Outdated training leaves patients with dark skin tones at risk of severe bedsores, warn researchers

The study highlights a significant educational gap, with current guidelines and training materials largely designed for people with light skin tones, making it difficult for nurses to identify the early stages of pressure ulcers in people with dark skin tones. As a result, patients with dark skin are at risk of developing more severe cases due to missed early signs. 

Researchers also found that nurses with dark skin tones often rely on personal experience rather than formal training to recognise pressure ulcers. This indicates a need for updated clinical guidelines and inclusive education to ensure all nurses can provide equitable care. 

Surrey's research team suggests that language adjustments could go a long way toward improving this issue. For example, using the term "discolouration" instead of "redness" to describe early signs of bedsores could help nurses take action more quickly. The study also calls for more thorough examination practices and greater awareness of skin tone diversity in assessments. 

The study conducted a number of focus groups and interviews featuring a group of 17 community nurses from the South of England. While the majority of the group was white, the focus group included nurses with dark skin tones who shared unique perspectives on assessing pressure ulcers. 

The study has been published in the Journal of Advanced Nursing.