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

Abstract

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.

<p>An interprofessional approach to pressure ulcer prevention: a knowledge and attitudes evaluation</p>

“…However, although small variations were seen between individual professions, overall comparison between nurses and AHPs indicated that they held similar levels of knowledge. The median scores for PTs and OTs in this study (67%–69%) are similar to those reported by Worsley and colleagues25 in an acute setting with the same professions (69%). While these results may indicate a response bias in terms of only capturing interested AHPs, they may also collectively increase confidence that AHPs can play an active role in PU prevention.…”

“…In examining nurses’ attitude to the IPT in PU practice, it was reported that although they were thankful for any assistance, they still adopted the traditional view that it was primarily their responsibility 24. This compares with findings from a UK hospital study, reporting that OTs and PTs demonstrated a positive attitude to PU prevention, although, in practice, they did not consider it to represent their main priority 25. By contrast, OTs in Canada reported greater satisfaction with higher referral rates for PUs as this enabled them to become more involved in a collaborative approach to practice 42.…”

“…For example, while occupational therapists (OTs) and physiotherapists (PTs) in the US, Canada and Australia are widely involved in both treatment and prevention of PUs,17–21 involvement is more varied in other countries. Indeed, this is often limited to specific settings, such as spinal cord injury22 or certain aspects of practice, such as equipment provision, mobilization or with MDRPUs,23–25 and often in support of nursing practitioners. In many countries, nursing is the profession traditionally considered to be responsible for PU-related practice.…”

“…Both knowledge and attitudes have been explored previously, although predominantly within nursing 29,37–39. For other professional groups, such as doctors, occupational therapists (OTs) and physiotherapists (PTs), knowledge has been reported to be dependent on setting and location 25,40. This was particularly demonstrated in a US study exploring the role of therapists in PU management for people with a spinal cord injury (SCI) 41…”

Iranian nurses' knowledge, attitude and behaviour on skin care, prevention and management of pressure injury: A descriptive cross‐sectional study

“…Despite the advances in timely diagnosis and wound healing and despite the international wound guides and the quality of health care provision, the patient's pressure injury remains high, and it is a worldwide problem (Jackson et al, ). The American Nurses Association cites pressure injury as an indicator of the quality of safety assessment and nursing service quality index in the hospital environment (Worsley, Clarkson, Bader, & Schoonhoven, ). Meanwhile, although a multidisciplinary team approach plays a key role in the prevention of pressure injuries, nurses are at the forefront of the prevention and treatment of pressure injuries in the health system (Köse & Öztunç, ).…”