, Thinking (NCT) model of qualitative data analysis was used to identify key themes. Results: A total of twelve studies met the inclusion criteria and were included in the review. The majority of studies were qualitative and three key themes were identified: (i) individual/daily lifestyle considerations, (ii) patient involvement in the decision-making process, and (iii) pain and/or discomfort. Conclusion: There is limited research that focuses on the patient view of factors affecting adherence to prevention measures, particularly in community settings. Individual and daily lifestyle considerations and involvement in decision-making around pressure ulcer care are important aspects from the patient perspective. Further research is necessary to explore which factors affect patient adherence in order to improve clinical practice and support patient involvement in preventative strategies.

Text
Patient involvement in pressure ulcer prevention and adherence to prevention strategies An integrative review - Author's Original
Restricted to Repository staff only
Request a copy
Text
Patient involvement in pressure ulcer prevention and adherence to prevention strategies An integrative review - Accepted Manuscript
Download (109kB)

More information

Accepted/In Press date: 5 October 2019
e-pub ahead of print date: 14 October 2019
Published date: January 2020
Keywords: Adherence, Community, Decision-making, Non-adherence, Patient involvement, Pressure ulcer

Identifiers

Local EPrints ID: 435054
URI: http://eprints.soton.ac.uk/id/eprint/435054
ISSN: 0020-7489
PURE UUID: fc38a9d9-7672-4c90-a6a9-d40046c11e6c
ORCID for Peter Worsley: ORCID iD orcid.org/0000-0003-0145-5042
ORCID for Jo Hope: ORCID iD orcid.org/0000-0002-8939-7045
ORCID for Lisette Schoonhoven: ORCID iD orcid.org/0000-0002-7129-3766

Catalogue record

Date deposited: 21 Oct 2019 16:30
Last modified: 06 Jun 2024 04:14

Export record

Altmetrics

Contributors

Author: Lisa Ledger
Author: Peter Worsley ORCID iD
Author: Jo Hope ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×