Abstract：
OBJECTIVE: To examine the personal experiences and perceptions of people with dark skin tones and their carers, in relation to pressure injury.
METHODS: Qualitative study using semi-structured interviews.
METHODS: Twenty-two interviews with people with dark skin tone and/or their family carers, who were known to and visited by community nurses for pressure area management or who had been identified as being at high risk for developing a pressure injury were carried out.
RESULTS: Thematic analysis of the interview transcripts revealed that skin discolouration towards a darker hue than usual was the commonest symptom identified by participants as a sign of altered skin integrity and potential pressure damage. Four main overarching themes were revealed through comprehensive analysis of the transcripts: (1) indicators of pressure injury; (2) experienced symptoms of pressure damage; (3) trust in healthcare workers; and (4) improving care for populations with dark skin tones.
CONCLUSIONS: The findings from this study clearly present how early-stage pressure damage is identified among people with dark skin tones.
UNASSIGNED: These findings have the potential to reduce health inequality by influencing and informing clinical policies and strategies in practice. Findings could also lead to the development of patient-informed educational strategies for nurses and health workers which will enable the early identification of pressure ulcers among people with dark skin tones. Further research is needed to better understand health disparities in relation to preventable patient safety harm.
CONCLUSIONS: The findings demonstrate the importance of engaging with and listening to the stories and experiences of people living with pressure damage to help in the early recognition of pressure injuries.
UNASSIGNED: The Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines for qualitative research were followed.
UNASSIGNED: A project steering group reviewed information sheets for participants and checked the interview questions were relevant and suitable.
METHODS: Qualitative study using semi-structured interviews.
METHODS: Twenty-two interviews with people with dark skin tone and/or their family carers, who were known to and visited by community nurses for pressure area management or who had been identified as being at high risk for developing a pressure injury were carried out.
RESULTS: Thematic analysis of the interview transcripts revealed that skin discolouration towards a darker hue than usual was the commonest symptom identified by participants as a sign of altered skin integrity and potential pressure damage. Four main overarching themes were revealed through comprehensive analysis of the transcripts: (1) indicators of pressure injury; (2) experienced symptoms of pressure damage; (3) trust in healthcare workers; and (4) improving care for populations with dark skin tones.
CONCLUSIONS: The findings from this study clearly present how early-stage pressure damage is identified among people with dark skin tones.
UNASSIGNED: These findings have the potential to reduce health inequality by influencing and informing clinical policies and strategies in practice. Findings could also lead to the development of patient-informed educational strategies for nurses and health workers which will enable the early identification of pressure ulcers among people with dark skin tones. Further research is needed to better understand health disparities in relation to preventable patient safety harm.
CONCLUSIONS: The findings demonstrate the importance of engaging with and listening to the stories and experiences of people living with pressure damage to help in the early recognition of pressure injuries.
UNASSIGNED: The Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines for qualitative research were followed.
UNASSIGNED: A project steering group reviewed information sheets for participants and checked the interview questions were relevant and suitable.
摘要：
目的：研究深色肤色的人及其照顾者的个人经历和看法，与压力伤害有关。
方法：使用半结构化访谈的定性研究。
方法：对深色肤色的人和/或他们的家庭照顾者进行了22次访谈，我们对社区护士进行了压力区管理的认识和访问,或者被确定为发生压力损伤的高风险人群进行了检查.
结果：对访谈笔录的主题分析显示，皮肤向比平常更深的色调变色是参与者确定的最常见的症状，是皮肤完整性改变和潜在压力损害的标志。通过对成绩单的综合分析，揭示了四个主要的总体主题：（1）压力损伤指标；（2）经历了压力损伤的症状；（3）对医护人员的信任；（4）改善对深色肤色人群的护理。
结论：这项研究的结果清楚地表明，在深色肤色的人群中，早期压力损害是如何被发现的。
■这些发现有可能通过在实践中影响和告知临床政策和策略来减少健康不平等。研究结果还可能导致针对护士和卫生工作者的患者知情教育策略的发展，这将使深色肤色人群的压力性溃疡的早期识别成为可能。需要进一步的研究来更好地了解与可预防的患者安全损害有关的健康差异。
结论：研究结果表明，参与和聆听压力伤害患者的故事和经历，以帮助早期识别压力伤害的重要性。
■遵循定性研究报告综合标准（COREQ）指南。
■一个项目指导小组审查了参与者的信息表，并检查了面试问题是否相关和合适。
方法：使用半结构化访谈的定性研究。
方法：对深色肤色的人和/或他们的家庭照顾者进行了22次访谈，我们对社区护士进行了压力区管理的认识和访问,或者被确定为发生压力损伤的高风险人群进行了检查.
结果：对访谈笔录的主题分析显示，皮肤向比平常更深的色调变色是参与者确定的最常见的症状，是皮肤完整性改变和潜在压力损害的标志。通过对成绩单的综合分析，揭示了四个主要的总体主题：（1）压力损伤指标；（2）经历了压力损伤的症状；（3）对医护人员的信任；（4）改善对深色肤色人群的护理。
结论：这项研究的结果清楚地表明，在深色肤色的人群中，早期压力损害是如何被发现的。
■这些发现有可能通过在实践中影响和告知临床政策和策略来减少健康不平等。研究结果还可能导致针对护士和卫生工作者的患者知情教育策略的发展，这将使深色肤色人群的压力性溃疡的早期识别成为可能。需要进一步的研究来更好地了解与可预防的患者安全损害有关的健康差异。
结论：研究结果表明，参与和聆听压力伤害患者的故事和经历，以帮助早期识别压力伤害的重要性。
■遵循定性研究报告综合标准（COREQ）指南。
■一个项目指导小组审查了参与者的信息表，并检查了面试问题是否相关和合适。
