Gillespie Brigid M, Chaboyer Wendy, Allen Pamela, Morely Nicola, Nieuwenhoven Paul
NHMRC Research Centre for Clinical Excellence in Nursing Interventions for Hospitalised Patients (NCREN), Griffith Health Institute, Griffith University, Gold Coast, QLD, Australia; Research Centre for Clinical and Community Practice Innovation (RCCCPI), Griffith Health Institute, Griffith University, Gold Coast, QLD, Australia.
J Clin Nurs. 2014 Sep;23(17-18):2618-26. doi: 10.1111/jocn.12479. Epub 2013 Dec 20.
To describe the self-reported wound care practices of acute care nurses practising in a large metropolitan hospital in Queensland, Australia.
Wound infections occur in up to 30% of surgical procedures and are the third most commonly reported hospital-acquired infection. The growing complexity and cost of wound care demand that nurses use wound care knowledge based on best practice guidelines.
Descriptive cross-sectional survey design.
A convenience sample of 250 medical and surgical nurses working in an acute care facility was invited to complete a 42-item survey. The survey was based on an extensive literature review and an environmental scan of wound care issues in major hospitals, Australia.
The survey was completed by 120 acute care nurses with a response rate of 48%. Ninety (75·6%) respondents reported that 'wound appearance' was the most important factor guiding their choice of dressing product. Only 6 (5·0%) respondents considered the cost of a dressing product 'highly important'. Fifty-nine (50·4%) respondents reported being 'unaware' of the national standards pertaining to wound management, and only 41 (34·7%) respondents reported that their knowledge of wound products was 'good' or 'excellent'. The majority (n = 89, 75·4%) of respondents used the hospital's wound care specialist nurses as the primary source of information in regard to managing acute wounds.
Although acute care nurses have a sound knowledge of wound healing processes, it appears that many do not use the recommended clinical guideline pertaining to wound care.
While it is important for nurses to detect early wound complications, treatment plans based on wound assessments need to be informed by current clinical guidelines. In implementing the guideline, it is essential to first identify barriers and facilitators to knowledge transfer.
描述在澳大利亚昆士兰州一家大型都市医院工作的急症护理护士自我报告的伤口护理实践。
高达30%的外科手术会发生伤口感染，且伤口感染是第三大最常报告的医院获得性感染。伤口护理日益复杂且成本不断增加，这要求护士运用基于最佳实践指南的伤口护理知识。
描述性横断面调查设计。
邀请在一家急症护理机构工作的250名内科和外科护士作为便利样本，完成一项包含42个条目的调查。该调查基于广泛的文献综述以及对澳大利亚各大医院伤口护理问题的环境扫描。
120名急症护理护士完成了调查，回复率为48%。90名（75.6%）受访者表示“伤口外观”是指导他们选择敷料产品的最重要因素。只有6名（5.0%）受访者认为敷料产品的成本“非常重要”。59名（50.4%）受访者报告“不知道”与伤口管理相关的国家标准，只有41名（34.7%）受访者表示他们对伤口产品的了解“良好”或“优秀”。大多数（n = 89，75.4%）受访者将医院的伤口护理专科护士作为管理急性伤口的主要信息来源。
尽管急症护理护士对伤口愈合过程有扎实的知识，但似乎许多人并未使用推荐的伤口护理临床指南。
虽然护士早期发现伤口并发症很重要，但基于伤口评估的治疗计划需要依据当前临床指南制定。在实施指南时，首先识别知识转移的障碍和促进因素至关重要。
