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- Title
Health professionals' perspectives on delivering patient-focused wound management: a qualitative study.
- Authors
Kuhnke, Janet L.; Keast, David; Rosenthal, Sue; Evans, Robyn Jones
- Abstract
Objective: This study examined the perspectives of health professionals on the barriers and solutions to delivery of patient-focused wound management and outcomes. Methods: A qualitative, descriptive study design was used. Participants were health-care managers, clinical leaders, nurses and allied health members who are part of wound care services. Open-ended surveys were distributed to participants in a series of learning workshops, and data analysed to identify leading themes. Results: A total of 261 participants took part and 194 surveys were returned (response rate: 74%). From the analysis five themes emerged: patient/family wound-related education; health professional wound-related education; implementation of evidence-based wound care and dissemination of evidence-based wound information across professions and contexts; teamwork and respectful communication within teams; and a higher value and priority placed on wound care through collaborative teams by managers, leaders and policymakers. Conclusion: Findings suggest that ongoing, system-wide education is needed to improve prevention, assessment, treatment and management of four wound types: venous leg ulcer (VLU), diabetic foot ulcer (DFU), pressure ulcer (PU) and surgical wounds. Health professionals are committed to delivering best practice in wound care. Participants identified that effective patient-focused, evidence-based wound care involves having a health-care system with a clear mandate to ensure wound care is a priority. A high value placed on wound care by managers and clinical leadership could transform the present systems. Additionally, effective and widespread dissemination of evidenced-informed practice information is crucial to positive patient outcomes. Education and team commitment for consistent and respectful communication would improve care delivery.
- Subjects
CANADA; ULCER prevention; PREVENTION of injury; ATTITUDE (Psychology); COMMUNICATION; FAMILY medicine; HEALTH care teams; INTERPROFESSIONAL relations; RESEARCH methodology; MEDICAL care; MEDICAL cooperation; MEDICAL personnel; PATIENT education; RESEARCH; SURVEYS; TEAMS in the workplace; ADULT education workshops; WOUND care; EVIDENCE-based medicine; QUALITATIVE research; THEMATIC analysis; PATIENT-centered care; DATA analysis software; HEALTH &; social status
- Publication
Journal of Wound Care, 2019, Vol 28, Issue Supp7, pS4
- ISSN
0969-0700
- Publication type
Article
- DOI
10.12968/jowc.2019.28.Sup7.S4