Abstract:Aim
To explore the experience and perception of pressure ulcers in a group of nurses caring for older patients.
Design
A qualitative study based on interviews with (N = 6) nurses working with older patients.
Method
A qualitative approach was applied using thematic analysis influenced by Braun and Clarke.
Results
The findings comprised one main theme “Prevention of pressure ulcers is important” and four sub‐themes “Nursing resources on the ward,” “Basic nursing skills—lift the duvet,” “Introduction of new nurse… Show more
“…Nurses in this study elucidated the leading role they had in PIP. This is consistent with previous studies that most nurses perceived that they took the most responsibility in preventing PIs development in hospitals and long‐term care settings (Garrigues et al, 2017; Lindhardt et al, 2020; Tan et al, 2020). Reasons could be that first‐line nurses had the most frequent contact with patients; had specific skin care knowledge (Tan et al, 2020); and placed positive attitudes and a high value on PIP in their daily work (Lindhardt et al, 2020; Samuriwo, 2010).…”
Section: Discussionsupporting
confidence: 92%
“…This is consistent with previous studies that most nurses perceived that they took the most responsibility in preventing PIs development in hospitals and long‐term care settings (Garrigues et al, 2017; Lindhardt et al, 2020; Tan et al, 2020). Reasons could be that first‐line nurses had the most frequent contact with patients; had specific skin care knowledge (Tan et al, 2020); and placed positive attitudes and a high value on PIP in their daily work (Lindhardt et al, 2020; Samuriwo, 2010). However, Sving et al (2012) in their study of PI prevention in Sweden found PIP was a task delegated to assistant nurses who were responsible for assessment and intervention implementation.…”
Section: Discussionsupporting
confidence: 92%
“…had specific skin care knowledge (Tan et al, 2020); and placed positive attitudes and a high value on PIP in their daily work (Lindhardt et al, 2020;Samuriwo, 2010). However, Sving et al (2012) in their study of PI prevention in Sweden found PIP was a task delegated to assistant nurses who were responsible for assessment and intervention implementation.…”
Aims
To explore Registered Nurses' approaches to pressure injury prevention, including how they perceive their roles, how they prioritize pressure injury prevention and factors influencing prevention in the Chinese context.
Design
A qualitative descriptive study.
Methods
Audio‐recorded, face‐to‐face, semi‐structured individual interviews were conducted with Registered Nurses in a large tertiary hospital in China from August to December 2020. Using the System Engineering Initiative for Patient Safety Model, the interview guide was developed to describe the work system, processes and outcomes (three domains) associated with nurses' pressure injury prevention practices. Deductive and inductive content analyses were used.
Findings
Twenty‐seven nurses participated in the interviews. Four themes related to two domains of the model emerged: Work system: (i) Nurses lead and coordinate pressure injury prevention; Work processes: (ii) Individualized pressure injury prevention is founded on comprehensive patient assessment; (iii) Collaborating ensures patients receive appropriate pressure injury prevention; and (iv) Competing factors influence the delivery of appropriate pressure injury prevention. One category emerged about work outcome: Nurses strive to do their best in pressure injury prevention but hold major concerns when pressure injuries occur.
Conclusions
Nurses play a leading role in pressure injury prevention delivery but require appropriate resources and assistance and support from other healthcare personnel, patients and carers. Understaffing, lack of resources, complex reporting and poor patient compliance challenge nurses in their delivery of pressure injury prevention.
Impact
Pressure injury prevention is primarily a nursing responsibility therefore nurses' approaches to prevention were explored. Nurses rely on collaboration with others and access to various resources to provide pressure injury prevention. They recognize the patients' and carers' roles and acknowledge the importance of accessing guidance and support from nursing leaders and wound experts. Acknowledging nurses leading role in prevention and ensuring they have adequate resources are important for quality care.
“…Nurses in this study elucidated the leading role they had in PIP. This is consistent with previous studies that most nurses perceived that they took the most responsibility in preventing PIs development in hospitals and long‐term care settings (Garrigues et al, 2017; Lindhardt et al, 2020; Tan et al, 2020). Reasons could be that first‐line nurses had the most frequent contact with patients; had specific skin care knowledge (Tan et al, 2020); and placed positive attitudes and a high value on PIP in their daily work (Lindhardt et al, 2020; Samuriwo, 2010).…”
Section: Discussionsupporting
confidence: 92%
“…This is consistent with previous studies that most nurses perceived that they took the most responsibility in preventing PIs development in hospitals and long‐term care settings (Garrigues et al, 2017; Lindhardt et al, 2020; Tan et al, 2020). Reasons could be that first‐line nurses had the most frequent contact with patients; had specific skin care knowledge (Tan et al, 2020); and placed positive attitudes and a high value on PIP in their daily work (Lindhardt et al, 2020; Samuriwo, 2010). However, Sving et al (2012) in their study of PI prevention in Sweden found PIP was a task delegated to assistant nurses who were responsible for assessment and intervention implementation.…”
Section: Discussionsupporting
confidence: 92%
“…had specific skin care knowledge (Tan et al, 2020); and placed positive attitudes and a high value on PIP in their daily work (Lindhardt et al, 2020;Samuriwo, 2010). However, Sving et al (2012) in their study of PI prevention in Sweden found PIP was a task delegated to assistant nurses who were responsible for assessment and intervention implementation.…”
Aims
To explore Registered Nurses' approaches to pressure injury prevention, including how they perceive their roles, how they prioritize pressure injury prevention and factors influencing prevention in the Chinese context.
Design
A qualitative descriptive study.
Methods
Audio‐recorded, face‐to‐face, semi‐structured individual interviews were conducted with Registered Nurses in a large tertiary hospital in China from August to December 2020. Using the System Engineering Initiative for Patient Safety Model, the interview guide was developed to describe the work system, processes and outcomes (three domains) associated with nurses' pressure injury prevention practices. Deductive and inductive content analyses were used.
Findings
Twenty‐seven nurses participated in the interviews. Four themes related to two domains of the model emerged: Work system: (i) Nurses lead and coordinate pressure injury prevention; Work processes: (ii) Individualized pressure injury prevention is founded on comprehensive patient assessment; (iii) Collaborating ensures patients receive appropriate pressure injury prevention; and (iv) Competing factors influence the delivery of appropriate pressure injury prevention. One category emerged about work outcome: Nurses strive to do their best in pressure injury prevention but hold major concerns when pressure injuries occur.
Conclusions
Nurses play a leading role in pressure injury prevention delivery but require appropriate resources and assistance and support from other healthcare personnel, patients and carers. Understaffing, lack of resources, complex reporting and poor patient compliance challenge nurses in their delivery of pressure injury prevention.
Impact
Pressure injury prevention is primarily a nursing responsibility therefore nurses' approaches to prevention were explored. Nurses rely on collaboration with others and access to various resources to provide pressure injury prevention. They recognize the patients' and carers' roles and acknowledge the importance of accessing guidance and support from nursing leaders and wound experts. Acknowledging nurses leading role in prevention and ensuring they have adequate resources are important for quality care.
“…The rationale behind these protocols is founded on the understanding that a proactive, multidisciplinary approach is essential for the effective prevention of pressure injuries. 16,17 During neurosurgical procedures, continuous monitoring of the patient's neurological status is paramount to ensuring the safety and efficacy of the surgery. This encompasses real-time surveillance of neurologic functions as well as the maintenance of normothermia to support neuronal health and minimize the risk of perioperative complications.…”
Pressure injuries are a significant concern for patients undergoing neurosurgical procedures due to prolonged immobility and the complexity of care. This study evaluates the efficacy of standardized pressure ulcer management protocols in preventing pressure injuries and enhancing patient care in a neurosurgical context. A comprehensive retrospective analysis was conducted at a single institution from December 2020 to December 2023, comparing 50 patients who received standardized pressure ulcer management (intervention group) with 50 patients who received conventional care (control group). The study assessed the incidence of pressure ulcers, patient comfort levels using the Kolcaba Comfort Scale and sleep quality using the Richards‐Campbell Sleep Questionnaire (RCSQ). Statistical analysis was performed using SPSS software, version 27.0, applying t‐tests and chi‐square tests as appropriate. The intervention group exhibited a significantly lower incidence of pressure ulcers at all measured time points post‐surgery compared to the control group. Patient comfort levels in the intervention group were consistently higher across psychological, environmental, physiological and socio‐cultural domains. Sleep quality metrics, including sleep depth, latency to sleep onset and overall sleep quality, were significantly improved in the intervention group. The implementation of standardized pressure ulcer management protocols in neurosurgical care significantly reduces the incidence of pressure injuries, enhances patient comfort and improves sleep quality. These findings highlight the importance of adopting structured care protocols to improve postoperative outcomes and patient well‐being in neurosurgical settings.
“…The resultant medical expenditure and caregiver stress causes an immense social and family burden ( 2 , 11 ). The risk factors for pressure sores include older age, immobility, multiple comorbidities, and malnutrition ( 12 ). Although prevention costs of pressure sores are far lower than treatment costs, effective prevention and control requires the construction of a comprehensive pressure sore management system and feasible work flow to achieve pressure sore monitoring standardization and proceduralization ( 13 , 14 ).…”
Background: To research effective prevention and treatment strategies for pressure sores in geriatric patients and examine the results from application of a three-level linkage system.
Methods: We developed and constructed a three-level linkage intervention system for pressure sores from Jun 2017 to Dec 2018, centered at the geriatrics department of the Ninth People's Hospital of Zhengzhou, China. The changes included improving the organization structure; formulating a unified evaluation system for quantitation of pressure sore risk management; formulating and standardizing the reporting/feedback mechanism; constructing and improving three-level linkage system staff training; and establishing a quality control system for process monitoring guidance and final evaluation feedback.
Results: The incidence of pressure sores significantly decreased, nursing staff’s knowledge level regarding pressure sore prevention and treatment increased, and pressure sore cure rate and care satisfaction increased.
Conclusion: Implementation of a three-level linkage intervention system for pressure sores in geriatric patients and standardizing pressure injury assessment helps achieve pressure sore prevention and early intervention, effectively reduces the occurrence of pressure sores in geriatric nursing homes, increases the cure rate, and improves care satisfaction among patients.
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