Wound Care for Burn Patients in Acute Rehabilitation Settings

Hall, Beth

doi:10.1002/j.2048-7940.2005.tb00374.x

Cited by 7 publications

(1 citation statement)

References 12 publications

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“…With respect to communication, three of the one-dimensional attributes relate directly to interaction between the patient and the staff. These attributes are supported by the literature and include staff listens to patients about care goals (Elwyn et al ., 2012; Hall, 2012; Haisfield-Wolfe and Rund, 2013; Weinhold and Gurtner, 2018), inclusion of the patient in the decision-making process (Keirns and Goold, 2009; Elwyn et al ., 2012; Corbett and Ennis, 2014; Elliott, 2017; Weinhold and Gurtner, 2018) and the patient's belief that the medical staff care about the wound's impact on dependent living (Singer et al ., 2000; Watret and White, 2001; Elwyn et al ., 2012; Brown, 2013). In other words, patients significantly value having a wound care team that involves them in their wound treatment process and decision-making with respect to the care they receive.…”

Section: Discussionmentioning

confidence: 99%

Analyzing patient satisfaction in a rural wound care center

Cudney

Kueny

Murray

2023

TQM

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PurposeAs healthcare continues to become more expensive and complex, considering the voice of the patient in the design and operation of healthcare practices is important. Wound care and rural healthcare scenarios pose additional complexities for providers and patients. This study sought to identify key determinants of patient service quality in wound care.Design/methodology/approachPatients at the wound care/ostomy clinic (WOC) in a rural hospital were surveyed using the Kano model. The Kano model enables the categorization of quality attributes based on the attributes' contribution to the subject's overall satisfaction (and dissatisfaction). Chi-square goodness-of-fit testing, multinomial analysis and power analysis were then used to determine the Kano categories for each satisfaction-related attribute.FindingsThe analyses resulted in 14 one-dimensional attributes and 3 indeterminable attributes. For the one-dimensional attributes, customer satisfaction is directly proportional to the level of performance for that attribute. The one-dimensional attributes included providing correct care on the first, provision of necessary supplies for care, appropriately qualified medical staff and confidence in care provided by medical staff, among others. Understanding the attributes important to the patient drive patient-centered care, which improves positive patient outcomes and recovery. These attributes can then be used by healthcare professionals to design patient-centric processes and services. This research provides a framework for incorporating the voice of the patient into healthcare services.Research limitations/implicationsWhile the research methodology can be used in other healthcare settings, the findings are not generalizable to other wound care clinics. This research was conducted in one small, rural hospital. In addition, the sample size was small due to the size of the wound clinic; therefore, an analysis of the differences between demographics could not be performed.Practical implicationsConsidering the perspectives of rural wound care patients is important, as the patients are an under-served population with unique challenges related to patient care. The research findings detail rural patients' expectations during wound care treatments, which enable the clinic to focus on improving patient satisfaction. This research contributes to understanding the factors that are important to patient satisfaction in wound care. Further, the methodology presented can be applied to other healthcare settings.Originality/valueWhile studies exist using the Kano model in healthcare and the literature is sparse in rural healthcare, this is the first case study using the Kano model in wound care to understand patient preferences.

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Section: Discussionmentioning

confidence: 99%

Analyzing patient satisfaction in a rural wound care center

Cudney

Kueny

Murray

2023

TQM

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A comparison between two burn rehabilitation protocols

Okhovatian¹,

Zoubine²

2007

Burns

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Uniplanar External Fixation for Care of Circumferential Extremity Burn Wounds in Adults

Konstantakos

Miller

Dalstrom

et al. 2007

Journal of Burn Care & Research

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The optimal management of circumferential extremity burns remains a challenge. Elevation of the extremity to decrease wound swelling and avoid pressure at the point of contact on new skin grafts is a standard objective but can be frequently difficult to accomplish. Although various forms of elevation have been proposed, our purpose was to evaluate the safety and efficacy of the uniplanar external fixation (UEF) device in providing extremity elevation and stabilization while optimizing skin grafting. Intraoperative application of either upper or lower extremity UEF was performed at the time of eschar excision and application of split-thickness autografts. Inclusion criterion was that patients should be over 16 years of age with third-degree circumferential extremity burns that were planned for autologous skin grafting within 48 hours after their injury. Patient consent was obtained in every case. Eight patients aged 17 to 62 with circumferential extremity burns were reviewed. No pin-tract infections were observed, nor were any of the skin grafts lost due to shearing. Peripheral nerve and arterial injuries were not encountered. Only one patient with an oversized arm secondary to morbid obesity had a pin pull-out. No other patient developed adverse sequelae from the surgery or from the placement of the UEF device. The UEF device provides a safe and effective means for elevation of extremites in patients with circumferential extremity burns undergoing skin grafting. This allows for optimal access for skin grafting, dressing changes, and postoperative positioning. Shear injury and pressure necrosis of the fresh grafts is minimized. Increasing the number of pins in obese patients should be considered to avoid the complications of pin pull-out.

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Wound Care for Burn Patients in Acute Rehabilitation Settings

Cited by 7 publications

References 12 publications

Analyzing patient satisfaction in a rural wound care center

Analyzing patient satisfaction in a rural wound care center

A comparison between two burn rehabilitation protocols

Uniplanar External Fixation for Care of Circumferential Extremity Burn Wounds in Adults

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