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社区护士评估深肤色人群早期压力性损伤的经验:一项质性描述性分析

Community Nurses' Experiences Assessing Early-Stage Pressure Injuries in People With Dark Skin Tones: A Qualitative Descriptive Analysis.

作者信息

Neesha Oozageer Gunowa, Kwame Oti Adomako, Debra Jackson

机构信息

The University of Surrey, Guildford, England.

The University of Sydney, Sydney, Australia.

出版信息

J Adv Nurs. 2025 Sep;81(9):5497-5511. doi: 10.1111/jan.16533. Epub 2024 Oct 14.

DOI:10.1111/jan.16533
PMID:39402732
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12371847/
Abstract

AIM

To examine community nurses' experiences of caring for people with dark skin tones at high risk of developing a pressure injury.

DESIGN

Qualitative descriptive design.

METHODS

Focus groups and individual semi-structured interviews were conducted among registered nurses working in the community between November 2023 and March 2024. Thematic analysis was used.

RESULTS

The findings reveal the lack of nurse education on diverse skin tones, how community nurses gain knowledge on skin tone diversity in the context of pressure injuries and the topics community nurses believe are crucial to improve the management of pressure injuries in patients with dark skin tones.

CONCLUSION

The study highlights the gap in nurse education regarding diverse skin tones, revealing how community nurses acquire knowledge related to pressure injuries in patients with dark skin tones.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This research could inform the development of targeted educational programmes and training initiatives, ultimately preventing patient harm and enhancing the quality of care and health outcomes for patients with dark skin tones.

IMPACT

It provides valuable insights into key topics that community nurses consider essential for improving the early recognition and management of pressure injuries in people with darker skin tones.

REPORTING METHOD

The research adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.

PUBLIC CONTRIBUTION

A project steering group contributed to the concept of the study and checked the interview questions were relevant and suitable.

摘要

目的

探讨社区护士对有发生压疮高风险的深肤色人群的护理经验。

设计

质性描述性设计。

方法

于2023年11月至2024年3月期间,对社区注册护士开展焦点小组和个人半结构式访谈,并采用主题分析法。

结果

研究结果揭示了护士在不同肤色护理教育方面的缺失、社区护士如何在压疮背景下获取有关肤色差异的知识,以及社区护士认为对改善深肤色患者压疮管理至关重要的主题。

结论

该研究凸显了护士在不同肤色护理教育方面的差距,揭示了社区护士如何获取与深肤色患者压疮相关的知识。

对专业和/或患者护理的启示:本研究可为针对性教育项目和培训计划的制定提供参考,最终预防患者伤害,提高深肤色患者的护理质量和健康结局。

影响

为社区护士认为对改善深肤色人群压疮早期识别和管理至关重要的关键主题提供了有价值的见解。

报告方法

本研究遵循质性研究报告统一标准(COREQ)指南。

公众贡献

一个项目指导小组参与了研究概念的制定,并检查了访谈问题的相关性和适用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbee/12371847/bb9e18f3a3e9/JAN-81-5497-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbee/12371847/bb9e18f3a3e9/JAN-81-5497-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbee/12371847/bb9e18f3a3e9/JAN-81-5497-g001.jpg

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本文引用的文献

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J Clin Nurs. 2024 Nov;33(11):4434-4444. doi: 10.1111/jocn.17362. Epub 2024 Jul 9.
2
Understanding therapeutic radiographers' confidence in assessing, managing & teaching radiation induced skin reactions (RISR): A national survey in the UK.了解治疗放射技师在评估、管理和教授放射性皮肤反应(RISR)方面的信心:英国的一项全国性调查。
Radiography (Lond). 2024 May;30(3):978-985. doi: 10.1016/j.radi.2024.04.006. Epub 2024 Apr 25.
3
Enhancing sense of belonging in nursing student clinical placements to advance learning and identity development.
增强护生临床实习归属感以促进学习和身份认同发展。
J Prof Nurs. 2024 Mar-Apr;51:109-114. doi: 10.1016/j.profnurs.2024.01.007. Epub 2024 Mar 8.
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Exploring nurses' experiences in pressure sore care in long-term care facilities.探索护士在长期护理机构中进行压疮护理的经验。
Int J Qual Stud Health Well-being. 2024 Dec;19(1):2324495. doi: 10.1080/17482631.2024.2324495. Epub 2024 Mar 3.
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A narrative review of patients' lived experience of having a pressure injury.患者压疮体验的叙事性综述。
Br J Nurs. 2024 Feb 22;33(4):S10-S23. doi: 10.12968/bjon.2024.33.4.S10.
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Shedding new light for nurses: Enhancing pressure injury prevention across skin tones with sub-epidermal moisture assessment technology.为护士带来新的启示:利用表皮下水分评估技术增强跨肤色压力性损伤预防。
J Adv Nurs. 2024 Jul;80(7):2801-2812. doi: 10.1111/jan.16040. Epub 2024 Jan 19.
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