Maintaining skin integrity at end-of-life

Department of Nursing, Faculty of Health and Life Sciences,
Oxford Brookes University


Professor Debra Jackson –Oxford Brookes University & Oxford University Hospitals NHS FoundationTrust.

Dr Helen Aveyard - Oxford Brookes University

Dr Helen Walthall - Oxford Brookes University

Clinical Collaborator

Professor Catherine Stoddart, Chief Nurse, Oxford University Hospitals NHS Foundation Trust.


Preventing and managing pressure injury is a fundamental nursing activity across all care settings and is widely recognised internationally as an important indicator of care quality. While there have been some reductions in the incidence of pressure injury in some patient groups, skin integrity at end-of-life remains an area of concern. Despite end-of-life being associated with high levels of pressure injury, there is limited research focussing on pressure injury at the end-of-life. In 2009 a consensus document outlining Skin Changes at Life’s End (SCALE) was published and presented 10 key statements associated with pressure ulcer formation at end-of-life, and called for further research into this key area.  


Professor Debra Jackson is Professor of Nursing at Oxford Brookes, and the Oxford University Hospitals NHS FoundationTrust. She is Principal Fellow of the Oxford NIHR Biomedical Research Centre, Editor in Chief of the Journal of Clinical Nursing and has extensive experience as a nurse researcher and supervisor of doctoral students.

Dr Helen Aveyard is a Senior Lecturer in Adult Nursing and has taught and published widely on research methods. She has recently co-authored “A Postgraduate’s Guide to Doing a Literature Review in Health and Social Care’. She is also an experienced supervisor of research students.

Dr Helen Walthall is a Programme Lead/Principal Lecturer for Advanced and Specialist Nursing Practice and has a clinical background in Cardiac nursing. She has led research projects developing patient reported outcomes, exploring patient experience and carer experiences in a number of condition and symptom areas.  She is an experienced PhD supervisor.

For further information about the research project please contact Professor Debra Jackson on

Applicants should be of the highest quality and capable of submitting a PhD thesis within 4 years alongside undertaking clinical duties within the trust. The successful applicant’s should have a first class or upper second class (minimum 2.1) honours degree from a Higher Education Institution in the UK or an acceptable equivalent qualification from a recognised Higher Education Institution. A Master’s degree with research methods training and/or evidence of the skills required for higher research study would be desirable. 

Please see the main OUH Studentships page for the full requirements and application process.