Perceived barriers and facilitators to preventing hospital-acquired pressure injury in paediatrics: A qualitative analysis.
Tanesha A Dimanopoulos, Wendy Chaboyer, Karin Plummer and 4 others
PMID 38037540WHAT IT FOUND
Staff delivering paediatric pressure injury prevention said equipment shortages, poor handovers, and tick-box screens hindered care.
They valued family knowledge, clinical judgement, and team communication, not just routine risk assessment.
Key findings
01A total of 19 health professionals, including nurses, physiotherapists and occupational therapists, were interviewed about paediatric pressure injury prevention.
02Pressure injury prevention was described as nurse-led but everybody's responsibility, while equipment access, handovers and competing demands were barriers.
03Participants said they relied on experience and family knowledge, and that electronic prompts and the Glamorgan screen could become tick-box tasks rather than guiding care.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study reports professionals' perceptions, not patient outcomes. It was conducted in a single tertiary paediatric hospital, so it may not apply elsewhere. Some participants had a particular interest in pressure injury, so their views may not represent the wider workforce. Medical staff and family members were not included.
Declared interests
Some authors were funded by NHMRC Wiser Wounds CRE, and some by Griffith University New Researcher Grant scheme. No conflicts of interest were declared.
The easy way to misread this
Do not read these themes as evidence that any pressure injury prevention strategy works. The study reports staff perceptions in a single paediatric hospital and did not test outcomes.