Abstract

Objective:
Wound assessment and treatment are essential aspects of nursing care. Dressing-associated complications can delay wound healing progression, causing unnecessary patient distress. Despite evidence suggesting dressings should be changed infrequently, there still remains a tendency for healthcare professionals to remove dressings regularly, increasing the risk of complications and the financial costs of wound care. This quality improvement project aimed to understand the experiences and current practices of Tissue Viability Nurses (TVN) involved in wound care and dressing wear time in the acute and community setting.
Method:
The overall project used a mixed-methods design. A retrospective audit was undertaken to establish reasons for renewal of foam dressings on patients with acute/chronic wounds. Semi-structured qualitative interviews were conducted with registered TVN (n=12) working in acute and community care settings and focused on their experiences of all dressing types. This paper focuses on the
qualitative aspect of the overall project.
Main outcome measure:
Several themes were identified from the qualitative interviews that were common in the experiences of dressing wear time in the participant’s accounts.
Main results:
The analysis identified several key themes including: Training and Education (including the subthemes of TVN experience and TVN training); Knowledge and Information, Lack of Confidence (including the sub-themes Reasons for Dressing Change and Ritualistic Practice,); and Dressing choice.
Conclusion:
Fundamental changes in staff attitudes and beliefs about dressing wear time are essential to optimising dressing performance and increasing patient quality of care. Flexible community services, reflective of the needs of the service, are central to changing practice and increasing dressing wear time in the community setting.
Key words: Tissue viability nurses, Tissue viability services, wound care, dressing wear time, decision making, confidence, competence
LanguageEnglish
JournalAdvances in Skin and Wound Care
Publication statusAccepted/In press - 1 Dec 2018

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Bandages
Mental Competency
Nurses
Education
Tissue Survival
Wounds and Injuries
Interviews
Attitude of Health Personnel
Social Welfare
Quality of Health Care
Nursing Care
Quality Improvement
Wound Healing
Decision Making
Patient Care
Outcome Assessment (Health Care)

Cite this

@article{604c27d4d5984960a9091bb865f63d27,
title = "Nurses experiences of education, confidence and competence in appropriate dressing choice",
abstract = "Objective:Wound assessment and treatment are essential aspects of nursing care. Dressing-associated complications can delay wound healing progression, causing unnecessary patient distress. Despite evidence suggesting dressings should be changed infrequently, there still remains a tendency for healthcare professionals to remove dressings regularly, increasing the risk of complications and the financial costs of wound care. This quality improvement project aimed to understand the experiences and current practices of Tissue Viability Nurses (TVN) involved in wound care and dressing wear time in the acute and community setting.Method:The overall project used a mixed-methods design. A retrospective audit was undertaken to establish reasons for renewal of foam dressings on patients with acute/chronic wounds. Semi-structured qualitative interviews were conducted with registered TVN (n=12) working in acute and community care settings and focused on their experiences of all dressing types. This paper focuses on thequalitative aspect of the overall project.Main outcome measure:Several themes were identified from the qualitative interviews that were common in the experiences of dressing wear time in the participant’s accounts.Main results:The analysis identified several key themes including: Training and Education (including the subthemes of TVN experience and TVN training); Knowledge and Information, Lack of Confidence (including the sub-themes Reasons for Dressing Change and Ritualistic Practice,); and Dressing choice.Conclusion:Fundamental changes in staff attitudes and beliefs about dressing wear time are essential to optimising dressing performance and increasing patient quality of care. Flexible community services, reflective of the needs of the service, are central to changing practice and increasing dressing wear time in the community setting.Key words: Tissue viability nurses, Tissue viability services, wound care, dressing wear time, decision making, confidence, competence",
author = "Joanna Blackburn and Karen Ousey and John Stephenson",
year = "2018",
month = "12",
day = "1",
language = "English",
journal = "Advances in Skin and Wound Care",
issn = "1527-7941",
publisher = "Lippincott Williams and Wilkins",

}

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T1 - Nurses experiences of education, confidence and competence in appropriate dressing choice

AU - Blackburn, Joanna

AU - Ousey, Karen

AU - Stephenson, John

PY - 2018/12/1

Y1 - 2018/12/1

N2 - Objective:Wound assessment and treatment are essential aspects of nursing care. Dressing-associated complications can delay wound healing progression, causing unnecessary patient distress. Despite evidence suggesting dressings should be changed infrequently, there still remains a tendency for healthcare professionals to remove dressings regularly, increasing the risk of complications and the financial costs of wound care. This quality improvement project aimed to understand the experiences and current practices of Tissue Viability Nurses (TVN) involved in wound care and dressing wear time in the acute and community setting.Method:The overall project used a mixed-methods design. A retrospective audit was undertaken to establish reasons for renewal of foam dressings on patients with acute/chronic wounds. Semi-structured qualitative interviews were conducted with registered TVN (n=12) working in acute and community care settings and focused on their experiences of all dressing types. This paper focuses on thequalitative aspect of the overall project.Main outcome measure:Several themes were identified from the qualitative interviews that were common in the experiences of dressing wear time in the participant’s accounts.Main results:The analysis identified several key themes including: Training and Education (including the subthemes of TVN experience and TVN training); Knowledge and Information, Lack of Confidence (including the sub-themes Reasons for Dressing Change and Ritualistic Practice,); and Dressing choice.Conclusion:Fundamental changes in staff attitudes and beliefs about dressing wear time are essential to optimising dressing performance and increasing patient quality of care. Flexible community services, reflective of the needs of the service, are central to changing practice and increasing dressing wear time in the community setting.Key words: Tissue viability nurses, Tissue viability services, wound care, dressing wear time, decision making, confidence, competence

AB - Objective:Wound assessment and treatment are essential aspects of nursing care. Dressing-associated complications can delay wound healing progression, causing unnecessary patient distress. Despite evidence suggesting dressings should be changed infrequently, there still remains a tendency for healthcare professionals to remove dressings regularly, increasing the risk of complications and the financial costs of wound care. This quality improvement project aimed to understand the experiences and current practices of Tissue Viability Nurses (TVN) involved in wound care and dressing wear time in the acute and community setting.Method:The overall project used a mixed-methods design. A retrospective audit was undertaken to establish reasons for renewal of foam dressings on patients with acute/chronic wounds. Semi-structured qualitative interviews were conducted with registered TVN (n=12) working in acute and community care settings and focused on their experiences of all dressing types. This paper focuses on thequalitative aspect of the overall project.Main outcome measure:Several themes were identified from the qualitative interviews that were common in the experiences of dressing wear time in the participant’s accounts.Main results:The analysis identified several key themes including: Training and Education (including the subthemes of TVN experience and TVN training); Knowledge and Information, Lack of Confidence (including the sub-themes Reasons for Dressing Change and Ritualistic Practice,); and Dressing choice.Conclusion:Fundamental changes in staff attitudes and beliefs about dressing wear time are essential to optimising dressing performance and increasing patient quality of care. Flexible community services, reflective of the needs of the service, are central to changing practice and increasing dressing wear time in the community setting.Key words: Tissue viability nurses, Tissue viability services, wound care, dressing wear time, decision making, confidence, competence

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