Department of Nursing Science, University of Turku, Turku, Finland.
Turku University Hospital, Turku, Finland.
J Clin Nurs. 2019 Nov;28(21-22):4021-4034. doi: 10.1111/jocn.14991. Epub 2019 Jul 31.
To identify general competence areas for graduating registered nurses and podiatrists providing chronic wound care.
The provision of care for chronic wounds involves a team of multiple professionals, and registered nurses and podiatrists play an important role. However, previous studies have found that registered nurses have limited competence in wound care. In addition, there are no standardised international competence areas for the provision of chronic wound care by registered nurses and podiatrists.
A qualitative design was used in this study.
The data were collected using six focus-group interviews with the following professionals: (a) registered nurses; (b) authorised wound care nurses; (c) nurse educators; (d) physicians; (e) podiatrists; and (f) podiatry educators (N = 23). The data were analysed using inductive and deductive content analysis. COREQ guidelines were followed, See Appendix S1.
The competence areas for registered nurses and podiatrists providing care for chronic wounds include knowledge, skills and performance in anatomy and physiology; aetiology, care and prevention of chronic wounds; and wound management and assessment. The competence areas also include a set of attitudes and values relating to chronic wound care and patients with chronic wounds.
In nursing and podiatry education and in working life, teaching should focus on these areas of competence in chronic wound care. This would standardise and integrate education on wound care, especially that of chronic wounds.
Wound care is an important part of clinical practice in nursing and podiatry. It is suggested that registered nurses and podiatrists need general competence in chronic wound care to carry out evidence-based, safe, high-quality and cost-effective care. These results could be used to define registered nurses' and podiatrists' competence areas and roles in evidence-based wound care as independent healthcare professionals.
确定提供慢性伤口护理的注册护士和足病医生的一般能力领域。
慢性伤口护理需要多专业人员团队提供，注册护士和足病医生发挥着重要作用。然而，之前的研究发现注册护士在伤口护理方面能力有限。此外，注册护士和足病医生提供慢性伤口护理的国际标准能力领域尚未标准化。
本研究采用定性设计。
通过六次焦点小组访谈收集数据，访谈对象为以下专业人员：（a）注册护士；（b）授权伤口护理护士；（c）护士教育者；（d）医生；（e）足病医生；（f）足病教育者（N=23）。使用归纳和演绎内容分析方法对数据进行分析。遵循 COREQ 指南，见附录 S1。
提供慢性伤口护理的注册护士和足病医生的能力领域包括解剖学和生理学方面的知识、技能和表现；慢性伤口的病因、护理和预防；以及伤口管理和评估。这些能力领域还包括与慢性伤口护理和慢性伤口患者相关的一系列态度和价值观。
在护理和足病学教育以及工作生活中，教学应重点关注这些慢性伤口护理能力领域。这将标准化和整合伤口护理教育，特别是慢性伤口护理教育。
伤口护理是护理和足病学临床实践的重要组成部分。建议注册护士和足病医生需要具备一般的慢性伤口护理能力，以进行基于证据的、安全、高质量和具有成本效益的护理。这些结果可用于定义注册护士和足病医生在基于证据的伤口护理方面的能力领域和角色，作为独立的医疗保健专业人员。
