Patients' and clinicians' experiences of wound care in Canada: a descriptive qualitative study

Woo, Kevin; Wong, Josephine; Rice, Katie; Coelho, Sunita; Haratsidis, E; Teague, Lynn; Rac, Valeria E.; Krahn, Murray

doi:10.12968/jowc.2017.26.sup7.s4

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…This appeared to negatively affect nurses' work and wound care. Similar results in the qualitative study of Woo et al [16] highlighted the importance of using appropriate hospital supplies and equipment for the care of diabetic feet which, however, was not possible due to financial and managerial restrictions. Furthermore, Aletras and Kallianidou [17] found that the inappropriateness of hospital equipment is a significant obstacle to the performance of nurses, which is consistent with the findings of the present study.…”

Section: Factors Affecting the Care Of Patients With Skin Injuriessupporting

confidence: 74%

“…In the present study, data analysis was performed manually, without the use of an analysis software. Although the use of software provides a number of advantages, manual analysis of the data is considered to enable the researcher to become particularly familiar with them, to be able to understand them in depth and to highlight new issues [16].…”

Section: Discussionmentioning

confidence: 99%

“…The present study found that the nurses' lack of knowledge on wound care is a restrictive factor for wound healing. Similarly, Woo et al [16] in their research demonstrated that physicians' and nurses' lack of knowledge about trauma was a deterrent to care, as they found that their practices did not comply with recommended guidelines and were therefore harmful to patients. In addition, Gallant et al [20] who investigated nurses' knowledge of pressure ulcers and follow-up practices found that the participants' knowledge about the prevention and treatment of pressure ulcers was particularly insufficient.…”

Section: Factors Affecting the Care Of Patients With Skin Injuriesmentioning

confidence: 98%

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Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries

Kaba

Triantafyllou

Fasoi

et al. 2020

IJERPH

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Background: Individuals with mental illness are at increased risk of skin injuries. The role of nurses in skin injury prevention and management is crucial and therefore their views on wound care may provide useful information for improving the quality of the care provided. Aim: To investigate nurses’ views on care of mentally ill patients with skin injuries. Method: A qualitative research design based on the principles of grounded theory approach was followed. Unstructured interviews were conducted with seven nurses working in psychiatric wards with frequent skin injuries. Data were analyzed using the constant comparative method of analysis. Results: Two main themes were emerged from data analysis. The first main theme, namely factors affecting the care of patients with skin injuries, included seven categories: (a) shortage of hospital supplies, equipment and services (b) staff shortages, (c) lack of knowledge, (d) nurses’ resistance to change, (e) difficulty in collaborating with patients, (f) patients’ physical conditions and (g) nurses’ attitudes as an obstacle to care. The second main theme, namely nurses’ suggestions for optimizing care, included five categories: (a) need for additional staff, (b) need for increasing hospital supplies and equipment availability, (c) need for training (d) need of changing nurses’ attitudes towards care and (e) need of changing the patients’ approach to collaboration. Conclusion: The care of mentally ill patients with skin injuries is affected by multidimensional factors that have a direct impact on the quality of nurses’ work and patients’ hospitalization. Specific efforts are needed to overcome the obstacles that hinder the care provided and to improve clinical practice.

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Section: Factors Affecting the Care Of Patients With Skin Injuriessupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Factors Affecting the Care Of Patients With Skin Injuriesmentioning

confidence: 98%

See 1 more Smart Citation

Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries

Kaba

Triantafyllou

Fasoi

et al. 2020

IJERPH

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The Value of Nurses Specialized in Wound, Ostomy, and Continence: A Systematic Review

Heerschap

Duff

2021

Adv Skin Wound Care

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OBJECTIVE To critically appraise peer-reviewed evidence concerning the value, or implied sense of worth or benefit, of nurses specialized in wound, ostomy, and continence (WOC) care. DATA SOURCES The Preferred Reporting Items for Systematic Reviews and Meta-analyses was used to systematically review current literature in a single database from 2009 to the date of search (July 2019). STUDY SELECTION The initial search retrieved 2,340 elements; 10 studies were retained following removal of duplicate records, title and abstract reviews, and application of the inclusion/exclusion criteria. DATA EXTRACTION Literature was graded and critiqued with regard to design and research quality and then synthesized using a narrative approach. DATA SYNTHESIS Nine values that WOC nurses demonstrate were identified: improved quality of life for patients, teaching and mentoring, cost reduction, improved efficiency, improved wound outcomes, improved incontinence outcomes, advanced treatments, research, and leadership. CONCLUSIONS Although current studies suggest that there is value in the WOC nurse role, in all areas of the trispecialty, there is a need for high-quality literature with higher-level designs focused on bias reduction.

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Complex wound care by a nurse practitioner in primary care: a quality improvement evaluation on healing rates, costs and patient satisfaction

Taidouch

Crouwers

Spigt

2021

Br J Community Nurs

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Complex wounds are a major burden for healthcare professionals. Patients with complex wounds are often referred to hospitals or wound expertise centres. Complex wound care could be organised in primary care, but very little published evidence for this is available. In this study, members of a primary healthcare organisation were interviewed to ascertain how the wound care was organised. Patient characteristics and data regarding wound care, healing rates and costs were collected from medical records. Patients filled in a questionnaire concerning accessibility, communication, medical counselling and the overall experience of their treatment. This study followed 25 patients with a total of 42 wounds. Some 82% of the wounds were healed within a mean treatment duration of 9.7 weeks. Mean treatment costs were calculated at €155 (£130) for healed patients. Patients were generally very satisfied with their treatment, illustrated by an overall 8.7 out of 10 scoring on an amended survey based on the Consumer Quality Index. Treating complex wounds in primary care seemed adequate, with high patient satisfaction and tolerable costs.

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Patients' and clinicians' experiences of wound care in Canada: a descriptive qualitative study

Abstract: Results of this qualitative study identified different barriers and facilitators that affect the experiences of community-based wound care.

Cited by 3 publications

References 19 publications

Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries

Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries

The Value of Nurses Specialized in Wound, Ostomy, and Continence: A Systematic Review

Complex wound care by a nurse practitioner in primary care: a quality improvement evaluation on healing rates, costs and patient satisfaction

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