Staff Profiles

I am interested in the experiences of patients with pressure injuries (pressure ulcers) in community dwelling adults, especially those living in their own homes without continuous nursing care. Pressure ulcers or bedsores are a major cause of preventable harm to patients, ranked as the highest burden with the NHS Safety Thermometer. Physically pressure injuries can cause pain, blood stream and bone infections and the need for long-term wound care or surgery. Socially and emotionally patients report a diminished quality of life and financial concerns due to long-term dependence and treatment.

Research group membership

Oxford Pressure Injury Project

Society of Radiographers

UK Trial Managers Network

Research projects

Pressure ulcer prevention and treatment: strategies to reduce patient suffering

Further information

http://www.oxinmahr.com/our-centres-and-groups/pipox

https://www.researchgate.net/profile/Lisa_Durrant

Journal articles

• Durrant, L, Taylor, J, Thompson, H, Usher, K, Jackson D., 'Health literacy in pressure injury: findings from a mixed methods study of community-based patients and carers'
  Nursing and Health Sciences 21 (1) (2018) pp.37-43
  ISSN: 1441-0745
  Abstract This paper, drawn from a larger mixed methods case study, provides insights into the health literacy of community-based patients with pressure injuries, and their carers, and critically analyses the patient information resources available; crucial because health literacy is associated with patient care and outcomes for patients. Two data sets were used to better understand patient literacy in relation to pressure injury: (i) narratives from patients and carers; and, (ii) analysis of patient education resources. Narratives were subject to content analysis and patient education resources available to the patients were analysed drawing on the Simplified Measure of Gobbledygook, the National Health Service Toolkit for Producing Patient Resources and compared to an internationally advocated pressure injury leaflet. Study findings indicated that despite leaflets broadly meeting required production and content guidelines, patients appeared to poorly engage with these materials and demonstrated limited health literacy in relation to pressure injury. Although improvements in leaflet production and readability may be advantageous, emphasis should remain on quality patient-healthcare professional relationships, to enable tailored patient education that can enhance awareness and engagement with treatment and prevention interventions. Website 
• Jackson, D., Durrant, L., Bishop, E., Walthall, H., Betteridge, R., Gardener, S., Coulton, W., Hutchinson, M., Neville, S., Davidson, P. & Usher, K., 'Health service provision and the use of pressure redistributing devices: Mixed methods study of community dwelling individuals with pressure injuries'
  Contemporary Nurse (2017)
  ISSN: 1037-6178 eISSN: 1839-3535
  
• Jackson D, Durrant L, Hutchinson M, Ballard CA, Neville S, Usher K, 'Living with multiple losses: insights from patients living with pressure injury'
  Collegian 25 (4) (2017) pp.409-414
  ISSN: 1322-7696
  Abstract Background: Pressure injury is a common problem. Its prevention and treatment is predominantly
  focussed on views, perceptions and knowledge of healthcare staff rather than on patient experience, particularly those patients living in their own homes.
  Aim: This paper reports findings on patients experiences and perceptions of loss associated with PI. These findings are drawn from a larger study of pressure injury patients living and receiving care in the community.
  Methods: Qualitative interviews with 12 participants with pressure injury and five carers. Data was
  audio recorded and thematically analysed. The study is reported in accordance with the COREQ
  guidelines.
  Findings: Having a pressure injury negatively affected many aspects of life for our participants
  resulting in multiple losses. These losses included loss of mobility and independence, privacy and
  dignity, and social engagement and ability to engage in preferred activities.
  Discussion: Although the effects of a pressure injury may be similar for many people, the most
  important issues will differ from person-to-person thus treatment and prevention of pressure injury
  requires a multidisciplinary team having a holistic care approach. Some patients’ pressure injury will never heal and it is increasingly important to involve the patient to find out what matters most to them and how their wound is impacting on them, to jointly develop a holistic, person-centred plan.
  Conclusion: Policy and practice should recognise and reflect that patients living with a pressure
  injury at home have different challenges and needs to those in acute or long term care. Pragmatic
  solutions in the delivery of pressure injury care are needed to compliment the drive to move
  healthcare from the hospital-to-home.Website 
• Jackson D, Durrant L, Bishop E, Walthall H, Betteridge R, Gardner S, Coulton W, Hutchinson M, Neville S, Davidson PM, Usher K, 'Pain associated with pressure injury: a qualitative study of community-based, home-dwelling individuals'
  Journal of Advanced Nursing 73 (12) (2017) pp.3061-3069
  ISSN: 0309-2402 eISSN: 1365-2648
  Abstract Aims: To provide deep insights into the pain associated with pressure injuries in home-dwelling individuals using narrative accounts.
   
  Background: Pressure injuries or pressure ulcers are burdensome and costly. Prevalence data, surveys and systematic reviews demonstrate that pain associated with pressure injury is widespread, but voices of home-dwelling patients have remained largely unheard. 
   
  Design: Concurrent mixed methods case study of a UK community of approximately 50,000 adults.
   
  Methods: Qualitative interviews, conducted in 2016, of twelve home-dwelling adult participants with a current pressure injury (n=10), or a recently healed pressure injury (n=2).
   
  Findings: Pain impacted adversely on activities of daily living, mobility and sleep. Participants described days that were clouded in pain; a pain they felt was poorly understood and often out of control. Thematic content analysis revealed two major themes; these are: Poorly controlled pain: ‘I just want the pain to go away’; and, Uncertainty for the future: ‘it almost seems insurmountable’.
   
  Conclusion: Findings of our study support the need to develop an appropriate assessment tool for pressure injury patients in the community to enable health care professionals and patients to recognise and manage pressure injury related pain effectively. 
  Website 

https://www.researchgate.net/profile/Lisa_Durrant

Other experience

Research radiographer (therapy) both early and late phase clinical trials