Attention to patient safety and harm has largely focused upon hospital-based care. Care provided in the home setting is a vital component of pressure injury prevention and management, and is a growing component of health care systems.
The aim of this paper is to describe the use of health services and pressure relieving / redistributing equipment in community dwelling patients with pressure injuries.
A mixed-methods collective case study, located in a defined, diverse geographic postcode area in the United Kingdom.
Quantitative retrospective review of electronic and paper medical records of adult pressure injury patients identified from 2015 district nursing records. Qualitative semi-structured interviews of adult patients, with the capacity to consent, who were receiving, or received treatment for a pressure injury in 2016 whilst being resident in their own homes.
103 mandatory reports of individual community based patients with pressure injury (PI) in the study catchment area in 2015 formed the quantitative dataset, and revealed 90 patients were offered a variety of pressure redistributing devices and equipment but only 1/3 of patients used the equipment as recommended. Qualitative interviews of 12 patients in 2016, reported according to COREQ guidelines, revealed two major themes in relation to service use; firstly patients felt they had become reliant on the care provided by community health services, and secondly patients were concerned about the consistency and continuity of their care during transition periods between healthcare providers.
There is a need for authentic patient involvement and education particularly during periods of service change and care transition. Interventions that are acceptable to patients and can be incorporated in self-care strategies, including ongoing individualised assessment around the use of PI-associated equipment are needed.
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 August 2018.
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#9,491,946
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#183
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Outputs of similar age
#121,414
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Outputs of similar age from Contemporary Nurse
#8
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Altmetric has tracked 29,697,103 research outputs across all sources so far. This one has received more attention than most of these and is in the 67th percentile.
So far Altmetric has tracked 611 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.5. This one has gotten more attention than average, scoring higher than 69% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 336,967 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 63% of its contemporaries.
We're also able to compare this research output to 13 others from the same source and published within six weeks on either side of this one. This one is in the 38th percentile – i.e., 38% of its contemporaries scored the same or lower than it.
