Editorial: Educator burnout - Improving the understanding of challenges and advancing insights for interventions and prevention.

Pressure injuries are among the most frequent and largely preventable adverse events in healthcare, and they occur across the entire care continuum, from intensive and acute hospital wards to community, intermediate care and home settings. In a recent European national benchmarking study, hospital-acquired pressure ulcers were most frequent in intensive care units (ICUs), yet they remained a substantial burden in general wards and in community and home care []. Internationally, these lesions are graded with the objective European Pressure Ulcer Advisory Panel and National Pressure Injury Advisory Panel (EPUAP/NPIAP) staging system. The system was revised in 2016 to adopt the term injury and Arabic numerals, and it defines stage 1-4, unstageable and deep tissue pressure injury by the extent of tissue loss []. It is embedded in the EPUAP/NPIAP/Pan Pacific Pressure Injury Alliance (PPPIA) international clinical practice guideline, which spans acute, community and home settings []. Staging describes the tissue, not the person. Pressure injuries are nonetheless lived experiences. They cause pain, exudate, sleep disruption, restricted mobility, threats to dignity and psychological distress, and they impose a substantial burden on health-related quality of life in acute, community and long-term care [,]. A systematic review of outcome measures for chronic wounds found that no pressure injury-specific patient-reported outcome measure (PROM) adequately captured the domains that matter to patients []. The patient's voice is therefore both clinically consequential and methodologically under-served. Two complementary families of patient-centred instruments are relevant. PROMs capture how patients feel and function, and in this context, how they experience each stage of injury. Patient-reported experience measures (PREMs) capture how patients experience the process of care, and in this context, the prevention of injury, including involvement in decisions, communication, the perception of repositioning and support surfaces, and satisfaction with preventive care [,]. PROMs and PREMs are increasingly recognised as core components of quality measurement, although their uptake is uneven across settings and clinical areas [,].