Varga Marlene A, Holloway Samantha L
Covenant Health, Edmonton, Alberta, Canada.
Wound Healing Research Unit, Institute for Translation, Innovation, Methodology and Engagement, School of Medicine, Cardiff University, Cardiff, UK.
Int Wound J. 2016 Apr;13(2):243-51. doi: 10.1111/iwj.12279. Epub 2014 Apr 30.
The aim of the study was to report the lived experience of the wound care nurse (WCN) in caring for patients with pressure ulcers (PU). WCN play an important role in caring for patients with PU, but the effect on caring for individuals with such wounds is poorly understood. A descriptive and interpretative study on the life worlds of spatiality, temporality, relationality and corporeality was carried out. Utilising the hermeneutic Heideggerian phenomenology, data were collected over a 3-month period in 2012 using in-depth interviews with five WCN. The interviews revealed eight themes: 'challenge', 'making sense of it all', 'coping and self-care', 'advocate of mine/making a difference', 'knowledge and technology', 'we have seen what can happen', 'holistic caring' and 'frustration'. Twenty-five sub-themes were also identified. WCN experienced a demanding and rewarding role of caring, influenced by the environment and the challenges with individuals living with PU. This study demonstrated an enriching yet challenging role. Recommendations for WCN, health care authorities and education providers include raising awareness of the importance of self-care, greater recognition of the effect of this role on patients with PU and changing education to include reflective practice and resilience strategies.
本研究的目的是报告伤口护理护士（WCN）在护理压疮（PU）患者方面的实际经历。WCN在护理PU患者中发挥着重要作用，但对护理此类伤口患者的影响却知之甚少。开展了一项关于空间性、时间性、关联性和物质性生活世界的描述性和解释性研究。运用诠释学的海德格尔现象学，于2012年通过对五名WCN进行深入访谈，在3个月的时间里收集数据。访谈揭示了八个主题：“挑战”、“理解一切”、“应对与自我护理”、“我的倡导者/有所作为”、“知识与技术”、“我们目睹了可能发生的事情”、“整体护理”和“挫折”。还确定了25个次主题。WCN经历了护理这一要求苛刻但却有意义的角色，受到环境以及PU患者个体所面临挑战的影响。本研究表明这是一个丰富但具有挑战性的角色。对WCN、医疗保健当局和教育提供者的建议包括提高对自我护理重要性的认识，更多地认识到这一角色对PU患者的影响，以及改变教育内容以纳入反思性实践和恢复力策略。
