{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:06:49Z","timestamp":1790798809054,"version":"4.1.0"},"reference-count":55,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,7,4]],"date-time":"2024-07-04T00:00:00Z","timestamp":1720051200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000777","name":"University of Leeds","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000777","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Tissue Viability"],"published-print":{"date-parts":[[2024,11]]},"DOI":"10.1016\/j.jtv.2024.06.014","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T01:52:16Z","timestamp":1720144336000},"page":"672-680","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Using PURPOSE-T in clinical practice: A realist evaluation"],"prefix":"10.1016","volume":"33","author":[{"given":"Susanne","family":"Coleman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Greenhalgh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7129-3766","authenticated-orcid":false,"given":"Lisette","family":"Schoonhoven","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3794-1598","authenticated-orcid":false,"given":"Maureen","family":"Twiddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Nixon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jtv.2024.06.014_bib1","series-title":"Pressure ulcers: prevalence, incidence, and implications for the future","author":"Pieper","year":"2012"},{"issue":"1","key":"10.1016\/j.jtv.2024.06.014_bib2","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/1472-6955-12-19","article-title":"The prevalence of pain at pressure areas and pressure ulcers in hospitalised patients","volume":"12","author":"Briggs","year":"2013","journal-title":"BMC Nurs"},{"issue":"7","key":"10.1016\/j.jtv.2024.06.014_bib3","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1111\/j.1532-5415.2009.02307.x","article-title":"Impact of pressure ulcers on quality of life in older patients: a systematic review","volume":"57","author":"Gorecki","year":"2009","journal-title":"J Am Geriatr Soc"},{"issue":"1","key":"10.1016\/j.jtv.2024.06.014_bib4","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.jtv.2011.11.001","article-title":"What influences the impact of pressure ulcers on health-related quality of life? A qualitative patient-focused exploration of contributory factors","volume":"21","author":"Gorecki","year":"2012","journal-title":"J Tissue Viability"},{"issue":"3","key":"10.1016\/j.jtv.2024.06.014_bib5","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1093\/ageing\/afh086","article-title":"The cost of pressure ulcers in the UK","volume":"33","author":"Bennett","year":"2004","journal-title":"Age Ageing"},{"issue":"2","key":"10.1016\/j.jtv.2024.06.014_bib6","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1097\/00129334-200203000-00008","article-title":"The cost of illness of pressure ulcers in The Netherlands","volume":"15","author":"Severens","year":"2002","journal-title":"Adv Skin Wound Care"},{"issue":"6","key":"10.1016\/j.jtv.2024.06.014_bib7","first-page":"390","article-title":"Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies","volume":"27","author":"Schuurman","year":"2009","journal-title":"Nurs Econ"},{"key":"10.1016\/j.jtv.2024.06.014_bib8","unstructured":"Berlowitz, D., et al. Preventing Pressure Ulcers in hospitals: a toolkit for improving quality of care DOI: AHRQ (Agency for Healthcare Research Quality)."},{"issue":"6","key":"10.1016\/j.jtv.2024.06.014_bib9","doi-asserted-by":"crossref","first-page":"261","DOI":"10.12968\/jowc.2012.21.6.261","article-title":"The cost of pressure ulcers in the United Kingdom","volume":"21","author":"Dealey","year":"2012","journal-title":"J Wound Care"},{"key":"10.1016\/j.jtv.2024.06.014_bib10","series-title":"Pressure ulcers: prevention and management of pressure ulcers, clinical guideline 179","year":"2014"},{"key":"10.1016\/j.jtv.2024.06.014_bib11","series-title":"Cambridhe media: obsborne park western Australia","first-page":"39","article-title":"Risk factors and risk assessment chapter prevention and treatment of pressure ulcers: clinical practice guideline","year":"2014"},{"issue":"7","key":"10.1016\/j.jtv.2024.06.014_bib12","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1016\/j.ijnurstu.2012.11.019","article-title":"Patient risk factors for pressure ulcer development: systematic review","volume":"50","author":"Coleman","year":"2013","journal-title":"Int J Nurs Stud"},{"key":"10.1016\/j.jtv.2024.06.014_bib13","series-title":"School of healthcare","article-title":"The development of a pressure ulcer risk assessment framework and minimum data set","author":"Coleman","year":"2014"},{"issue":"2","key":"10.1016\/j.jtv.2024.06.014_bib14","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/S0020-7489(01)00012-8","article-title":"Establishing the validity of pressure ulcer risk assessment scales: a novel approach using illustrated patient scenarios","volume":"39","author":"Gould","year":"2002","journal-title":"Int J Nurs Stud"},{"issue":"10","key":"10.1016\/j.jtv.2024.06.014_bib15","doi-asserted-by":"crossref","first-page":"2222","DOI":"10.1111\/jan.12405","article-title":"A new pressure ulcer conceptual framework","volume":"70","author":"Coleman","year":"2014","journal-title":"J Adv Nurs"},{"key":"10.1016\/j.jtv.2024.06.014_bib16","doi-asserted-by":"crossref","first-page":"103","DOI":"10.2147\/JMDH.S9286","article-title":"Do pressure ulcer risk assessment scales improve clinical practice?","volume":"3","author":"Kottner","year":"2010","journal-title":"J Multidiscip Healthc"},{"key":"10.1016\/j.jtv.2024.06.014_bib17","series-title":"The NHS: the story so far (1948-2010)","author":"Shapiro","year":"2010"},{"key":"10.1016\/j.jtv.2024.06.014_bib18","series-title":"Marking 70 years of the national health service","year":"2018"},{"issue":"1","key":"10.1016\/j.jtv.2024.06.014_bib19","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s12913-022-09015-w","article-title":"Solutions for improved hospital-wide patient flows - a qualitative interview study of leading healthcare providers","volume":"23","author":"Ahlin","year":"2023","journal-title":"BMC Health Serv Res"},{"key":"10.1016\/j.jtv.2024.06.014_bib20","author":"Ewbank"},{"issue":"6","key":"10.1016\/j.jtv.2024.06.014_bib21","doi-asserted-by":"crossref","DOI":"10.3310\/pgfar03060","volume":"3","author":"Nixon","year":"2015","journal-title":"Programme Grants Appl Res"},{"key":"10.1016\/j.jtv.2024.06.014_bib22","series-title":"A framework for development and evaluation of RCTs for complex interventions to improve health","year":"2000"},{"key":"10.1016\/j.jtv.2024.06.014_bib23","series-title":"Developing and evaluating complex interventions: new guidance","year":"2008"},{"key":"10.1016\/j.jtv.2024.06.014_bib24","doi-asserted-by":"crossref","first-page":"n2061","DOI":"10.1136\/bmj.n2061","article-title":"A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance","volume":"374","author":"Skivington","year":"2021","journal-title":"BMJ"},{"issue":"10","key":"10.1016\/j.jtv.2024.06.014_bib25","doi-asserted-by":"crossref","first-page":"2339","DOI":"10.1111\/jan.12444","article-title":"Developing a pressure ulcer risk factor minimum data set and risk assessment framework","volume":"70","author":"Coleman","year":"2014","journal-title":"J Adv Nurs"},{"issue":"158","key":"10.1016\/j.jtv.2024.06.014_bib26","article-title":"Using cognitive pre-testing methods in the development of a new evidenced-based pressure ulcer risk assessment instrument","volume":"16","author":"Coleman","year":"2016","journal-title":"BMC Research Methodology"},{"issue":"2","key":"10.1016\/j.jtv.2024.06.014_bib27","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1111\/jan.13444","article-title":"Clinical evaluation of a new pressure ulcer risk assessment instrument, the pressure ulcer risk primary or secondary evaluation tool (PURPOSE T)","volume":"74","author":"Coleman","year":"2017","journal-title":"J Adv Nurs"},{"issue":"25","key":"10.1016\/j.jtv.2024.06.014_bib28","first-page":"17","article-title":"Patient involvment in risk tool development","volume":"111","author":"Coleman","year":"2015","journal-title":"Nursing"},{"issue":"9","key":"10.1016\/j.jtv.2024.06.014_bib29","doi-asserted-by":"crossref","first-page":"560","DOI":"10.12968\/jowc.2023.32.9.560","article-title":"The theory and practice of pressure ulcer\/injury risk assessment: a critical discussion","volume":"32","author":"Kottner","year":"2023","journal-title":"J Wound Care"},{"key":"10.1016\/j.jtv.2024.06.014_bib30","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.h1258","article-title":"Process evaluation of complex interventions: medical Research Council guidance","volume":"350","author":"Moore","year":"2015","journal-title":"BMJ"},{"key":"10.1016\/j.jtv.2024.06.014_bib31","series-title":"Complex interventions in health: an overview of research methods","author":"Richards","year":"2015"},{"key":"10.1016\/j.jtv.2024.06.014_bib32","series-title":"Evidence-based policy: a realist perspective","author":"Pawson","year":"2006"},{"issue":"8","key":"10.1016\/j.jtv.2024.06.014_bib33","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2015-008567","article-title":"Protocol\u2014the RAMESES II study: developing guidance and reporting standards for realist evaluation","volume":"5","author":"Greenhalgh","year":"2015","journal-title":"BMJ Open"},{"issue":"2","key":"10.1016\/j.jtv.2024.06.014_bib34","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1111\/j.1468-0009.2009.00562.x","article-title":"How do you modernize a health service? A realist evaluation of whole-scale transformation in london","volume":"87","author":"Greenhalgh","year":"2009","journal-title":"Milbank Q"},{"key":"10.1016\/j.jtv.2024.06.014_bib35","series-title":"Searching for Programme Theories for a realist evaluation: a case study comparing an academic database search and a simple Google search","author":"Coleman","year":"2020"},{"issue":"1","key":"10.1016\/j.jtv.2024.06.014_bib36","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1177\/1356389010389913","article-title":"A realistic evaluation of fines for hospital discharges: incorporating the history of programme evaluations in the analysis","volume":"17","author":"Manzano-Santaella","year":"2011","journal-title":"Evaluation"},{"key":"10.1016\/j.jtv.2024.06.014_bib37","doi-asserted-by":"crossref","DOI":"10.1186\/s12916-016-0643-1","article-title":"RAMESES II reporting standards for realist evaluations","volume":"14","author":"Wong","year":"2016","journal-title":"BMC Med"},{"key":"10.1016\/j.jtv.2024.06.014_bib38","series-title":"Sampling and choosing cases in qualitative research: a realist approach","author":"Emmel","year":"2013"},{"key":"10.1016\/j.jtv.2024.06.014_bib39","doi-asserted-by":"crossref","first-page":"d195","DOI":"10.1136\/bmj.d195","article-title":"Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation","volume":"342","author":"Benning","year":"2011","journal-title":"Br Med J"},{"key":"10.1016\/j.jtv.2024.06.014_bib40","volume":"2","author":"o'reilly","year":"2012"},{"key":"10.1016\/j.jtv.2024.06.014_bib41","series-title":"Prevention and treatment of pressure ulcer\/injuries: clinical practice guideline. the international guideline","article-title":"Pppia","year":"2019"},{"key":"10.1016\/j.jtv.2024.06.014_bib42","series-title":"NICE, Pressure ulcers: prevention and management Clinical guideline [CG179]","year":"2014"},{"issue":"1","key":"10.1016\/j.jtv.2024.06.014_bib49","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1177\/1525822X05279903","article-title":"How many interviews are enough?: an experiment with data saturation and variability","volume":"18","author":"Guest","year":"2006","journal-title":"Field Methods"},{"issue":"2","key":"10.1016\/j.jtv.2024.06.014_bib50","doi-asserted-by":"crossref","first-page":"295","DOI":"10.2307\/591728","article-title":"Theorizing the interview","volume":"47","author":"Pawson","year":"1996","journal-title":"Br J Sociol"},{"issue":"3","key":"10.1016\/j.jtv.2024.06.014_bib51","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1177\/1356389016638615","article-title":"The craft of interviewing in realist evaluation","volume":"22","author":"Manzano","year":"2016","journal-title":"Evaluation"},{"key":"10.1016\/j.jtv.2024.06.014_bib52","series-title":"Realist analysis and how it is different from thematic analysis","author":"Greenhalgh","year":"2017"},{"key":"10.1016\/j.jtv.2024.06.014_bib53","author":"England"},{"issue":"1","key":"10.1016\/j.jtv.2024.06.014_bib54","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2013-004303","article-title":"Why do patients develop severe pressure ulcers? A retrospective case study","volume":"4","author":"Pinkney","year":"2014","journal-title":"BMJ Open"},{"issue":"21","key":"10.1016\/j.jtv.2024.06.014_bib55","doi-asserted-by":"crossref","first-page":"4066","DOI":"10.1111\/jocn.15433","article-title":"PURPOSE T in Swedish hospital wards and nursing homes A psychometric evaluation of a new pressure ulcer risk assessment instrument","volume":"29","author":"Hultin","year":"2020","journal-title":"J Clin Nurs"},{"issue":"3","key":"10.1016\/j.jtv.2024.06.014_bib56","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1111\/iwj.13904","article-title":"Feasibility of PURPOSE T in clinical practice and patient participation-A mixed-method study","volume":"20","author":"Hultin","year":"2023","journal-title":"Int Wound J"},{"issue":"1\u20132","key":"10.1016\/j.jtv.2024.06.014_bib57","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1111\/jocn.15901","article-title":"Pressure ulcer risk assessment\u2014registered nurses' experiences of using PURPOSE T: a focus group study","volume":"31","author":"Hultin","year":"2022","journal-title":"J Clin Nurs"},{"key":"10.1016\/j.jtv.2024.06.014_bib58","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.socscimed.2017.12.033","article-title":"Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame","volume":"198","author":"Armstrong","year":"2018","journal-title":"Soc Sci Med"},{"issue":"5","key":"10.1016\/j.jtv.2024.06.014_bib59","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1136\/bmjqs-2018-008390","article-title":"Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England","volume":"28","author":"Lawton","year":"2019","journal-title":"BMJ Qual Saf"},{"key":"10.1016\/j.jtv.2024.06.014_bib60","series-title":"An exploration of the use of devices for the prevention of heel pressure ulcers in secondary care: a realist evaluation, in School of Healthcare","author":"Greenwood","year":"2020"},{"issue":"2","key":"10.1016\/j.jtv.2024.06.014_bib61","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.ijnurstu.2013.06.019","article-title":"The nursing work of hospital-based clinical practice guideline implementation: an explanatory systematic review using Normalisation Process Theory","volume":"51","author":"May","year":"2014","journal-title":"Int J Nurs Stud"}],"container-title":["Journal of Tissue Viability"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0965206X24000895?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0965206X24000895?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T22:55:31Z","timestamp":1745880931000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0965206X24000895"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":55,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["S0965206X24000895"],"URL":"https:\/\/doi.org\/10.1016\/j.jtv.2024.06.014","relation":{},"ISSN":["0965-206X"],"issn-type":[{"value":"0965-206X","type":"print"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Using PURPOSE-T in clinical practice: A realist evaluation","name":"articletitle","label":"Article Title"},{"value":"Journal of Tissue Viability","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtv.2024.06.014","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Author(s). Published by Elsevier Ltd on behalf of Tissue Viability Society \/ Society of Tissue Viability.","name":"copyright","label":"Copyright"}]}}