Implementing a wound care resource nurse program.
Implementing a wound care resource nurse program.
复制标题
实施伤口护理资源护士计划。
DOI：
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发表时间：
2007
期刊：
影响因子：
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通讯作者：
Baiba Zarins
中科院分区：
文献类型：
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作者：
S. Tully;C. Ganson;P. Savage;Carol Banez;Baiba Zarins
护士是实施创新的领导者，这些创新可以在预防和管理急症护理医院患者的压疮方面取得积极成果。加拿大医疗保健系统相信，了解最佳实践的护士可能会影响压疮的患病率、发病率和护理，因此制定了一项教育计划，为提供皮肤和伤口护理的护士提供信息和授权。该计划为参与者提供了获得知识和技能的机会，以识别有发生压疮风险的患者，并独立治疗第一期和第二期压疮以及与水分、摩擦和剪切相关的皮肤破损。该计划包括基于证据的实践建议，并重点介绍了由安大略省注册护士协会制定的最佳实践指南，该协会是一个省级机构，在制定、实施和评估源自全球研究文献综合的已发布指南方面发挥着积极作用。对来自三家医院的 65 名护士参与者进行的参与前和参与后评估认为该计划在知识和教育期望的实现方面是成功的。对落实皮肤和伤口护理资源护士角色的组织支持令人鼓舞，护士针对第一阶段和第二阶段压疮的医疗指示得到了落实。继续评估和监测计划结果，包括压疮发生率。
Nurses are leaders in implementing innovations that can create positive outcomes in the prevention and management of pressure ulcers in patients admitted to acute care hospitals. Believing that nurses knowledgeable in best practices could impact prevalence, incidence, and care of pressure ulcers, an educational program was developed in a Canadian healthcare system to inform and empower nurses providing skin and wound care. The program afforded participants the opportunity to acquire the knowledge and skill to recognize patients at risk for developing pressure ulcers and to independently treat Stage I and Stage II pressure ulcers and skin breakdown related to moisture, friction, and shear. The program includes evidence-based practice recommendations and highlights the Best Practice Guidelines developed by the Registered Nurses Association of Ontario, a provincial body taking an active role in the development, implementation, and evaluation of published guidelines derived from global research literature synthesis. Pre- and post participation assessment of 65 nurse participants from three hospitals deemed the program successful in terms of knowledge and fulfillment of their educational expectations. Organizational support to implement the skin and wound care resource nurse role was encouraging and medical directives for Stage I and Stage II pressure ulcers by nurses were implemented. Evaluation and monitoring of program outcomes, including pressure ulcer incidence rates, continue.