Implications for better nursing practice: psychological aspects of patients undergoing post-operative wound care

Background and Objective: Post-operative delay wound dressing causes a wound contamination or delay wound healing process. Wound leakage and smell produce acute wounds changed into chronic wound conditions. This study assessed the nursing practices regarding standard approaches used for post-operative wound dressing and its care. Materials and Methods: A cross-sectional observational study designed with study population n = 150 in female nurses of two intensive care units and three surgical wards units: I-II-III. Data was collectedusing an adopted, observation checklist. Reliability tested by Cronbach alpha, 0.92. The mean scorewas categorized following rules, less than (1.5) was considered low (L), from (1.5-2.5) considered moderate (M), and greater than (>2.5) was considered high (H). Results: The results indicated that 55.3% of nurses had 32 – 38 of age and 48.7% were BS nursing education. According to the mean score majority of nurses had medium (M) and low (L) wound dressing practices observed. Plaster not present (52%) during dressing. 73.3% of nurses had not ensured privacy. The commonpractices were found, no handwashing before and after wound dressing. Conclusion: The majority of the nurses were not following the standardized wound dressing checklist. According to the study, findings recommended the education sessions, seminars, frequent departmental observation, and psychomotor simulation practices that need to be discussed with clinical professionals.

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The characteristics and impact of hard-to-heal wounds: results of a standardised survey

Journal of Wound Care ◽

10.12968/jowc.2020.29.5.282 ◽

2020 ◽

Vol 29 (5) ◽

pp. 282-288

Author(s):

Jeanette Milne ◽

Richard Searle ◽

Tim Styche

Keyword(s):

Early Intervention ◽

Nursing Practice ◽

Survey Methodology ◽

Wound Care ◽

Healthcare Systems ◽

Effective Management ◽

Care Providers ◽

Care Services ◽

Cost Constraints ◽

The Uk

The effective management of hard-to-heal wounds has increasingly important implications for those who provide wound care services within healthcare systems. The burden of wounds in the population continues to grow, as does the demand for wound care, against a backdrop of cost constraints and increasing expectations. The need to improve both outcomes and efficiency in wound care is therefore paramount and the time taken to heal wounds is an important factor in determining both. Survey methodology was used to collect data across 10 community wound care providers in the UK, Ireland, Finland, Norway and Denmark between February and August 2017. This allowed for analysis of wounds and their characteristics, dressing selection and nursing practice across a typical wound caseload. Data from 1057 wounds demonstrates that the characteristics and consequences of hard-to-heal wounds are different from improving wounds. However, wounds are, in general, treated in the same way, irrespective of whether they are hard-to-heal or improving, suggesting that the healing status of a wound is not a major factor in treatment selection. Early intervention to return hard-to-heal wounds to a healing trajectory may be a useful approach to improving efficiency in wound care.

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Nurses Practice Regarding Post-operative Wound Care And Its Associated Factors Of Hospitalised Patients In Public Hospitals Of Mekelle City, Tigray, Ethiopia, 2018/19.

10.21203/rs.3.rs-28833/v1 ◽

2020 ◽

Author(s):

girmay legass tela ◽

yohanss tesfay abebe ◽

kibrom berhanu g/slassie ◽

kiros belay gebrekidan

Keyword(s):

Sample Size ◽

Work Experience ◽

Wound Care ◽

Public Hospitals ◽

Care Practice ◽

P Value ◽

Binary Logistic Regression Analysis ◽

Cross Sectional ◽

Hospitalised Patients ◽

Operative Wound

Abstract Background: Post-operative wound care is a care that applied sterile gauze or bandage to wound to promote healing and protect the wound from further harm after surgical operation is done internally or externally to the involved organs. Post-operative Wound care is a nursing duty that requires excellent skills and knowledge to prevent massive complications such as infection, gangrene and amputation or, in severe cases, even death. Methods: Hospital based cross sectional study design was implemented and the total sample size was 375 nurses working in Ayder Comprehensive Specialized Hospital, Mekelle Hospital and Quiha hospital. Pre-test was done on 10 % of the sample size. Data was collected by observation and face to face interviewing using pre tested checklist and structured questionnaire respectively from March 20, 2019 to May 20, 2019. Simple random sampling was used. Data was coded, entered and analyzed using SPSS version 22.0 for statistical analysis. Binary logistic regression analysis was used to determine the predictor variables to the outcome variables with 95% confidence level at p-value of < 0.25 and finally p-value < 0.05 was described as statically significant. Result: A total of 375 respondents were participated in the study. Among them, 234(62.4%) were women. The overall nursing post-operative wound care practices were poor 258(68.8%). Work experience (AOR=0.47, 95%CI; 0.26-0.86), level of education (AOR=0.03, 95%CI; 0.004-0.25) and lack of materials (AOR=0.29, 95%CI; 0.09-0.89) was found to be associated with nurses post-operative wound care practice. Conclusion and recommendation: Factors such as work experience, educational level and lack of materials were statically significant association with nurses post-operative wound care practice. Highly qualified nurses should be engaged in training of other staff nurses in the tenderized dressing techniques of postoperative wounds.

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Hospital Bed for Diabetes Care: An Invention to Support Professional and Hygienic Nursing Practice

Mechanical Engineering for Society and Industry ◽

10.31603/mesi.5262 ◽

2021 ◽

Vol 1 (1) ◽

pp. 7-13

Author(s):

Sodiq Kamal ◽

Suroto Munahar ◽

Aries Abbas ◽

Yoshifumi Ito ◽

Agus Wahyudi

Keyword(s):

Lower Risk ◽

Nursing Practice ◽

Wound Care ◽

Liquid Waste ◽

Entire Body ◽

Analog Method ◽

Hospital Bed ◽

Foul Smell ◽

Rapid Entire Body Assessment ◽

Level Of Risk

Appropriate diabetes mellitus (DM) wound care requires safe and comfortable space and facilities for patients and nurses. However, the existing hospital bed for DM has not supported the safety and comfort for nurses to serve patients, including the problem of liquid waste and some DM wounds emit a foul smell. Therefore, a hospital bed for DM wound care was designed in this research to support professional, efficient, ergonomic, and safe nursing practice. Multidisciplinary collaboration by engineers, wound nursing practitioners, and industry is carried out in this project. The level of risk of work disturbances was evaluated using a rapid entire body assessment (REBA), the level of risk of contamination was evaluated by a qualitative exposure assessment, and the level of comfort was measured using the visual analog method. Trials on 30 respondents consisting of 28 nurses and 2 doctors indicated that they were comfortable working with the new design of this prototype with lower risk.

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Operative Wound Care in Total Knee Artroplasty v1 (protocols.io.bp27mqhn)

protocols.io ◽

10.17504/protocols.io.bp27mqhn ◽

2020 ◽

Author(s):

Luisa Mululo ◽

Fabricio Loures ◽

Marcia Vanzillota ◽

Jos Mauricio ◽

Marcelo Campos

Keyword(s):

Wound Care ◽

Total Knee ◽

Operative Wound

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Major Burn Injury Successfully Treated with Cultured Epithelial Autografts, a Case Series Presentation: Establishing Standard Clinical Practices

Journal of Burn Care & Research ◽

10.1093/jbcr/irab134 ◽

2021 ◽

Author(s):

Kevin P McGovern ◽

Julie A Rizzo

Keyword(s):

Clinical Practice ◽

Clinical Practice Guideline ◽

Practice Guideline ◽

Wound Care ◽

Case Series ◽

Clinical Practices ◽

Major Burn ◽

Cultured Epithelial Autograft ◽

Cultured Epithelial Autografts ◽

Operative Wound

Abstract Cultured epithelial autografts have been an option for coverage of large surface area burns for over two decades. However, there remains extreme variability in clinical practice in wound bed preparation, application of cultured epithelial autografts, and post-operative wound care and rehabilitation practices, demonstrating the need for a standardized and multidisciplinary approach in the treatment of critically injured patients treated with cultured epithelial autografts. The purpose of this case series was to share the development of a clinical practice guideline and competency checklist in our institution where cultured epithelial autograft case volume is low. In this case series, we examined the medical records of three patients treated with cultured epithelial autografts at a single burn center over a period from 2015-2018. Operating room times and fluid resuscitation volumes were examined on days when cultured epithelial autograft grafting was performed. In order to facilitate meticulous post-operative wound care in a facility where only 1-2 cultured epithelial autograft applications are performed per year, a clinical practice guideline and competency checklist were generated and trialed on a series of nurses and rehabilitation therapists for the three applications of cultured epithelial autografts. Amongst the patients treated with cultured epithelial autografts, the average TBSA burned was 71.6%. Less intra-operative crystalloid administration and faster operative case times were associated with improved cultured epithelial autograft success. The inclusion of the clinical practice guideline and checklist into our practice led to reported improved confidence in patient care, along with the successful outcomes of these cultured epithelial autograft applications.

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Language, research and nursing practice

Journal of Advanced Nursing ◽

10.1046/j.1365-2648.2001.01648.x ◽

2001 ◽

Vol 33 (2) ◽

pp. 159-166 ◽

Cited By ~ 16

Author(s):

Kristin Bjornsdottir

Keyword(s):

Nursing Practice ◽

Language Research

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