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Table 4 Participant nominated strategies to facilitate patient participation in PIP (open-ended responses)

From: The role of patients in pressure injury prevention: a survey of acute care patients

Strategies for patient participation in PIP Enablers Barriers
(Illustrated by participant quotes) (Illustrated by participant quotes)
Manage pain and discomfort Nurses to check pain and comfort levels- we cant move if uncomfortable Patient factors
Constant pain, stiffness, numbnesspain, the psychological barrier
Confidence to move Have not moved much because Im in pain
Dont have strength to change and shift position
Trying to get comfortable is hard because of my surgery
Fairly helpless because can only use one arm
Rheumatoid arthritis
Risk of dislocation
Sleeping on side is difficult
Lack of confidence to move (due to illness, pain, injury, surgery)
Equipment factors
Hard, hot and sticky mattress; sinking in the middle therefore I need assistance to move; terrible pillows; mattress too small
Afraid the monkey bar will break.
Treatment factors
Heavy splinting, bandaging, infusion pumps, IDCs, drains, monitors, attached to vac machine; negative pressure wound therapy
All the buttons, wires and call buttons
Knees are heavily bandaged in the straight position
Painful cannula
Work together Co-operation between patient and nurse Waiting for staff
Staff assistance to moisturise legs as unable to reach them Reluctant to ask for help
Work with nurses when time to be turned Staff are too busy
Call for assistance  
Tell nurses when signs of PI appear  
Regular checking and reminding by staff of things that should be done (eg reminders to move)  
Motivate self  
Ongoing PI education Verbal and written information during preadmission and hospital admission Information too early in the patient journey
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