Aim
This study aimed to determine the problems faced by physicians and nurses dealing with chronic wound care during the COVID-19 pandemic and their views on telehealth.
Materials and methods
A descriptive and cross-sectional design was used in this study. The sample comprised physicians (n=74) and nurses (n=271) interested in chronic wound care. Data were collected through a questionnaire form consisting of open- and closed-ended questions.
Results
Of the participants, 21.4% (n = 74) were physicians and 78.6% (n = 271) were nurses. Of the physicians, 45.9% (n = 34) were obliged to work in another unit during the COVID-19 period, while 43.2% continued their service related to chronic wound care, and only 17.0% (n = 18) in the wound care service before the pandemic. These rates are 51.3% (n = 139), 51.6% (n = 157) and 36.8% (n = 128) for nurses, respectively. 40.7% of the physicians (n = 33) and 34.9% of the nurses (n = 106) stated that their time had been reduced for chronic wound care. When the telehealth experiences were examined, 32.4% (n = 24) of the physicians utilized telehealth, 29.7% (n = 22) used e-visit, 77.0% (n = 57) stated that they thought telehealth was a good option, 47.3% (n = 35) utilized it for wound evaluation and treatment, and 31.9% (n = 59) used smart phones. These rates for nurses were 16.6% (n = 45), 14.0% (n = 38), 72.7% (n = 197), 33.9% (n = 92), and 27.0% (n = 182), respectively.
Conclusions
The COVID-19 pandemic negatively affected the manner of delivery, duration, and quality of service regarding wound management. During this period, face-to-face contact times with patients were reduced, some diagnosis and treatment attempts were not performed, and wound care services were suspended temporarily or permanently. On the other hand, a positive result was achieved in that the physicians and nurses gave positive feedback for the telehealth experience.
Aim: The intravenous connectors are the gatekeeper of the intraluminal fluid pathway and frequently used by nurses in clinical areas. This study aimed to determine nurses' satisfaction of connectors used in intravenous therapy administration. Methods: This descriptive study was conducted between January and May 2016 in a training and research hospital in Istanbul. The sample of the study comprised 80 nurses/midwives working in the general surgery unit, reanimation intensive care unit, and outpatient chemotherapy unit. The data were collected by the Personal Information Form and Satisfaction Scale. Descriptive statistics,Spearman's rank correlation, independent sample t test and one-way analysis of variance (ANOVA) were used to analyze the data. Results: Of the participants, 65% stated they had not received any training in their institutions regarding connector usage, and 61.3% reported receiving no training about catheter-related infections. The participants' satisfaction score for the use of the connector (according to a 0-10 degree visual analog scale) was 6.45±3.12. It was determined that there was a significant relationship between the connector satisfaction scores and the easy use of the connectors (p <0.01). Conclusion: Control of catheter-related infections is a priority worldwide. Nurse training in the use of connectors and connector satisfaction can contribute to the prevention of infections by improving usage adherence.
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