Barriers to JMO participation in pressure injury prevention and management

Background: ‘Preventing and Managing Pressure Injuries’ is a national health priority as seen from the NSQHS Standards. Lack of physician involvement has been identified as a major barrier to successful program implementation. Reasons for this have not been explored in the literature.
Objectives: To identify JMOs’ participation in PI prevention and management and barriers participation.
Methodology: The prospective point-prevalence study was conducted at University Hospital Geelong in January 2015. Data was obtained via survey and focus groups. All on-sight junior medical officers were invited to participate. Quantitative data analysis was performed using STATA 13 statistical software. Qualitative data analysis was performed using a grounded theory approach.
Results: 70 JMOs responded to the survey, and 2 focus groups were conducted. 13 barriers were identified, the most prevalent included; lack of knowledge, skills and experience (n = 27; 42.9%); time constraints (n = 21; 33.3%); ineffective communication (n = 15; 23.8%); resource availability (n = 13; 20.6%); lack of procedure, standardisation and systems (n = 11; 17.5%). These barriers contributed to the general theme: “lack of awareness of roles and responsibilities”.
Conclusions: Barriers to JMO participation in pressure injury prevention and management were described and prioritised. Further research is required to identify JMOs’ roles and responsibilities in complementing existing efforts to prevent and manage PIs.

Dr. Joshua Elakis