Pressure injury prevention and management training challenges and needs of nursing assistants in Chinese nursing homes: A qualitative study

Abstract

To explore the training challenges and needs of pressure injury prevention and management among nursing assistants in Chinese nursing homes, we employed a qualitative study through focus group and in-depth interviews in July 2024. Data were analyzed using qualitative content analysis guided by Social Learning Theory. Findings revealed five themes and 13 categories representing training challenges, characterized by incomplete and outdated knowledge, inappropriate training schedules, rigid training methods, unscientific training evaluation, and insufficient policy support. Four themes and 11 categories emerged that encapsulate the training needs, emphasizing the necessity for comprehensive training objectives, evidence-based training content, innovative and flexible training methods, and objective and ongoing training evaluation. These findings indicate a significant gap between the current training practices and the actual needs of nursing assistants, suggesting that training programs are not adequately preparing nursing assistants to manage pressure injuries effectively. In the future, the development of a more comprehensive, effective, and scientific training program should be crafted based on the training needs identified in the study, leading to competency advancement, better care outcomes, decreased healthcare system burden, and improved quality of life for the residents in long-term care facilities.