Nurses experiences in the burn unit: A qualitative research

Abstract

Background: Nurses form the largest group of burn care treatment team. They have valuable experiences regarding the care of burned patients that needs to be explored. Therefore, the present study was aimed to explain the experiences of nurses who work in the burn unit. Materials and Methods: This qualitative study was conducted in the burn units of Zabol and Zahedan Hospitals in 2018. Accordingly, the data were collected through a semi-structured deep interview with 16 nurses. Purposeful sampling method was used for data collection. The data were analyzed using a thematic analysis approach. Results: The data analysis ultimately led to the development of 4 themes and 16 sub-themes. The extracted themes included burden of burn unit, toil of burn unit as a deal with God, need for continuing the education program, and work-life imbalance. Conclusions: Nurses in burn unit experience many challenges that can affect their job and life, which require special attention of the authorities, their families, and other colleagues. For better patient care, there is a need for up-to-date facilities and training. The hospital managers should pay more attention to the nursing staff of the burn units through increasing staff number, changing the working units, and offering financial and motivational vacations.

Challenges of nurses and family members of burn patients: Integrative review

“…The studies were conducted in 11 nations: Iran (Bijani & Mohammadi, 2021 ; Shaarbafchizadeh et al, 2021 ; Shivanpour et al, 2020 ), Ghana (Bayuo, 2018 ; Bonsu et al, 2019 ), the United States (Rimmer et al, 2015 ), Australia (Kornhaber & Wilson, 2011a , 2011b ), Ireland (Hilliard & O'Neill, 2010 ), Norway (Lernevall et al, 2021 ), the Netherlands (Boersma‐van Dam et al, 2021 ; Suurmond et al, 2020 , 2012 ), Sweden (Bäckström et al, 2018 ; Willebrand & Sveen, 2016 ), the United Kingdom (Heath et al, 2018 ), Canada (Bond et al, 2017 ) and Brazil (de Oliveira et al, 2015 ). The above comprised 11 qualitative studies (Bäckström et al, 2018 ; Bayuo, 2018 ; Bijani & Mohammadi, 2021 ; de Oliveira et al, 2015 ; Heath et al, 2018 ; Hilliard & O'Neill, 2010 ; Kornhaber & Wilson, 2011a , 2011b ; Lernevall et al, 2021 ; Shaarbafchizadeh et al, 2021 ; Shivanpour et al, 2020 ; Suurmond et al, 2012 ), one mixed‐method (Suurmond et al, 2020 ), and 5 quantitative studies (Boersma‐van Dam et al, 2021 ; Bond et al, 2017 ; Bonsu et al, 2019 ; Rimmer et al, 2015 ; Willebrand & Sveen, 2016 ). MMAT was used to evaluate the quality of the included studies, with ratings of 100% (two studies), 80% (six studies), 60% (six studies) and 40% (three studies).…”

“…extensive wounds) (Bayuo, 2018 ; Bijani & Mohammadi, 2021 ). Moreover, unpleasant odours may arise from burn tissue, infection or drug, complicated with a high risk of infection pose further challenges to nurses (Shivanpour et al, 2020 ). For those patients relying totally on nursing care in the BICU will exhaust nurses' physically and mentally while providing 24‐hour monitoring, specialized care of airway, scar, positioning (Bayuo, 2018 ), hygiene and other burn‐related care and also psychological care.…”

“…The burn unit has been reported as a department with high stress and challenges in the medical center (Andy et al, 2006 ). According to several studies, burn care staffs are generally under high workload with significant physical, emotional and mental pressures (Bayuo, 2018 ; Bijani & Mohammadi, 2021 ; Kornhaber & Wilson, 2011a , 2011b ; Shivanpour et al, 2020 ). As nurses are at the frontline of caring for burned patients, they are indispensable in the multidisciplinary burn care team (Greenfield, 2010 ; Mays, 2012 ).…”

Resource generation challenges for burn care in Iran

“…31 Moreover, the burn unit workplace is found to be a stressful environment for nurses that affect their psychological function. 32 The burn hospital personnel often suffer from workplace harassments, which are triggered by the effect of the burn patient's extreme distress, the high pain of the burn victim and the effect of the agitation of the patient's companions.…”

Advances in Burn Care in Hong Kong: Reflecting on a Decade of Expert Experiences from Local Practice with an International Perspective

“…A comprehensive burn team approach is important when providing burn care to patients with burn injury by burn care nurses with multidisciplinary care; a burn team consists of burn surgeons, nurses, physiotherapists, occupational therapists, dietitians, and psychologists [10,27]. Burn care nurses play a crucial role in caring for patients with extensive burns [28] and disaster management, mainly in handling patients with burn injuries [29]. Competency-driven, high-quality, and evidencebased education training programs related to burn injuries are essential when preparing nurses for the full continuum of burn care management [30][31][32].…”