What factors influence community wound care in the UK? A focus group study using the Theoretical Domains Framework

BMJ Open
Trish A GrayNicky A Cullum

Abstract

Research has found unwarranted variation across community wound care services in the North of England, with underuse of evidence-based practice and overuse of interventions where there is little or no known patient benefit. This study explored the factors that influence care in community settings for people with complex wounds, to develop a deeper understanding of the current context of wound care and variation in practice. Qualitative focus group study using the Theoretical Domains Framework (TDF) to structure the questions, prompts and analyses. Community healthcare settings in the North of England, UK. Forty-six clinical professionals who cared for patients with complex wounds and eight non-clinical professionals who were responsible for procuring wound care products participated across six focus group interviews. We found the TDF domains: environmental context and resources, knowledge, skills, social influences and behaviour regulation to best explain the variation in wound care and the underuse of research evidence. Factors such as financial pressures were perceived as having a negative effect on the continuity of care, the availability of wound care services and workloads. We found practice to be mainly based on experient...Continue Reading

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Citations

Mar 10, 2020·International Wound Journal·Carolina D WellerVictoria Team
Sep 25, 2020·Primary Health Care Research & Development·Anne FrimanSamuel Edelbring
Jun 5, 2020·Journal of Foot and Ankle Research·Nicoletta Frescos, Bev Copnell
May 4, 2021·British Journal of Community Nursing·Kerry CarmichaelTim Styche
May 9, 2021·International Journal of Medical Informatics·Geicianfran da Silva Lima RoqueIsabel Cristina Ramos Vieira Santos
Nov 17, 2021·British Journal of Nursing : BJN·Jenni MacDonald

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