Aim: To examine community nurses' experiences of caring for people with dark skin tones at high risk of developing a pressure injury.
Design: Qualitative descriptive design.
Methods: Focus groups and individual semi-structured interviews were conducted among registered nurses working in the community between November 2023 and March 2024. Thematic analysis was used.
Results: The findings reveal the lack of nurse education on diverse skin tones, how community nurses gain knowledge on skin tone diversity in the context of pressure injuries and the topics community nurses believe are crucial to improve the management of pressure injuries in patients with dark skin tones.
Conclusion: The study highlights the gap in nurse education regarding diverse skin tones, revealing how community nurses acquire knowledge related to pressure injuries in patients with dark skin tones.
Implications For The Profession And/or Patient Care: This research could inform the development of targeted educational programmes and training initiatives, ultimately preventing patient harm and enhancing the quality of care and health outcomes for patients with dark skin tones.
Impact: It provides valuable insights into key topics that community nurses consider essential for improving the early recognition and management of pressure injuries in people with darker skin tones.
Reporting Method: The research adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.
Public Contribution: A project steering group contributed to the concept of the study and checked the interview questions were relevant and suitable.
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http://dx.doi.org/10.1111/jan.16533 | DOI Listing |
Nursing
February 2025
At ECRI, Anna Thomas, Patricia Giuffrida, and Heather David are Patient Safety Advisors; Shannon Davila is the Executive Director of "Total Systems Safety;" and Loretta Morgan is a PSO intern.
ECRI and the Institute for Safe Medication Practices (ISMP) Patient Safety Organization (PSO) convened an interdisciplinary pressure-injury-prevention safety collaborative to strengthen pressure injury assessment, prevention, and treatment planning. Several teams met over 5 months in 2023 to share knowledge and performance improvement tools. This article discusses the safety collaborative, which provided a learning-system platform for participating teams to develop and share improvement plans under the protection of the PSO and to strengthen their pressure-injury-related action plans.
View Article and Find Full Text PDFBiomacromolecules
January 2025
Institute of Chemicobiology and Functional Materials, School of Chemistry and Chemical Engineering, Nanjing University of Science and Technology, 200 Xiao Ling Wei, Nanjing, Jiangsu Province 210094, China.
Managing uncontrolled and noncompressible bleeding presents a major challenge in emergency trauma care. Methods to halt bleeding quickly and efficiently, without applying direct pressure on the wound, have become a key focus of research. Herein, a novel fructose-modified chitosan/gelatin composite sponge has been developed, exhibiting high elasticity, low rebound pressure, and excellent cell compatibility.
View Article and Find Full Text PDFIntensive Care Med
January 2025
Global Health Research Group in Acquired Brain and Spine Injuries, Cambridge, UK.
Background: Invasive systems are commonly used for monitoring intracranial pressure (ICP) in traumatic brain injury (TBI) and are considered the gold standard. The availability of invasive ICP monitoring is heterogeneous, and in low- and middle-income settings, these systems are not routinely employed due to high cost or limited accessibility. The aim of this consensus was to develop recommendations to guide monitoring and ICP-driven therapies in TBI using non-invasive ICP (nICP) systems.
View Article and Find Full Text PDFTrauma Surg Acute Care Open
January 2025
Department of Emergency and Critical Care Medicine, Nippon Medical School, Bunkyo-ku, Tokyo 1138603, Japan.
Background: Patients with cervical spinal cord injuries (CSCIs) have a high incidence of respiratory complications. The effectiveness of non-invasive positive pressure ventilation (NPPV) in preventing respiratory complications such as pneumonia in acute CSCIs remains unclear. We evaluated whether intermittent NPPV (iNPPV) could prevent pneumonia in patients with acute CSCIs.
View Article and Find Full Text PDFFront Med (Lausanne)
January 2025
Department of Law, Institute of Legal Medicine, University of Macerata, Macerata, Italy.
Introduction: Adverse events in hospitals significantly compromise patient safety and trust in healthcare systems, with medical errors being a leading cause of death globally. Despite efforts to reduce these errors, reporting remains low, and effective system changes are rare. This systematic review explores the potential of artificial intelligence (AI) in clinical risk management.
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