Attitudes of nurses and physicians working in hard-to-heal wound management towards person-centred care.

IF 1.5 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2024-10-01 DOI:10.12968/jowc.2021.0187

Vildan Çakar, Ayişe Karadağ

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引用次数: 0

Abstract

Objective: Person-centred care (PCC) is an important approach as it positively affects disease management. Guiding studies are needed on the use and development of PCC in hard-to-heal (chronic) wound management. This study aimed to determine attitudes and approaches of nurses and physicians working in hard-to-heal wound management towards PCC, and obtain their views and suggestions for its scope and improvement.

Method: Participants of this descriptive survey study consisted of nurses and physicians responsible for hard-to-heal wound care and treatment in healthcare institutions at all levels in Turkey. Data were collected through a structured online survey shared with members of professional associations via social media platforms between March-November 2020. Descriptive statistics and qualitative inductive content analysis were used to analyse data.

Results: Participants (n=418) included physicians (84.2%) and nurses (15.8%). Mean participant-graded their person-centred behaviour level was 8.18±1.80 (out of 10 points). The majority of participants reported that they informed patients about care, treatment processes and options (87.3%) as well as including them in the decision-making process (74.6%). Responses of the participants regarding the scope of PCC were classified into five main categories, the most prominent being: 'individual', 'care', 'professional development' and healthcare system'. Suggestions for the improvement of PCC were classified into seven main categories, with 'personalised care', 'disease-specific care', 'continued training of healthcare professionals should be ensured' and 'home care system should be developed for the continuity of care' among the prominent subcategories.

Conclusion: The findings of this study suggests that education on PCC is an important approach. Institutional protocols and guidelines can support person-centred hard-to-heal wound management. In this study, the level of person-centred behaviour of the participants was determined to be good. Although the results of the study cannot be generalised to all health professionals-the majority of the participants were physicians-it is recommended to develop and disseminate the PCC model in hard-to-heal wound management using the findings.

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从事难愈合伤口管理的护士和医生对以人为本的护理的态度。

目的：以人为本的护理（PCC）是一种重要的方法，因为它能对疾病管理产生积极影响。在难愈合（慢性）伤口管理中使用和发展以人为中心的护理方法需要进行指导性研究。本研究旨在确定从事难愈合伤口管理的护士和医生对 PCC 的态度和方法，并就其范围和改进征求他们的意见和建议：这项描述性调查研究的参与者包括土耳其各级医疗机构中负责难愈合伤口护理和治疗的护士和医生。在 2020 年 3 月至 11 月期间，通过社交媒体平台与专业协会成员共享结构化在线调查，收集数据。数据分析采用描述性统计和定性归纳内容分析：参与者（n=418）包括医生（84.2%）和护士（15.8%）。参与者对以人为本行为的平均评分为 8.18±1.80（满分 10 分）。大多数参与者表示，他们向患者告知了护理、治疗过程和选择（87.3%），并让患者参与决策过程（74.6%）。与会者对 PCC 范围的回答分为五大类，其中最突出的是："个人"、"护理"、"专业发展 "和 "医疗保健系统"。对改进 PCC 的建议主要分为七类，其中 "个性化护理"、"针对特定疾病的护理"、"应确保医护人员的持续培训 "和 "应发展家庭护理系统以保证护理的连续性 "是最主要的细分类别：本研究的结果表明，关于 PCC 的教育是一种重要的方法。机构规程和指南可支持以人为本的难愈合伤口管理。在本研究中，参与者以人为本的行为水平被确定为良好。虽然研究结果不能推广到所有医疗专业人员--大多数参与者都是医生--但建议利用研究结果在难愈合伤口管理中开发和推广 PCC 模式。

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.