A qualitative exploration of psychosocial specialists’ experiences of providing support in U.K. burn care services

Guest, Ella; Griffiths, Catrin; Harcourt, Diana

Abstract

Introduction: A burn can have a significant and long-lasting psychosocial impact on a patient and their family. The National Burn Care Standards (2013) recommend psychosocial support should be available in all U.K. burn services, however little is known about how it is provided. The current study aimed to explore experiences of psychosocial specialists working in U.K. burn care, with a focus on the challenges they experience in their role.
Methods: Semi-structured telephone interviews with eight psychosocial specialists (2 psychotherapists and 6 clinical psychologists) who worked within U.K. burn care explored their experiences of providing support to patients and their families.
Results and Discussion: Thematic analysis revealed two main themes: burn service-related experiences and challenges reflected health professionals having little time and resources to support all patients; reduced patient attendance due to them living large distances from service; psychosocial appointments being prioritised below wound-related treatments; and difficulties detecting patient needs with current outcome measures. Therapy-related experiences and challenges outlined the sociocultural and familial factors affecting engagement with support; difficulties treating patients with pre-existing mental health conditions within the burn service; and individual differences in the stage at which patients are amenable to support.
Conclusion: Findings provide an insight into the experiences of psychosocial specialists working in U.K burn care and suggest a number of ways in which psychosocial provision in the NHS burn service could be developed.

• Journal Article Type: Article
• Acceptance Date: Feb 28, 2018
• Publication Date: Jan 1, 2018
• Deposit Date: Mar 9, 2018
• Publicly Available Date: Mar 26, 2018
• Journal: Scar, Burns & Healing
• Print ISSN: 2059-5131
• Publisher: SAGE Publications (UK and US)
• Peer Reviewed: Peer Reviewed
• Volume: 4
• Pages: 1-10
• DOI: https://doi.org/10.1177/2059513118764881
• Keywords: burn injury, health professionals, psychology, psychosocial adjustment, psychosocial support, qualitative, visible difference
• Public URL: https://uwe-repository.worktribe.com/output/874202
• Publisher URL: http://journals.sagepub.com/home/sbh
• Additional Information: Additional Information : This study was conducted as part of a program of research funded by Restore Burn and Wound Research, together with The Children’s Burns Research Centre and Dan’s Fund for Burns. The Children’s Burns Research Centre, part of the Burns Collective, is a Scar Free Foundation initiative. The views expressed are those of the authors, and not necessarily those of the funding bodies. The publication of this research was funded by the Katie Piper Foundation; Corporate Creators : Centre for Appearance Research
• Contract Date: Mar 26, 2018