Areas of nursing competence in acute wound care: A focus group study

Emilia Kielo-Viljamaa,Riitta Suhonen,Leena Jalonen,Minna Stolt

doi:10.1016/j.colegn.2021.04.003

Emilia Kielo-Viljamaa, Riitta Suhonen + Show 2 more

Open Access

https://doi.org/10.1016/j.colegn.2021.04.003

Copy DOI

Abstract

BackgroundWound care is an essential part of registered nurses’ work. However, previous studies have indicated that registered nurses have limited competence in this area. Studies have also highlighted the lack of consistent and standardised areas of competence for registered nurses providing wound care. AimTo identify general areas of competence for registered nurses providing acute wound care during their transition from student to healthcare professional. MethodsFocus group interviews were used to collect the data (N = 20). Separate focus groups were held for participants representing the following professions: (i) registered nurses; (ii) authorised wound care nurses; (iii) nurse educators; and (iv) physicians. The data were analysed using two-step inductive-deductive content analysis. FindingsThe two main competence areas for registered nurses who provide care for patients with acute wounds were: (i) knowledge, skills, and performance in aetiology and care; and (ii) wound management and assessment. These competence areas were divided into more detailed subcategories. The desired values and attitudes were as follows: respect for autonomy and privacy; holistic care; professionalism and courage; and economics related to wound care. DiscussionRegistered nurses play an essential role in the care and prevention of wounds. Nursing education on acute wound care could focus on the identified competence areas to cover the core competences for providing evidence-based, best-quality care for patients with acute wounds. ConclusionsWith consistent and structured competence areas, it would be possible to develop and improve wound care education and training at the undergraduate and postgraduate level.

Highlights

The values and attitudes competence was divided into the following competence areas: respect for autonomy and privacy; holistic care; professionalism and courage; and economics related to wound care. (Fig. 1.) the data were summarised, linked (iv) and mapped onto the inductive analysis (v): The knowledge, skills and performance related to each sub-category were classified as either plus (+) or minus (–), where + means “required” and – means “not required.”
The registered nurses and physicians discussed the economics related to wound care, and the potential costs for patients as some patients might have to pay the dressings on their own
This study identified the general competence areas required for graduating registered nurses who provide care for patients with acute wounds

Summary

Introduction

Jalonen et al. Wound care is an essential part of registered nurses’ work. Previous studies have indicated that registered nurses have limited competence in this area. Studies have highlighted the lack of consistent and standardised areas of competence for registered nurses providing wound care

Objectives

Methods

Conclusion