Systematic review of patient education for pressure injury: Evidence to guide practice

Thomas, Deena Clare; Chui, Ping Lei; Yahya, Abqariyah; Yap, Jiann Wen

doi:10.1111/wvn.12582

Cited by 5 publications

(8 citation statements)

References 25 publications

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“…These associations suggest that the measure of success in patient education is in improving patient and carer knowledge and skills in managing PI, as well as patient behavioural change associated with prevention, improvements in quality of life and evidence that the education programme has reduced or prevented the incidences of PI. 12 The objective is also to focus on providing information that encourages active engagement in patients' selfcare and decision-making. 13 Despite these recommendations, a study by Team et al 14 identified deficits in the uniformity and quality of patient education in the prevention of PIs.…”

Section: Introductionmentioning

confidence: 99%

“…Health literacy is an important element of care for older adults living in the community, in particular, in preventing PIs 12 . Improving health literacy in this area can help enhance the quality of life for the older adults in several ways.…”

Section: Introductionmentioning

confidence: 99%

“…One of the widely accepted preventative measures in PI is patient education 11,12 . Patient education has now become standard practice for hospitals and is recommended by the National Pressure Injury Advisory Panel (NPIAP), the EPUAP and the Pan Pacific Pressure Injury Alliance (PPPIA) for effective treatment of PIs.…”

Section: Introductionmentioning

confidence: 99%

“…Patient education has now become standard practice for hospitals and is recommended by the National Pressure Injury Advisory Panel (NPIAP), the EPUAP and the Pan Pacific Pressure Injury Alliance (PPPIA) for effective treatment of PIs. These associations suggest that the measure of success in patient education is in improving patient and carer knowledge and skills in managing PI, as well as patient behavioural change associated with prevention, improvements in quality of life and evidence that the education programme has reduced or prevented the incidences of PI 12 . The objective is also to focus on providing information that encourages active engagement in patients' self‐care and decision‐making 13 …”

Section: Introductionmentioning

confidence: 99%

“…Health literacy is an important element of care for older adults living in the community, in particular, in preventing PIs. 12 Improving health literacy in this area can help enhance the quality of life for the older adults in several ways. It can help improve nutrition, skin care and the importance of maintaining mobility to reduce the risk of developing PIs.…”

Section: Introductionmentioning

confidence: 99%

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Pressure injury education for older adults and carers living in community settings: A scoping review

Sahay,

Willis,

2024

International Wound Journal

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Older adults are at increased risk of pressure injuries (PIs) due to age‐related changes. Traditionally, PI knowledge and education have been delivered in hospitals and residential aged care facilities, however, there remains a critical gap in understanding how PI knowledge on prevention and management is shared with older adults and their carers living in the community. We aimed to describe the nature and characteristics of structured and unstructured PI education programs available to community‐dwelling older adults and their carers. As coping review was undertaken. We searched five databases: CINAHL, Medline, Scopus, Cochrane Library and ProQuest from 2009 to August 2023. The review was guided by Arksey and O'Malley's six‐step framework and adhered to the PRISMA‐ScR guidelines. It included primary peer‐reviewed papers published in English, which focus on PI education for older adults and/or their carers living in community settings. Data extraction was organised in a table, and findings presented as a narrative summary. One‐hundred and thirty‐six papers were screened and four included in the review. Results indicate that consideration was placed on literacy levels and cognitive status of older adults and their carers when designing PI education materials. Educational materials such as leaflets/brochures, in‐person training sessions or a combination of both were used. However, duration of these interventions varied, lasting for 1–4 weeks while others were completed over 12 months. Some improvements in PI knowledge such as how to treat PI, dietary requirements and importance of mobility were noted. However, information retention and its translation into effective long‐term behaviour change remained unclear. In conclusion, adopting a multifaceted educational approach increases the effectiveness of PI knowledge translation. Continuous education, support and reinforcement on PIs over time are necessary when interacting with older adults and caregivers to ensure long‐term management and prevention success. Conversations on PIs should start at the primary care levels when older adults and carers are visiting their GP clinics and accessing support services for other healthcare needs. Understanding older adults' and carers' literacy levels, cognitive status and cultural background can assist clinicians in designing and delivering fit‐for‐purpose PI educational interventions that are accessible, relatable and effective in promoting knowledge transfer and behaviour change. Carers are vital conduits in the care continuum. These factors will lead to a more informed, collaborative and person‐centred approaches to PI management and prevention.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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