Pressure ulcer reduction is a healthcare priority. Good clinical guidelines have the potential to transform pressure ulcer prevention and management practices. However, evidence suggests these guidelines are inconsistently utilised. The aim of this study was to explore health practitioners’ perceived barriers and enablers to the implementation of evidence‐based pressure ulcer prevention and management recommendations in an integrated community care setting. The study used a qualitative exploratory design. It took place in a community Trust in London, England. Semi‐structured interviews were conducted with a purposive sample of registered nurses and allied healthcare professionals (AHPs). The Theoretical Domains Framework (TDF) informed both data collection and data analysis. Analysis followed a five‐step process including deductive coding of the transcripts and inductive generation of specific belief statements. Nine nurses and four AHPs took part in the study. Six TDF domains were identified as most relevant to the implementation of best practice in pressure ulcer prevention and management: Goals, Knowledge, Skills, Beliefs about capabilities, Environmental context and resources and Social influences. All participants felt it was important to prevent pressure ulcers and were motivated to do so. Key enablers to the implementation of evidence‐based practice included high levels of self‐reported pressure ulcer knowledge and skills (nurses), responsive community equipment provision, the introduction of novel Pressure Ulcer Implementation Facilitator roles and integrated team working. Barriers included self‐reported deficits in knowledge and skills (AHPs), worries about inspecting intimate anatomical locations (AHPs), difficulties initiating conversations with patients about risk and behaviour change, high workloads and clutter in the home. Family members and mobile working solutions were identified as both enablers and barriers. Potential routes to addressing implementation challenges are identified and recommendations made for future research.

中文翻译：

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在综合社区护理环境中实施压疮预防和管理循证实践的障碍和推动因素：基于理论领域框架的定性研究

减少压疮是医疗保健的重点。良好的临床指南有可能改变压疮的预防和管理实践。然而，有证据表明这些指南的使用不一致。本研究的目的是探索卫生从业人员在综合社区护理环境中实施循证压疮预防和管理建议的障碍和推动因素。该研究使用了定性探索性设计。它发生在英国伦敦的一个社区信托基金中。对注册护士和相关医疗保健专业人员 (AHP) 的有目的的样本进行了半结构化访谈。Theoretical Domains Framework (TDF) 为数据收集和数据分析提供了信息。分析遵循一个五步过程，包括转录的演绎编码和特定信念陈述的归纳生成。九名护士和四名 AHP 参与了这项研究。六个 TDF 领域被确定为与压疮预防和管理最佳实践的实施最相关：目标、知识、技能、对能力的信念、环境背景和资源以及社会影响。所有参与者都认为预防压疮很重要，并有动力这样做。实施循证实践的关键推动因素包括高水平的自我报告压疮知识和技能（护士）、响应社区设备的提供、引入新的压疮实施促进者角色和综合团队合作。障碍包括自我报告的知识和技能缺陷 (AHP)、担心检查私密解剖位置 (AHP)、难以与患者就风险和行为改变进行对话、工作量大和家中杂乱无章。家庭成员和移动工作解决方案被确定为推动因素和障碍。确定了解决实施挑战的潜在途径，并为未来的研究提出了建议。