title: Patients' Perceptions of a Pressure Ulcer Prevention Care Bundle in Hospital: A Qualitative Descriptive Study to Guide Evidence-Based Practice.
abstract: BACKGROUND
  Pressure ulcers place a significant burden on patients and hospitals. Our team developed and tested a pressure ulcer prevention care bundle (PUPCB) in a cluster randomized trial. As part of the process evaluation conducted alongside the trial, we explored patients' perceptions of the intervention.
  
  
  OBJECTIVE
  To identify patients' perceptions and experiences of a PUPCB in hospital.
  
  
  METHODS
  This qualitative descriptive study explored the perceptions of a subset of patients who participated in a trial testing the PUPCB across four intervention hospitals. A trained interviewer conducted semistructured interviews, which were digitally recorded, transcribed, and analyzed using thematic analysis.
  
  
  RESULTS
  Nineteen patients were interviewed across the four hospitals. Three main themes emerged: (a) importance of personal contact in PUPCB delivery; (b) understanding pressure ulcer prevention (PUP) enhances participation; and (c) individual factors impact patients' engagement in PUP.
  
  
  CONCLUSIONS
  The extent to which patients adopted the intervention appeared to be influenced by the complexity of education materials, compatibility with patients' existing knowledge and beliefs, and perceived advantage of the intervention; ability for human interaction; and patient-related facilitators and barriers to participating in PUP care.
  
  
  CONCLUSIONS
  This study found patients accepted a PUPCB that encouraged participation in care, particularly as it involved personal and positive interactions with nurses and provision of information that was easy to understand and resonated with patients.
authors.affiliation: Research Fellow, Griffith University, NHMRC Centre of Research Excellence in Nursing, Menzies Health Institute Queensland, Gold Coast Campus, QLD, Australia.
authors.forename: Shelley
authors.initials: S
authors.lastname: Roberts
authors.affiliation: Professor of Nursing, University of the Sunshine Coast, School of Nursing, Midwifery and Paramedicine, Maroochydore DC, QLD, Australia.
authors.forename: Marianne
authors.initials: M
authors.lastname: Wallis
authors.affiliation: Deputy Director, Nursing Research Institute, St Vincent's Health Australia, Sydney, and Australian Catholic University, School of Nursing, Midwifery and Paramedicine, North Sydney, NSW, Australia.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: McInnes
authors.affiliation: Professor and Associate Head of School (Research), Centre for Quality and Patient Safety, School of Nursing and Midwifery, Deakin University, and Foundational Chair in Nursing, Alfred Health, Geelong, VIC, 3220, Australia.
authors.forename: Tracey
authors.initials: T
authors.lastname: Bucknall
authors.affiliation: Director of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Department of Nutrition and Dietetics, Herston, QLD, Australia.
authors.forename: Merrilyn
authors.initials: M
authors.lastname: Banks
authors.affiliation: Research Fellow, NHMRC Centre for Research Excellence in Nursing, Griffith University, Gold Coast Campus, QLD, Australia.
authors.forename: Lauren
authors.initials: L
authors.lastname: Ball
authors.affiliation: Director of NHMRC Centre for Research Excellence in Nursing, Griffith University, Gold Coast Campus, QLD, Australia.
authors.forename: Wendy
authors.initials: W
authors.lastname: Chaboyer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D064872:Patient Care Bundles / Q000523:psychology / Q000592:standards*; D010349:Patient Compliance / Q000523:psychology; D010361:Patients / Q000523:psychology*; D010465:Perception; D003668:Pressure Ulcer / Q000517:prevention & control*; D036301:Qualitative Research
keywords: care bundle; patient participation; patient-centered care; pressure injury prevention; pressure ulcer prevention