Qualitative study on ICU wound ostomy specialist nurses implementing postural management based on nature care concept

JING Jiamei; WANG Lexin; LIANG Hongxia; WEI Xiaojing

doi:10.12104/j.issn.1674-4748.2024.20.028

Abstract：Objective:To understand the real experience and ideas of wound ostomy specialist nurses in implementing position management to prevent stress injuries in intensive care unit(ICU),promote the combination of natural care concept and clinical practice,and provide basis for non-specialist ICU nurses'position management training.Methods:Objective sampling method was used to select the wound ostomy specialist nurses in the ICU in a Grade A general hospital in Henan Province from September to November 2023 as the research objects for semi-structured interviews.Content analysis method and NVivo 12plus software were used to analyze and extract the interview data.Results:The experience and ideas of position management of wound ostomy specialist nurses in ICU can be summarized into 3 themes and 7 sub-themes.1)Lack of awareness to follow up new ideas and technologies for position management,including lack of knowledge on the selection and application of assistive devices,lack of cognitive and monitoring tools for skin microenvironment,structured reduction and pressure dispersion.2)Scientific implementation to improve the effect of position management,including reasonable placement of limbs to avoid joint contracture,practice combined with guidelines to build personalized turning plans.3)Teamwork promoting the benefit of patients,including the influence of family members and teamwork ability,and the conflict and balance of medical staff's management positions.Conclusions:Wound ostomy specialist nurses and non-specialist ICU nurses should continue to follow up the development of new concepts and technologies,pay attention to teamwork and family needs,in order to improve the care experience of ICU patients and enhance the effect of position management on preventing stress injuries.