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Registered nurses' approach to pressure injury prevention - A descriptive qualitative study VoR704.85 kB
Published VersionCC BY-NC V4.0, Open Access
Journal article
Registered nurses' approach to pressure injury prevention: A descriptive qualitative study
Journal of Advanced Nursing, Vol.78(8), pp.2575-2585
2022
PMID: 35307866
Abstract
Aims: To explore Registered Nurses' approaches to pressure injury prevention, includ-ing how they perceive their roles, how they prioritize pressure injury prevention and factors influencing prevention in the Chinese context.
Design: A qualitative descriptive study.
Methods: 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 out-comes (three domains) associated with nurses' pressure injury prevention practices. Deductive and inductive content analyses were used.
Findings: Twenty-seven nurses participated in the interviews. Four themes related to two domains of the model emerged: Work system: (i) Nurses lead and coordinate pres-sure 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.
Conclusions: Nurses play a leading role in pressure injury prevention delivery but re-quire 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.
Impact: 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.
Details
- Title
- Registered nurses' approach to pressure injury prevention: A descriptive qualitative study
- Authors
- Zhaoyu Li (Corresponding Author) - Griffith UniversityAndrea P Marshall (Author) - Griffith UniversityFrances Lin (Author) - University of the Sunshine Coast, Queensland, School of Nursing, Midwifery and Paramedicine - LegacyYanming Ding (Author) - Peking University First HospitalWendy Chaboyer (Author) - Deakin University
- Publication details
- Journal of Advanced Nursing, Vol.78(8), pp.2575-2585
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2022
- DOI
- 10.1111/jan.15218
- ISSN
- 1365-2648; 0309-2402
- PMID
- 35307866
- Copyright note
- © 2022 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
- Organisation Unit
- School of Health - Nursing; University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
- Language
- English
- Record Identifier
- 99621539502621
- Output Type
- Journal article
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- Nursing
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