Background

1. Fagerdahl, A. (2014). The Patient’s Conceptions of Wound Treatment with Negative Pressure Wound Therapy. Healthcare, 2(3), 272-281. doi:10.3390/healthcare2030272


According to the above study, there has been a lot of development in regard to the method of wound care in the recent decades, especially where the traditional method have proven to be insufficient. One of the methods discussed by the researchers is the negative pressure would therapy (NPWT). This method is very popular in several studies, however there are still a lot of issues to be looked in to so as to come with the right impact related to the processes. It is also important to find out how Negative pressure wound therapy impacts on the outcomes of the patient health in regard to the number of patients and the quality of life, or the experiences patients share in regard to the treatment offered. This study was thus important as it seeks to describe the perception of patients in regard to Negative pressure wound therapy for treatment.

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This study is very relevant in nursing care, where the researchers involved carrying out interview on eight patients that were being treated with Negative Pressure wound therapy. In the end the results were then grouped to two major categories adaptation and stress. Under the stress category, there were three descriptive categories of competence of the health institution and the nursing staff, personal environment and continuity of the dressing changes. Under the adaptation category there was: creativity and knowledge and confidence within the healthcare practice. It was found that patient were affected by the types of treatment, also when they had stress, it means that they did not find it easy to cope. According to the study, the main source of patient stress came from the care environment, especially the way wound dressing procedures and intervals were planned in addition to lack of competence from the personnel.

2. Sakineh, R., Hashem, A. M., Mojhdeh, R., Sara, M., & Maryam, R. (2019). Experience of Nurses Vs Patients on Some Moral Issues while Nursing-care: A Qualitative Study from Iran. Ambient Science, 06 & 06h(1). doi:10.21276/ambi.2019.06h.1.oa01


According to the study, there are several moral issue related to nursing care that need to be looked in to even when the nurse is looking forward to ensuring the important role the play in decision making and care for patients. The researcher are of the view that the ability to identify problems of care and ethical issues from the knowledge of care and the nurse in relation to regulations, principles and ethical codes will be helpful when it comes to the provision of relevant direction in decision making.

The main question for this study was to find out the ethical issues that nurses and patients will experience when they are practicing the ethical codes in nursing. The study was carried at the Tabriz University of Medical science, where 17 patient participated. Among the findings of the study was that there was a lot of negligence when it came to nursing care, there was a conflict between the desired status and the present status, there was also medical negligence, nurses were not motivated enough. Nurse also did not have enough training when it came to issues around skills and professional ethics. There are of study also practiced imbalance between identification and having to address the unethical practices in nursing care.

Research question

In respect to the chosen nursing practice issues, the two articles affirm that inadequate and varying levels of competence of the healthcare personnel, in this case the nurse is very important nursing wound care for patients. The lack of it leads to stressful treatment process which is well described in the application of negative pressure wound treatment in the study by Fagerdahl, (2014). When the nurse is insufficiently educated, they cannot handle patient wound care well. Unfortunately this is a common phenomenon where nurses lack skills in wound care and treatment. According to Sakineh, (2019), the importance of relevant education before the application of wound therapy is important as if done wrong it would provide negative results for the patient. In this regard, the studies call for the continued education of nurses to equip them with different skills related to nursing practice.

The two studies related to the PICOT questions since they look at the issue of continued care in a hospital setting. Among the most important issues of care is confidence and knowledge to ensure the management and coping that is related to wound care management.

Method of Study:

Both articles utilized the qualitative methods of study was qualitative. This was relevant in the two studies as it helped in understand the role that the nurse plays in patient wound care. It is was also used to find out the experience of patient and what they think about care practices when it comes wound care. Qualitative method was also relevant as it provides the researcher with different options that allowing them to plan and conduct the studies (Gelling, 2015). However the limitations of qualitative method is that it might not provide the overall view of the research problem since the views of the individuals understand may not represent the view of the majority. This means that biase in opinion or responses would be based on the area of study, because the interviewer is the main instrument in the acquisition of knowledge or presentation of the study results.

Results of the study

In the study by Fagerdahl, (2014) it was found that patients were affected by the Negative Pressure Wound therapy in a negatively, and worse they did not know how to cope due to stress. In the second study by Sakineh, (2019) it was found that nursing competence and the organisation of care, in which the PICOT question looks at wound care, was a major issue when it came to are.

The implications of the two qualitative studies is that they demonstrate the importance of the nursing competence when it comes to treatment and care. This is especially important when looking at issue like method of care, dressing changes among other forms of therapy. The study also highlights the impact of insufficient knowledge in care and how this affects issues like wound management and care.

Ethical Considerations

In the two studies there were not ethical considerations regarding the area or research because both studies were approved by the internal administration. However, the privacy and confidentiality of all the patient who participated in the study was paramount and family member were not involved to provide responses or opinion during the study (Gelling, 2015). In addition, no test results were discussed with the respondents unless it was discussed with the nurses and research assistants.

References

1. Fagerdahl, A. (2014). The Patient’s Conceptions of Wound Treatment with Negative Pressure Wound Therapy. Healthcare, 2(3), 272-281. doi:10.3390/healthcare2030272

2. Gelling, L. (2015). Qualitative research. Nursing Standard, 29(30), 43-47. doi:10.7748/ns.29.30.43.e9749

3. Sakineh, R., Hashem, A. M., Mojhdeh, R., Sara, M., & Maryam, R. (2019). Experience of Nurses Vs Patients on Some Moral Issues while Nursing-care: A Qualitative Study from Iran. Ambient Science, 06 & 06h(1). doi:10.21276/ambi.2019.06h.1.oa01

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