Compare methods used in each Qualitative articles relating to pressure ulcer and write a summary of comparison in around 500-600 words See attached of 3 articles to be used.
Compare methods used in each Qualitative articles relating to pressure ulcer and write a summary of comparison in around 500-600 words See attached of 3 articles to be used. plagiarism free
J Wound Ostomy Continence Nurs. 2014;41(6):528-534.
Published by Lippincott Williams & Wilkins
WOUND CARE
528 J WOCN ■ November/December 2014 Copyright © 2014 by the Wound, Ostomy and Continence Nurses Society™
Patient Perceptions of the Role
of Nutrition for Pressure Ulcer
Prevention in Hospital
An Interpretive Study
Shelley Roberts ■ Ben Desbrow ■ Wendy Chaboyer
■ ABSTRACT
PURPOSE: The aims of this study were to explore (a) patients’
perceptions of the role of nutrition in pressure ulcer
prevention; and (b) patients’ experiences with dieticians
in the hospital setting.
DESIGN: Interpretive qualitative study.
SUBJECTS AND SETTING: The sample comprised 13 females
and 7 males. Their mean age was 61.3 ± 12.6 years
(mean ± SD), and their average hospital length of stay
was 7.4 ± 13.0 days. The research setting was a public
health hospital in Australia.
METHODS: In this interpretive study, adult medical patients
at risk of pressure ulcers due to restricted mobility
participated in a 20 to 30 minute interview using a
semi-structured interview guide. Interview questions
were grouped into 2 domains; perceptions on the role of
nutrition for pressure ulcer prevention; and experiences
with dieticians. Recorded interviews were transcribed
and analyzed using content analysis.
RESULTS: Within the fi rst domain, ‘patient knowledge
of nutrition in pressure ulcer prevention,’ there were
varying patient understandings of the role of nutrition
for prevention of pressure ulcers. This is refl ected in
5 themes: (1) recognizing the role of diet in pressure
ulcer prevention; (2) promoting skin health with good
nutrition; (3) understanding the relationship between
nutrition and health; (4) lacking insight into the role of
nutrition in pressure ulcer prevention; and (5) acknowledging
other risk factors for pressure ulcers. Within
the second domain, patients described their experiences
with and perceptions on dieticians. Two themes
emerged, which expressed differing opinions around
the role and reputation of dieticians; they were receptive
of dietician input; and displaying ambivalence
towards dieticians’ advice.
CONCLUSIONS: Hospital patients at risk for pressure ulcer
development have variable knowledge of the preventive
role of nutrition. Patients had differing perceptions
■ Introduction
Pressure ulcers (PUs) are associated with signifi cant costs
to both patients and the health care system. 1,2 Issues such
as pain, discomfort, decreased mobility and independence,
wound exudate, odor, social isolation, and poor
body image have been described by individuals who have
experienced PUs. 3 In the hospital setting, PUs are associated
with an increased risk of complications and lengthy
healing times, resulting in longer length of stay (LOS) and
higher hospital costs. 1-7 In the Australian public hospital
setting, PUs increase LOS of acute admissions by a median
of 4.3 days, 8 and a recent study estimated the total cost of
PU in Australian public and private hospitals in 2010–11
was US$1.64 billion ( ±US$1.05 billion). 9 In the United
Kingdom, the estimated annual cost of treating PU to
healing time in hospital and long-term care settings was
£1.4 billion to 2.1 billion in 1999 to 2000. 10 Clearly, the
Shelley Roberts, MNutrDiet, PhD candidate, Centre for Health
Practice Innovation, and School of Public Health, Griffi th University,
Gold Coast, Queensland, Australia.
Ben Desbrow, PhD, Associate Professor, Centre for Health
Practice Innovation, Griffi th Health Institute, and School of Public
Health, Griffi th University, Gold Coast, Queensland, Australia.
Wendy Chaboyer, PhD, Director, NHMRC Centre for Research
Excellence in Nursing, Griffi th Health Institute and Centre for Health
Practice Innovation, Griffi th University, Gold Coast, Queensland,
Australia.
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