Department of Nursing, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece.
Int J Environ Res Public Health. 2020 Oct 19;17(20):7610. doi: 10.3390/ijerph17207610.
Individuals with mental illness are at increased risk of skin injuries. The role of nurses in skin injury prevention and management is crucial and therefore their views on wound care may provide useful information for improving the quality of the care provided.
To investigate nurses' views on care of mentally ill patients with skin injuries.
A qualitative research design based on the principles of grounded theory approach was followed. Unstructured interviews were conducted with seven nurses working in psychiatric wards with frequent skin injuries. Data were analyzed using the constant comparative method of analysis.
Two main themes were emerged from data analysis. The first main theme, namely factors affecting the care of patients with skin injuries, included seven categories: (a) shortage of hospital supplies, equipment and services (b) staff shortages, (c) lack of knowledge, (d) nurses' resistance to change, (e) difficulty in collaborating with patients, (f) patients' physical conditions and (g) nurses' attitudes as an obstacle to care. The second main theme, namely nurses' suggestions for optimizing care, included five categories: (a) need for additional staff, (b) need for increasing hospital supplies and equipment availability, (c) need for training (d) need of changing nurses' attitudes towards care and (e) need of changing the patients' approach to collaboration.
The care of mentally ill patients with skin injuries is affected by multidimensional factors that have a direct impact on the quality of nurses' work and patients' hospitalization. Specific efforts are needed to overcome the obstacles that hinder the care provided and to improve clinical practice.
精神疾病患者皮肤损伤的风险增加。护士在预防和管理皮肤损伤方面发挥着重要作用，因此他们对伤口护理的看法可能为提高护理质量提供有用信息。
调查护士对精神疾病伴有皮肤损伤患者护理的看法。
采用基于扎根理论方法原则的定性研究设计，对经常发生皮肤损伤的精神科病房的 7 名护士进行了非结构化访谈。使用分析的恒定性比较方法对数据进行分析。
数据分析中出现了两个主要主题。第一个主要主题，即影响皮肤损伤患者护理的因素，包括以下七个类别：(a) 医院用品、设备和服务短缺；(b) 人员短缺；(c) 缺乏知识；(d) 护士对变革的抵制；(e) 与患者合作困难；(f) 患者的身体状况；(g) 护士的态度是护理的障碍。第二个主要主题，即护士优化护理的建议，包括以下五个类别：(a) 需要额外的人员；(b) 需要增加医院用品和设备的可用性；(c) 需要培训；(d) 需要改变护士对护理的态度；(e) 需要改变患者的合作方式。
精神疾病伴有皮肤损伤患者的护理受到多方面因素的影响，这些因素直接影响护士的工作质量和患者的住院时间。需要做出具体努力来克服阻碍护理的障碍，改善临床实践。
