The impact of nurses’ values on the prevention of pressure ulcers

Abstract

Values are perceived to be a key determinant of people's behaviour and actions. There is a limited amount of research into the value that nurses place on the prevention of pressure ulcers, but past studies have suggested that nurses place a low value on pressure ulcer prevention. This article describes a study that was undertaken to ascertain what value nurses place on pressure ulcer prevention. The participants in this study (n=16) were recruited from the non-acute adult medical wards of 14 hospitals of one NHS trust and a local university. Data were gathered via semi-structured interviews, then transcribed and analysed via Straussian grounded theory. The findings of this study show that the value that nurses place on pressure ulcer prevention is important because all nurses attempt to work in line with the value that they place on pressure ulcer prevention. The nurses who place a high value on pressure ulcer prevention appear to be more proactive and determined to deliver care that protects the care of their patients' skin. However, the findings suggest that the efforts of nurses to prevent pressure ulcers are often impeded by environmental factors like bed management, and the differing values placed on ulcer prevention by colleagues. It also shows that interventions to protect the skin of patients are often undertaken by healthcare assistants and students because nurses are too busy carrying out other tasks.

Inspiration: the forgotten element in improving skin health and wound healing?

“…Therefore, it is important to consider what other measures or approaches can be implemented to improve wound care in the complex context of healthcare. The experiences, knowledge, attitude and skills of healthcare professionals have been shown (7)(8)(9) to have an impact on the quality of wound care that they deliver to patients. Efforts to improve the quality of care have been shown to have a greater impact when healthcare professionals are provided with inspirational leadership (10).…”

Povezave med razjedo zaradi pritiska in ohranjanjem integritete kože pacienta v intenzivni zdravstveni obravnavi: pregled literature

“…in IV. stopnje RZP (se ne bi smeli zgoditi v bolnišnici) -švedska raziskava: 77,85 % vseh razjed nastane v bolnišnici -najvišjo stopnjo RZP pridobijo pacienti na intenzivnih enotah in geriatričnih oddelkih -visoko tveganje za RZP imajo ortopedski pacienti in pacienti z zlomom kolka, že po 30 min ležanja -stopnja umrljivosti slednjih je 10 % po enem mesecu in 30 % v enem letu po poškodbi-izguba mobilnosti in neodvisnosti -RZP je tesno povezana z uporabo ustrezne preventive -belgijska raziskava: pomanjkanje znanja medicinskih sesterodgovornost na ravni strokovnjaka, politika in prizadetega človeka Braun, et al, 2010;Maas Burhans & Raile Alligood, 2010;Samuriwo, 2010;Geraghty, 2011;StephenHaynes, 2011;Thompson, 2011;Matsui, et al, 2011;Rafter, 2011;Gunningberg, et al, 2011;Beeckman, et al, 2011;Foster, 2012;Wilczweski, et al, 2012;Antonetti & Pittman, 2012;Lloyd Jones, 2012;Tschannen, et al, 2012;…”

“…Ni pa bilo ugotovljeno, ali obstaja korelacija med znanjem in uporabo ustrezne preventive (Beeckman, et al, 2011). Medicinske sestre z visokim standardom kakovostne zdravstvene nege hitreje ukrepajo in storijo več, da se ohrani celovitost kože njihovih pacientov, je v raziskavi ugotovil Samuriwo (2010). V Sloveniji se število RZP, nastalih v bolnišnici, na 1000 hospitalizacij za leto 2010 giblje med 0-15 (Republika Slovenija, Ministrstvo za zdravje, 2011).…”

The impact of an educational intervention on home support workers' ability to detect early pressure ulcer damage

“…Because of this regular close physical proximity, HSWs have a greater opportunity to complete a skin assessment (Samuriwo, 2010 andAthlin et al, 2010). Moore & 16 Cowman (2012) clearly illustrated that skin assessment is a crucial component in pressure ulcer prevention.…”

“…HSWs have a greater opportunity to complete a comprehensive assessment (Samuriwo 2010 andAthlin et al, 2010). Yet, despite their regular involvement in supporting registered nurses in pressure ulcer prevention, little research to date has considered HSWs' educational needs if they are to be enabled to competently complete a comprehensive skin assessment.…”