Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.
Nursing department, Haiduong Medical Technical University, Vietnam.
J Wound Care. 2020 Apr 1;29(Sup4):S4-S13. doi: 10.12968/jowc.2020.29.Sup4.S4.
To identify the key components of a surgical wound assessment tool that nurses in Vietnam could use when conducting a surgical wound assessment. The study also explored Vietnamese nurses' perceptions of current practices in surgical wound assessment and assessed their requirements for a surgical wound assessment tool.
Registered nurses from surgical wards in a Vietnamese hospital were invited to participate in this descriptive, qualitative study. A combination of the think-aloud technique and semi-structured interviews was undertaken. Transcribed responses were analysed using inductive content analysis to indicate how Vietnamese nurses undertook wound assessment and the data they collected.
A total of 13 nurses took part. Data from both the think-aloud process and interviews indicated that nurses evaluated surgical wounds based on their experience and observation without using standard guidelines. Some components, such as wound edge, periwound skin, exudate volume and signs of infection, were identified by the nurses. Other wound characteristics, such as wound site, wound bed, exudate and pain, and risk factors were less frequently collected. Nurses expressed their need for a tool with comprehensive content, precise terms, user-friendly language and a scoring system to facilitate their wound assessment.
Hospitals in Vietnam need a standard tool to help nurses improve surgical wound assessment in daily nursing practice, and to enhance multidisciplinary communication and patient care.
确定越南护士在进行外科伤口评估时可以使用的外科伤口评估工具的关键组成部分。本研究还探讨了越南护士对外科伤口评估当前实践的看法，并评估了他们对外科伤口评估工具的要求。
邀请越南医院外科病房的注册护士参加这项描述性、定性研究。采用出声思维技术和半结构化访谈相结合的方法。使用归纳内容分析对转录后的回复进行分析，以表明越南护士如何进行伤口评估以及他们收集的数据。
共有 13 名护士参加。出声思维过程和访谈的数据都表明，护士根据经验和观察来评估外科伤口，而不使用标准指南。护士确定了一些组件，例如伤口边缘、伤口周围皮肤、渗出量和感染迹象。其他伤口特征，如伤口部位、伤口床、渗出物和疼痛以及危险因素，收集的频率较低。护士表示需要一个具有全面内容、准确术语、用户友好的语言和评分系统的工具，以帮助他们进行伤口评估。
越南的医院需要一个标准的工具来帮助护士在日常护理实践中提高外科伤口评估水平，并加强多学科沟通和患者护理。
