Samuriwo Ray
Faculty of Health Sport and Science, University of Glamorgan.
Br J Nurs. 2010;19(20):S8-18. doi: 10.12968/bjon.2010.19.Sup10.79689.
Few studies have focused on the value that nurses place on pressure ulcer prevention, even though values are a key determinant of a person's behaviour and actions. Previous studies have reported that the value that a nurse places on pressure ulcer prevention is linked to the skin care that they deliver. This article describes a study that was undertaken to determine the value that nurses place on pressure ulcer prevention, which also identified how this value is formed. The participants in this study (n=16), were recruited from non-acute adult medical wards of 14 hospitals in one NHS trust, and a university. Data was gathered via semi-structured interviews and interpreted through Straussian grounded theory. The findings of this study show how the participants underwent a transition from placing a low to a high value on pressure ulcer prevention and how this affected patient care. The key point in this transition appears to be an encounter with a patient with a high grade pressure ulcer, which caused the nurses to reappraise their values. Looking after patients with pressure ulcers seems to increase the value that a nurse places on pressure ulcer prevention. The education that nurses receive on pressure ulcer prevention only appears to alter their values when they have some experience of looking after patients with pressure ulcers.
尽管价值观是一个人行为和行动的关键决定因素，但很少有研究关注护士对压疮预防的重视程度。先前的研究报告称，护士对压疮预防的重视程度与他们提供的皮肤护理有关。本文描述了一项旨在确定护士对压疮预防重视程度的研究，该研究还确定了这种重视程度是如何形成的。本研究的参与者（n = 16）来自一家国民保健服务信托机构和一所大学的14家医院的非急症成人内科病房。数据通过半结构化访谈收集，并通过施特劳斯扎根理论进行解读。本研究的结果表明了参与者如何从对压疮预防重视程度低转变为重视程度高，以及这如何影响患者护理。这一转变的关键点似乎是遇到一名患有严重压疮的患者，这促使护士重新评估他们的价值观。照顾患有压疮的患者似乎会增加护士对压疮预防的重视程度。护士接受的压疮预防教育似乎只有在他们有照顾压疮患者的一些经验时才会改变他们的价值观。
