Heerschap Corey, Woo Kevin Y
Corey Heerschap, MScCH (WPC), BScN, RN, NSWOC, WOCC(C), IIWCC, is Wound/Ostomy Clinical Nurse Specialist, Interprofessional Practice Department, Royal Victoria Regional Health Centre, Barrie, Ontario, Canada, and PhD Student at Queen's University. Kevin Y. Woo, PhD, MSc, BScN, RN, NSWOC, WOCC(C), is Associate Professor, School of Nursing, Queen's University, and Adjunct Professor, MClSc Program, School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ontario, Canada.
Adv Skin Wound Care. 2022 Dec 1;35(12):680-687. doi: 10.1097/01.ASW.0000855044.92545.af. Epub 2022 Jul 27.
To explore formal caregiver experiences caring for patients with a pressure injury (PI) or who are at risk of developing a PI.
In November 2019, the researchers searched CINAHL (Cumulative Index to Nursing and Allied Health Literature) and MEDLINE databases for articles related to caregivers and their experiences with PI prevention and care.
Twenty-eight qualitative studies were included in this review.
Literature was graded and critiqued with regard to design and research quality and then synthesized utilizing a narrative approach.
Four themes were found within the literature: knowledge and education, environment and resources, collaboration and role clarity, and risk assessment.
Across healthcare settings, formal caregivers noted the importance of effective PI knowledge and education. Recognizing both barriers and facilitators to PI prevention and management within the healthcare environment can help decision-makers make informed choices to improve PI management within their settings. In addition, developing interprofessional team skills and relationships, rather than practicing in silos, may have an impact on PI management. Although there are many interventions that reduce PI risk and assist in the management of PIs, not every intervention is appropriate for every healthcare setting. Clinician education on PIs, along with new interventions, could significantly impact the effectiveness of patient care.
探讨正规护理人员照顾患有压疮（PI）或有发生PI风险患者的经历。
2019年11月，研究人员在护理学与健康相关文献累积索引（CINAHL）和医学文献数据库（MEDLINE）中检索了与护理人员及其预防和护理PI经历相关的文章。
本综述纳入了28项定性研究。
对文献的设计和研究质量进行分级和批判性评价，然后采用叙述性方法进行综合分析。
在文献中发现了四个主题：知识与教育、环境与资源、协作与角色明确以及风险评估。
在所有医疗环境中，正规护理人员都指出了有效PI知识和教育的重要性。认识到医疗环境中PI预防和管理的障碍与促进因素，有助于决策者做出明智选择，以改善其所在环境中的PI管理。此外，培养跨专业团队技能和关系，而非各自为政，可能会对PI管理产生影响。虽然有许多干预措施可降低PI风险并协助管理PI，但并非每种干预措施都适用于每个医疗环境。对临床医生进行PI教育以及采用新的干预措施，可能会显著影响患者护理的效果。
