Nursing Department, University of Girona, Girona, Spain.
J Clin Nurs. 2013 Sep;22(17-18):2562-71. doi: 10.1111/jocn.12175. Epub 2013 Mar 29.
To report on a study of what primary care nurses and physicians know about medications and healthcare products to prevent and treat pressure ulcers.
The prevention and treatment of pressure ulcers has generally become the responsibility of the nursing staff; this has resulted in studies of nurses' knowledge of this task, although few studies include physicians in their analysis.
Cross-sectional survey conducted in North Girona (Province) Primary Care Services from February to April 2010.
The study questionnaire had three sections: sociodemographic data, questions about division of responsibility for the care of patients with pressure ulcers or at risk of developing them, and 36 statements based on the recommendations in clinical practice guidelines provided by well-recognised national and international institutions.
Eighty-one nurses (64·8%) and 46 physicians (36·8%) responded to this study. Nurses had greater responsibility for the care of pressure ulcers, made greater use of medical prescriptions to obtain supplies if not available in the primary care centre, were more familiar with the site's clinical practice guidelines on the topic and showed better adherence to their recommendations. Nurses also had better knowledge than the participating physicians of the use of medications and healthcare products to heal or to prevent pressure ulcers.
Nurses had sufficient knowledge and more appropriate skills than the participating physicians for the prescription of medications and healthcare products for the prevention and treatment of pressure ulcers.
The data demonstrated that nurses have sufficient knowledge and skill to provide wound care and could safely write these prescriptions, although Spanish law permitting nurse prescription is not fully implemented.
报告一项关于初级保健护士和医生对预防和治疗压疮的药物和保健产品了解程度的研究。
压疮的预防和治疗通常已成为护理人员的责任；这导致了对护士在这项任务中的知识的研究，尽管很少有研究将医生纳入其分析。
2010 年 2 月至 4 月在北吉隆纳（省）初级保健服务中心进行的横断面调查。
研究问卷有三个部分：社会人口统计学数据、关于护理压疮或有压疮风险患者责任分工的问题，以及基于知名国家和国际机构提供的临床实践指南中的建议的 36 个陈述。
81 名护士（64.8%）和 46 名医生（36.8%）对这项研究做出了回应。护士对压疮的护理负有更大的责任，如果初级保健中心没有供应，他们更倾向于开医疗处方来获取供应品，对该科室关于该主题的临床实践指南更熟悉，并且更遵守其建议。护士在药物和保健产品的使用方面的知识也优于参与的医生，这些药物和保健产品可用于治疗或预防压疮。
与参与的医生相比，护士在预防和治疗压疮方面的处方药物和保健产品方面具有足够的知识和更适当的技能。
数据表明，护士具有提供伤口护理的足够知识和技能，并且可以安全地开具这些处方，尽管西班牙允许护士开具处方的法律尚未完全实施。
