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Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries

Background: Individuals with mental illness are at increased risk of skin injuries. The role of nurses in skin injury prevention and management is crucial and therefore their views on wound care may provide useful information for improving the quality of the care provided. Aim: To investigate nurses...

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Autores principales: Kaba, Evridiki, Triantafyllou, Aikaterini, Fasoi, Georgia, Kelesi, Martha, Stavropoulou, Areti
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7589511/
https://www.ncbi.nlm.nih.gov/pubmed/33086753
http://dx.doi.org/10.3390/ijerph17207610
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author Kaba, Evridiki
Triantafyllou, Aikaterini
Fasoi, Georgia
Kelesi, Martha
Stavropoulou, Areti
author_facet Kaba, Evridiki
Triantafyllou, Aikaterini
Fasoi, Georgia
Kelesi, Martha
Stavropoulou, Areti
author_sort Kaba, Evridiki
collection PubMed
description Background: Individuals with mental illness are at increased risk of skin injuries. The role of nurses in skin injury prevention and management is crucial and therefore their views on wound care may provide useful information for improving the quality of the care provided. Aim: To investigate nurses’ views on care of mentally ill patients with skin injuries. Method: A qualitative research design based on the principles of grounded theory approach was followed. Unstructured interviews were conducted with seven nurses working in psychiatric wards with frequent skin injuries. Data were analyzed using the constant comparative method of analysis. Results: Two main themes were emerged from data analysis. The first main theme, namely factors affecting the care of patients with skin injuries, included seven categories: (a) shortage of hospital supplies, equipment and services (b) staff shortages, (c) lack of knowledge, (d) nurses’ resistance to change, (e) difficulty in collaborating with patients, (f) patients’ physical conditions and (g) nurses’ attitudes as an obstacle to care. The second main theme, namely nurses’ suggestions for optimizing care, included five categories: (a) need for additional staff, (b) need for increasing hospital supplies and equipment availability, (c) need for training (d) need of changing nurses’ attitudes towards care and (e) need of changing the patients’ approach to collaboration. Conclusion: The care of mentally ill patients with skin injuries is affected by multidimensional factors that have a direct impact on the quality of nurses’ work and patients’ hospitalization. Specific efforts are needed to overcome the obstacles that hinder the care provided and to improve clinical practice.
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spelling pubmed-75895112020-10-29 Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries Kaba, Evridiki Triantafyllou, Aikaterini Fasoi, Georgia Kelesi, Martha Stavropoulou, Areti Int J Environ Res Public Health Article Background: Individuals with mental illness are at increased risk of skin injuries. The role of nurses in skin injury prevention and management is crucial and therefore their views on wound care may provide useful information for improving the quality of the care provided. Aim: To investigate nurses’ views on care of mentally ill patients with skin injuries. Method: A qualitative research design based on the principles of grounded theory approach was followed. Unstructured interviews were conducted with seven nurses working in psychiatric wards with frequent skin injuries. Data were analyzed using the constant comparative method of analysis. Results: Two main themes were emerged from data analysis. The first main theme, namely factors affecting the care of patients with skin injuries, included seven categories: (a) shortage of hospital supplies, equipment and services (b) staff shortages, (c) lack of knowledge, (d) nurses’ resistance to change, (e) difficulty in collaborating with patients, (f) patients’ physical conditions and (g) nurses’ attitudes as an obstacle to care. The second main theme, namely nurses’ suggestions for optimizing care, included five categories: (a) need for additional staff, (b) need for increasing hospital supplies and equipment availability, (c) need for training (d) need of changing nurses’ attitudes towards care and (e) need of changing the patients’ approach to collaboration. Conclusion: The care of mentally ill patients with skin injuries is affected by multidimensional factors that have a direct impact on the quality of nurses’ work and patients’ hospitalization. Specific efforts are needed to overcome the obstacles that hinder the care provided and to improve clinical practice. MDPI 2020-10-19 2020-10 /pmc/articles/PMC7589511/ /pubmed/33086753 http://dx.doi.org/10.3390/ijerph17207610 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kaba, Evridiki
Triantafyllou, Aikaterini
Fasoi, Georgia
Kelesi, Martha
Stavropoulou, Areti
Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries
title Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries
title_full Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries
title_fullStr Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries
title_full_unstemmed Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries
title_short Investigating Nurses’ Views on Care of Mentally Ill Patients with Skin Injuries
title_sort investigating nurses’ views on care of mentally ill patients with skin injuries
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7589511/
https://www.ncbi.nlm.nih.gov/pubmed/33086753
http://dx.doi.org/10.3390/ijerph17207610
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