Educational Development, Gaymar Industries, Inc, Orchard Park, New York, USA.
J Wound Ostomy Continence Nurs. 2010 May-Jun;37(3):265-71. doi: 10.1097/WON.0b013e3181d8c275.
The purpose of this qualitative research study was to explore the meaning of being a wound, ostomy, and continence (WOC) nurse engaged in wound care practice.
The sample comprised 6 WOC nurses, each of whom had 3 or more years of wound care experience in a variety of care settings. Respondents were female, 49 years or older, and master's prepared. Interviews were conducted at either the place of employment of each subject or a neutral location based on the participant's preference.
A Heideggerian hermeneutic phenomenologic framework was used during data collection. An unstructured interview process was used to encourage sharing of experiences through narratives. All interviews were audiotaped and transcribed verbatim. As a WOC nurse with 30 years of experience in wound care, the primary investigator logged reflections on the interview process as a valuable source of data analysis. Interpretive analysis involved immersion in the text, data transformation, and thematic analysis.
Eight themes emerged: (1) Essence of Practice; bond of caring; (2) Holistic Approach; putting the pieces of the puzzle together; (3) The Dichotomy... them and me; (4) Art of Wound Care; (5) Growth in Practice; (6) Allure of the Challenge. (7) Acknowledging Limits... you can't always make it better; and (8) Teaching, Mentoring and Being a Role Model.
The narratives illuminate the essence of this nursing specialty practice, whereas the outcome of this research provides a rich description of the human experience of being a WOC nurse engaged in wound care.
本质性研究旨在探索从事伤口护理实践的造口、伤口和失禁（WOC）护士的意义。
样本包括 6 名 WOC 护士，每位护士在各种护理环境中都有 3 年或以上的伤口护理经验。受访者为女性，年龄在 49 岁或以上，且均具有硕士学历。访谈是在受访者的工作地点或根据其偏好的中立地点进行的。
在数据收集过程中使用了海德格尔解释学现象学框架。采用非结构化访谈过程，通过叙事鼓励分享经验。所有访谈均进行录音并逐字转录。作为一名具有 30 年伤口护理经验的 WOC 护士，主要研究者对访谈过程进行了反思，将其作为数据分析的宝贵来源。解释性分析包括沉浸在文本中、数据转换和主题分析。
出现了 8 个主题：（1）实践的本质；关怀的纽带；（2）整体方法；将拼图的碎片放在一起；（3）二分法……他们和我；（4）伤口护理的艺术；（5）实践中的成长；（6）挑战的吸引力；（7）承认限制……你不能总是让它变得更好；以及（8）教学、指导和树立榜样。
这些叙述阐明了这个护理专业实践的本质，而这项研究的结果为从事伤口护理的 WOC 护士的人类体验提供了丰富的描述。
