Patient Transfer Devices Sylvia, Cynthia
Advances in skin & wound care,
2018-October, 2018-Oct, 20181001, Letnik:
31, Številka:
10
Journal Article
Recenzirano
Sylvia discusses problems related to pressure injury prevention (PIP) and safe patient handling and mobility (SPHM). The American Nurses Association recommends implementing technology to support PIP ...and SPHM. If your patients are immobilized to some degree and have limitations on their ability to move independently, then it is up to your nursing staff to turn and reposition patients according to a customized plan of standard of care. There can be barriers to mobilizing patients that pose challenges to maintaining a safe environment for both patients and staff.
The purpose of this qualitative research study was to explore the meaning of being a wound, ostomy, and continence (WOC) nurse engaged in wound care practice.
The sample comprised 6 WOC nurses, each ...of whom had 3 or more years of wound care experience in a variety of care settings. Respondents were female, 49 years or older, and master's prepared. Interviews were conducted at either the place of employment of each subject or a neutral location based on the participant's preference.
A Heideggerian hermeneutic phenomenologic framework was used during data collection. An unstructured interview process was used to encourage sharing of experiences through narratives. All interviews were audiotaped and transcribed verbatim. As a WOC nurse with 30 years of experience in wound care, the primary investigator logged reflections on the interview process as a valuable source of data analysis. Interpretive analysis involved immersion in the text, data transformation, and thematic analysis.
Eight themes emerged: (1) Essence of Practice; bond of caring; (2) Holistic Approach; putting the pieces of the puzzle together; (3) The Dichotomy... them and me; (4) Art of Wound Care; (5) Growth in Practice; (6) Allure of the Challenge. (7) Acknowledging Limits... you can't always make it better; and (8) Teaching, Mentoring and Being a Role Model.
The narratives illuminate the essence of this nursing specialty practice, whereas the outcome of this research provides a rich description of the human experience of being a WOC nurse engaged in wound care.
GENERAL PURPOSETo review what is known about pediatric pressure injuries (PIs) and the specific factors that make neonates and children vulnerable.
TARGET AUDIENCEThis continuing education activity ...is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.
LEARNING OBJECTIVES/OUTCOMESAfter participating in this educational activity, the participant should be better able to:1. Identify the scope of the problem and recall pediatric anatomy and physiology as it relates to PI formation.2. Differentiate currently available PI risk assessment instruments.3. Outline current recommendations for pediatric PI prevention and treatment.
ABSTRACTPediatric patients, especially neonates and infants, are vulnerable to pressure injury formation. Clinicians are steadily realizing that, compared with adults and other specific populations, pediatric patients require special consideration, protocols, guidelines, and standardized approaches to pressure injury prevention. This National Pressure Advisory Panel white paper reviews this history and the science of why pediatric patients are vulnerable to pressure injury formation. Successful pediatric pressure injury prevention and treatment can be achieved through the standardized and concentrated efforts of interprofessional teams.
BACKGROUNDThe Support Surface Standards Initiative (S3I) has evolved with the goal of standardizing language and performance evaluation of support surfaces. There is a consumer need for education ...about support surface standards to transfer new information with clinical relevance.
OBJECTIVETo develop a framework for meaningful dialogue through consensus building that drives value-based purchasing, propose a clinically relevant path for understanding how to apply data from the standards into critical interprofessional analysis and support surface selection, and navigate the first tier of a process targeted as an educational initiative within the Standards Committee.
METHODSThe authors purposively sampled the S3I Tissue Integrity Group with a semi-structured qualitative survey to identify the essential components of support surfaces standard performance testing. A two-phase interview and review process was implemented within the larger S3I group to achieve consensus on content for knowledge transfer, with a threshold of 80% agreement within the Standards Committee.
RESULTSMeaningful consensus was achieved on content associated with knowledge transfer of standards data. These standards will function as reliable benchmarks, enabling consumers to compare individual characteristics of one support surface to another. Product comparison will be based on the single characteristics of support surfaces and how those characteristics are relevant to the specific needs of the individual patient or patient populations, transferred in language that is meaningful to end users of the standards.
CONCLUSIONSThe consensus process facilitated construction of a clinically relevant, interprofessional framework for the product selection process within the Standards Committee. It will enable the next tier of educational dissemination beyond the Standards Committee to a broader base of consumers to engage in value-based purchasing with enhanced understanding of support surface performance characteristics.
ABSTRACT
Selecting the appropriate support surface for patients continues to challenge clinicians and facilities. The Support Surface Standards Committee has developed and published test methods that ...allow for informed comparisons among support surface characteristics. The first published standards address the performance characteristics of immersion/envelopment, shear/friction, and microclimate management. This article describes the full body support surface standards development and provides guidance on the use of the outcomes from those standard tests for clinicians and facilities to make more informed choices for patients and patient populations.
This qualitative study is an investigation of the culture of nurse specialists who are certified in wound, ostomy and continence care, have practiced their specialty at the bedside, and who are now ...employed in industry by medical device manufacturers or distributors in the USA. It is framed within the context of the larger professional nursing society with a focus on ecology, defined as an approach to understanding identity and role within their socially constructed environment (Hughes, 2009). These nurses are situated within a complex environment that is not well understood by those outside of their group. This study examines the cultural knowledge of the members and how they are establishing a new boundary of practice. It is about understanding the identity and the emerging role of this group of nurse specialists and how they perceive their reception by and their impact on the wider field of nurse specialists in this area of expertise. An examination of the literature demonstrated no documented evidence examining these nurse specialists. A purposive sample of Certified Wound Ostomy Continence Nurses (CWOCNs) who now work in industry in the United States was selected from my professional network, to conduct two methods of data collection; one focus group (n=7) and a series of six semi-structured, in-depth, individual follow up interviews. Audio and visual recording of the focus group and audio recording of each interview provided the raw data; all data was transcribed verbatim. Immersion into the data facilitated thematic coding that evolved through multiple iterations of interpretative analysis as a reflexive process (Srivastava, 2009). This qualitative study was guided by Symbolic Interactionism, to explore and describe the identity and the role of a group of nurse specialists. In the process of understanding identity, key findings emerged as themes of identity, role, boundary work and human ecology, rich with subthemes that indicate future implications for nursing.
Cynthia is a thought leader in professional relations and knowledge management of wound healing, pressure injury/ ulcer prevention, patient and caregiver safety, support surface allocation, ...evidence-based practice, and the medical device industry. Cynthia has a broad range of clinical experience with roles in acute and home care and clinical science management in the medical device industry that includes years of service on the Corporate Advisory Council of the National Pressure Ulcer Advisory Panel, in addition to being a founding member of the Support Surface Standards Initiative. ...I wished to provide a safe platform for these nurses to speak out. Nurses in this subculture are risk takers, willing to take on challenges and be assertive, because they feel they are making a difference, contributing to the nursing profession and quality patient care.
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