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

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    Authors
    Ledger, Lisa
    Worsley, Peter
    Hope, Jo
    Schoonhoven, Lisette
    Affiliation
    University of Derby
    University of Southampton
    Utrecht University
    Issue Date
    2019-10-14
    
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    Abstract
    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. To investigate from a patient perspective the factors affecting adherence to pressure ulcer prevention strategies. 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). 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. 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. 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.
    Citation
    Ledger, L., Worsley, P., Hope, J. and Schoonhoven, L., (2020). 'Patient involvement in pressure ulcer prevention and adherence to prevention strategies: An integrative review'. International journal of nursing studies, 101, pp .103449. DOI:
    Publisher
    Elsevier
    Journal
    International Journal of Nursing Studies
    URI
    http://hdl.handle.net/10545/624297
    DOI
    10.1016/j.ijnurstu.2019.103449
    Additional Links
    https://www.sciencedirect.com/science/article/pii/S0020748919302561
    Type
    Article
    Language
    en
    ISSN
    0020-7489
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ijnurstu.2019.103449
    Scopus Count
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    School of Allied Health and Social Care

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