从临床医生和健康消费者的角度确定手术伤口护理优先事项在澳大利亚私人医疗保健背景下:一个案例研究

IF 0.6 Q4 DERMATOLOGY
R. Walker, F. Lin, W. Chaboyer, S. Latimer, A. Eskes, Cheryl Clayton, C. Murphy, I. Sladdin, C. Bull, B. Gillespie
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引用次数: 1

摘要

目的从澳大利亚一家私立医院的临床医生和健康消费者/患者的角度,确定与外科伤口护理相关的重点和挑战。方法:与五个外科伤口管理主题相关的25个临床问题被先验地开发出来,并在研讨会上提交给四位临床医生。参与的临床医生使用建立共识的方法对问题进行排序,以确定最重要的两个研究重点。我们采访了一位有过外科伤口经历的保健消费者。使用演绎方法分析了研讨会和消费者访谈的文字记录。结果:临床医生最优先考虑的问题集中在消费者在术后伤口管理中的重要性,以及伤口护理团队在提供循证护理中的作用。患者强调了与临床医生合作在手术伤口的成功管理和护理的连续性中发挥的重要作用。结论:与消费者合作预防外科伤口并发症的策略可以成功地纳入临床实践。重点:关于这个话题我们知道些什么?虽然目前的外科伤口护理实践存在明显的差距,但也有越来越多的证据表明,当患者与临床医生合作时,伤口护理结果可以得到改善。这篇文章补充了什么?当临床医生准备好并与消费者一起使用频繁的教育、支持和评估方法时,手术伤口护理结果得到改善。这对从业者意味着什么?临床医生和消费者在预防手术伤口并发症方面的合作方法可以成功地纳入临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identifying surgical wound care priorities from the perspectives of clinicians and health consumers in an Australian private healthcare context: a case study
Objective To identify the priorities and challenges related to surgical wound care from the perspectives of clinicians and health consumers / patients at a private hospital in Australia. Methods: Twenty-five clinical questions related to five surgical wound management topics were developed a priori and presented to four clinicians at a workshop. Questions were ranked by participating clinicians using a consensus building approach to identify the top two research priorities. One health consumer who had experience with a surgical wound was interviewed. Transcripts from the workshop and the consumer interview were analysed using a deductive approach. Results: The clinicians’ top priority questions focused on the importance of the consumer in their postoperative wound management, and the role of the wound care team in providing evidence-based care. The patient highlighted the vital role collaboration with clinicians played in the successful management of their surgical wound and continuity of care. Conclusion: Strategies to partner with consumers in the prevention of surgical wound complications can be successfully incorporated into clinical practice. Key points: What is known about the topic? While there are clear gaps in current surgical wound care practices, there is also increasing evidence that suggests wound care outcomes can improve when patients partner with clinicians. What does this paper add? Surgical wound care outcomes improved when clinicians prepared and worked with consumers using frequent education, support and assessment approaches. What are the implications for practitioners? Partnership approaches between clinicians and consumers in the prevention of surgical wound complications can be successfully incorporated into clinical practice.
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