Campling Natasha, Grocott Patricia, Cowley Sarah
Department of Practice and Policy, School of Pharmacy, University of London, London, UK.
J Nurs Manag. 2008 Mar;16(2):204-13. doi: 10.1111/j.1365-2834.2007.00818.x.
This study examined the user voice in England's National Health Service (NHS) wound dressing supply chain.
The impetus for this work came from involvement in a collaboration between industry and clinicians, entitled Woundcare Research for Appropriate Products. Experiences from that study highlighted the notable absence of research about the impact of the supply chain on the users of dressings.
Interview data are presented following an outline of the grounded theory method used. These data were obtained from key stakeholders (n = 41) within the wound dressing supply chain such as nurses, manufacturers, distributors, professional organizations, government organizations and user groups.
The consequences of supply disconnection revealed haphazard supply, unmet user needs and lack of information transfer between player groups.
These consequences explain the lack of user voice in the supply chain and have far-reaching implications for nursing management, through purchasing decisions and nurses' management of wound care.
本研究调查了英国国家医疗服务体系（NHS）伤口敷料供应链中的用户意见。
这项工作的动力来自参与一项行业与临床医生之间的合作项目，名为“合适产品的伤口护理研究”。该研究的经验凸显了供应链对敷料使用者影响方面研究的显著缺失。
在介绍所使用的扎根理论方法概要之后展示访谈数据。这些数据来自伤口敷料供应链中的关键利益相关者（n = 41），如护士、制造商、经销商、专业组织、政府组织和用户群体。
供应脱节的后果表现为供应随意、用户需求未得到满足以及各参与群体之间缺乏信息传递。
这些后果解释了供应链中缺乏用户意见的情况，并通过采购决策和护士对伤口护理的管理，对护理管理产生深远影响。
