Kaba E, Kelesi M, Stavropoulou A, Moustakas D, Fasoi G
Assistant Professor, Technological Educational Institute (TEI) of Athens, Greece.
Associate Professor, Technological Educational Institute (TEI) of Athens, Greece.
J Wound Care. 2017 Sep 1;26(Sup9):S20-S26. doi: 10.12968/jowc.2017.26.Sup9.S20.
Although the occurrence of pressure ulcers (PUs) is now considered as an indicator of poor quality nursing care, questions and concerns remain regarding situations where PUs were unavoidable, irrespective of the care provided. The aim of this study was to explore Greek nurses' perceptions about the barriers involved and to identify the factors that influence care planning in PU treatment.
A grounded theory approach was used and semi-structured interviews were conducted with nurses who provided pressure care to clients in a rehabilitation centre in Greece. Data were analysed using the constant comparative method.
We interviewed seven nurses. Findings revealed one main category entitled 'anarchy' in delivery of care consisted of the following three subcategories: interdisciplinary conflicts; total trust in traditional knowledge; and devaluation of other's work/role and a core category 'Against the odds': the perceived value of prevention and treatment can overcome the barriers in treating PUs.
This study gives an overview of the views and beliefs of nurses about the problems and barriers involved in PU prevention and treatment. The study reveals that although some barriers to good practice may exist, nurses can hold a positive attitude toward PU prevention and treatment, and their perceived value of prevention and treatment may help nurses to overcome the barriers in managing PUs.
尽管压疮（PU）的发生现在被视为护理质量差的一个指标，但对于无论提供何种护理，压疮都不可避免的情况，仍存在疑问和担忧。本研究的目的是探讨希腊护士对其中所涉及障碍的看法，并确定影响压疮治疗护理计划的因素。
采用扎根理论方法，对希腊一家康复中心为患者提供压力护理的护士进行半结构化访谈。使用持续比较法对数据进行分析。
我们采访了7名护士。研究结果显示，护理提供过程中有一个名为“无政府状态”的主要类别，由以下三个子类别组成：跨学科冲突；对传统知识的完全信任；以及对他人工作/角色的贬低，还有一个核心类别“克服困难”：预防和治疗的感知价值可以克服压疮治疗中的障碍。
本研究概述了护士对压疮预防和治疗中所涉及问题和障碍的看法和信念。研究表明，尽管可能存在一些良好实践的障碍，但护士可以对压疮预防和治疗持积极态度，并且他们对预防和治疗的感知价值可能有助于护士克服管理压疮的障碍。
