How do wound care nurses structure the subjective frame on palliative wound care? A Q-methodology approach

Abstract

Background Palliative wound care is important for stability in terminal care. It addresses both the physical and psychological needs of patients and facilitates other aspects of terminal care. Appropriate competencies of nurses regarding palliative wound care can improve patient outcomes and raise their quality of life. The purpose of this study was to identify how wound care nurses structure the subjective frames regarding palliative wound care. Method This study utilized Q-methodology to analyze their subjective viewpoints. Forty nurses experienced in palliative wound care were asked to completely classify 35 Q-statements into a normal distribution shape. The PQ-Method program was used to conduct principal factor analysis and varimax rotation for data analysis. Results This study revealed 4 Q-factors of palliative wound care: “Focusing on care within the boundary of current patient demands,” “Comparing continuously the priorities on wound healing and disease care,” “Preparing and preventing from worsening via tracking care in advance,” and “Moving forward with a clear direction by confronting the declining condition.” Conclusion We hope that the results of this study are used in the development of nursing education that reflects professional perspectives of palliative wound care, thus helping to improve nursing competencies in palliative care.

Percepções De Enfermeiros Acerca De Cuidados Com Feridas Em Pacientes Sob Cuidados Paliativos

“…No Brasil, em estudo que buscou avaliar a percepção dos enfermeiros acerca de sua formação acadêmica e qualificação profissional para a prestação de CP, desvelou uma baixa exploração da temática e de disciplinas durante todo o processo formativo do enfermeiro, já que a maioria expressiva dos entrevistados além de não possuíram disciplinas relataram nunca ter participado de programas de EPS (15) . declínio" (16) . da sobrecarga e precarização do trabalho (17) .…”

Developing a clinical judgment model-based online education program for palliative wound care in nursing homes: A quasi-experimental study

“…A critical component of a nurse's competence in palliative wound care, clinical judgment goes beyond mere knowledge and requires strong decision-making skills [12,17]. As the complexity of both diseases and the nursing environment grow, so too does the demand for professional nursing services that emphasize nurses' systematic problem-solving and clinical judgment skills [18,19].…”

Nurses' Subjectivity in Patient-Centered Communication for End-of-Life Patients

“…In the context of patient-centered communication, nurses' subjectivity refers to their personal experiences, beliefs, feelings, and values that influence their approach to patients, which ultimately manifest as actions and attitudes such as empathy, respect, active listening, or shared decision making 10 . Thus, understanding nurse subjectivity can help inform strategies and interventions to enhance patient-centered communication and support nurses in providing compassionate and effective care to the end-of-life patient 11 …”

“…10 Thus, understanding nurse subjectivity can help inform strategies and interventions to enhance patient-centered communication and support nurses in providing compassionate and effective care to the end-of-life patient. 11 Nevertheless, few studies have confirmed the subjectivity of communication of nurses caring for end-of-life patients. Therefore, this study aimed to promote the understanding of this phenomenon by confirming the subjective frame of reference for nurses' patient-centered communication with end-of-life patients.…”

“… 10 Thus, understanding nurse subjectivity can help inform strategies and interventions to enhance patient-centered communication and support nurses in providing compassionate and effective care to the end-of-life patient. 11 …”