This could have been a significant factor, but researchers will never know because the information was never looked at, nor contained in the study. An additional weakness of the study was that the researchers had to rely entirely on information and data derived from hospital reports and patient charts rather than on direct contact with the individuals involved. This could be a considerable weakness to the study, but again it is not known whether it is a weakness or not because the information is not contained therein, which makes it a weakness.
One rationale that an observer might make in regards to the criticism of this particular study and the fact that it only looked at the records of the patients rather than talking to the patients themselves was that the study was only looking for the incidences of pressure ulcers.
The study did not offer specific solutions to the problem itself. The study was attempting to verify that extrinsic factors were involved in a high percentage of pressure ulcers, not attempting to solve such incidences if they truly did exist. That is a considerable weakness according to some researchers who might use the rationale that if such a comprehensive study was to be accomplished, why not come to some specific recommendations to solve the problem if the problem was found to be justified?
A modification of the study then could be proposed and would include not only coming to some conclusions concerning the number of incidences, but also to offer up some specific recommendations to solve the problem. Additionally, the study could be modified to discover the incidences of pressure ulcer occurrence that occurred and healed during the subject's stay(s) in the hospital.
Another modification of the study could be to speak with some of the subjects involved while they were still in the hospital in order to discover any discrepancies by the observers as compared to the written reports that the study used exclusively...
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