Related Experiment Videos
Patients' Perceptions of a Pressure Ulcer Prevention Care Bundle in Hospital: A Qualitative Descriptive Study to
Shelley Roberts1, Marianne Wallis2, Elizabeth McInnes3
1Research Fellow, Griffith University, NHMRC Centre of Research Excellence in Nursing, Menzies Health Institute Queensland, Gold Coast Campus, QLD, Australia.
Insights
Patients found the pressure ulcer prevention care bundle (PUPCB) acceptable when it involved personal interaction and easy-to-understand information. Understanding prevention and individual factors also influenced their engagement in care.
Area of Science:
- Healthcare Quality Improvement
- Patient Experience Research
- Clinical Intervention Studies
Background:
- Pressure ulcers represent a significant burden on patients and healthcare systems.
- A pressure ulcer prevention care bundle (PUPCB) was developed and tested in a cluster randomized trial.
- A process evaluation explored patient perceptions of the PUPCB intervention.
Purpose of the Study:
- To investigate patient perceptions and experiences with a PUPCB in a hospital setting.
- To understand factors influencing patient acceptance and engagement with the PUPCB.
Main Methods:
- Qualitative descriptive study involving semistructured interviews with patients.
- Interviews were conducted across four hospitals participating in the PUPCB trial.
- Thematic analysis was used to analyze transcribed interview data.
Main Results:
- Nineteen patients were interviewed, revealing three key themes.
- Patients valued personal contact in the delivery of the PUPCB.
- Understanding pressure ulcer prevention and individual factors influenced patient participation.
Conclusions:
- Patient acceptance of the PUPCB was linked to educational material clarity, compatibility with existing beliefs, and perceived benefits.
- Human interaction and patient-specific facilitators/barriers played a crucial role in adoption.
- The PUPCB was accepted when it promoted patient participation through positive nurse interactions and clear information.
Background:
Pressure ulcers place a significant burden on patients and hospitals. Our team developed and tested a pressure ulcer prevention care bundle (PUPCB) in a cluster randomized trial. As part of the process evaluation conducted alongside the trial, we explored patients' perceptions of the intervention.
Aims:
To identify patients' perceptions and experiences of a PUPCB in hospital.
Methods:
This qualitative descriptive study explored the perceptions of a subset of patients who participated in a trial testing the PUPCB across four intervention hospitals. A trained interviewer conducted semistructured interviews, which were digitally recorded, transcribed, and analyzed using thematic analysis.
Findings:
Nineteen patients were interviewed across the four hospitals. Three main themes emerged: (a) importance of personal contact in PUPCB delivery; (b) understanding pressure ulcer prevention (PUP) enhances participation; and (c) individual factors impact patients' engagement in PUP.
Discussion:
The extent to which patients adopted the intervention appeared to be influenced by the complexity of education materials, compatibility with patients' existing knowledge and beliefs, and perceived advantage of the intervention; ability for human interaction; and patient-related facilitators and barriers to participating in PUP care.
Linking Evidence To Action:
This study found patients accepted a PUPCB that encouraged participation in care, particularly as it involved personal and positive interactions with nurses and provision of information that was easy to understand and resonated with patients.