Registered nurses' approach to pressure injury prevention: A descriptive qualitative study.
interview
nurses
pressure injury prevention
pressure ulcer/injury
qualitative research
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
revised:
20
01
2022
received:
03
12
2021
accepted:
13
02
2022
pubmed:
22
3
2022
medline:
15
7
2022
entrez:
21
3
2022
Statut:
ppublish
Résumé
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. A qualitative descriptive study. 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. 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. 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. 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.
Identifiants
pubmed: 35307866
doi: 10.1111/jan.15218
pmc: PMC9545357
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2575-2585Subventions
Organisme : Griffith University
ID : Griffith University Postgraduate Research Scholars
Informations de copyright
© 2022 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Références
Qual Saf Health Care. 2006 Dec;15 Suppl 1:i50-8
pubmed: 17142610
Int J Nurs Stud. 2018 Jun;82:79-89
pubmed: 29626701
J Clin Nurs. 2017 Oct;26(19-20):3200-3211
pubmed: 27875015
Worldviews Evid Based Nurs. 2017 Oct;14(5):385-393
pubmed: 28395394
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
Eur J Oncol Nurs. 2013 Apr;17(2):184-9
pubmed: 22748946
J Wound Ostomy Continence Nurs. 2017 Mar/Apr;44(2):123-128
pubmed: 28060031
J Adv Nurs. 2008 Apr;62(1):107-15
pubmed: 18352969
Br J Nurs. 2012 Mar 8-21;21(5):S4, S6, S8 passim
pubmed: 22489336
J Am Med Inform Assoc. 2019 Jun 1;26(6):553-560
pubmed: 30903660
Wounds. 2016 Oct;28(10):S1-S23
pubmed: 28682298
Scand J Caring Sci. 2021 Jun 9;:
pubmed: 34105825
Ergonomics. 2013;56(11):1669-86
pubmed: 24088063
J Nurs Manag. 2016 Jul;24(5):580-8
pubmed: 26888342
J Wound Care. 2019 Jul 01;28(Sup7):S4-S13
pubmed: 31295076
Int J Nurs Stud. 2020 May;105:103546
pubmed: 32113142
Int Wound J. 2019 Apr;16(2):459-466
pubmed: 30672116
J Adv Nurs. 2022 Aug;78(8):2575-2585
pubmed: 35307866
Nurs Outlook. 2013 Nov-Dec;61(6):417-426.e5
pubmed: 23838568
Int Wound J. 2019 Jun;16(3):634-640
pubmed: 30693644
J Clin Nurs. 2022 Jan;31(1-2):231-239
pubmed: 34109691
Nurs Open. 2022 Jan;9(1):30-43
pubmed: 34538027
Contemp Nurse. 2016 Apr-Jun;52(2-3):326-40
pubmed: 27228380
Br J Nurs. 2010 Aug 12-Sep 8;19(15):S4, S6, S8 Passim
pubmed: 20852477
Int Wound J. 2013 Jun;10(3):313-20
pubmed: 22515476
J Wound Ostomy Continence Nurs. 2016 May-Jun;43(3):248-53
pubmed: 27167318
Int J Nurs Stud. 2015 Apr;52(4):817-35
pubmed: 25655351
Int Wound J. 2019 Feb;16(1):153-163
pubmed: 30273984
J Clin Nurs. 2017 Jan;26(1-2):182-189
pubmed: 27378536
J Clin Nurs. 2012 May;21(9-10):1293-303
pubmed: 22429848
Cochrane Database Syst Rev. 2019 Jan 31;1:CD006471
pubmed: 30702158
J Eval Clin Pract. 2014 Feb;20(1):58-65
pubmed: 23992564
Lancet Psychiatry. 2016 Sep;3(9):805
pubmed: 27568264
Qual Saf Health Care. 2005 Feb;14(1):26-33
pubmed: 15692000
Nurse Educ Today. 2004 Feb;24(2):105-12
pubmed: 14769454
Int Wound J. 2017 Dec;14(6):1290-1298
pubmed: 28744988
Implement Sci. 2018 Jun 7;13(1):80
pubmed: 29879986
J Pain Symptom Manage. 2011 Sep;42(3):443-59
pubmed: 21444182
J Clin Nurs. 2020 Jul;29(13-14):2455-2465
pubmed: 32246739
J Adv Nurs. 2007 Nov;60(3):317-24
pubmed: 17908127
Crit Care Med. 2017 Oct;45(10):e1043-e1049
pubmed: 28787292
Int Wound J. 2022 Aug;19(5):1165-1179
pubmed: 34729917
Nurs Open. 2020 Mar 10;7(4):1020-1025
pubmed: 32587720
BMJ Open. 2019 Aug 15;9(8):e029954
pubmed: 31420394
ANS Adv Nurs Sci. 1986 Apr;8(3):27-37
pubmed: 3083765
Implement Sci. 2012 Apr 24;7:37
pubmed: 22530986