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Dressing use issues in primary abdominal wounds: a qualitative study of health staff and patient views.

Authors
  • McMullan, Christel1
  • Blazeby, Jane2
  • Donovan, Jenny L3
  • Rooshenas, Leila4
  • Elliott, Daisy5
  • Mathers, Jonathan6
  • 1 Research Fellow, Institute of Applied Health Research, University of Birmingham.
  • 2 Professor of Surgery, Population Health Sciences, Bristol Medical School, University of Bristol, and Consultant Upper GI Surgeon, University Hospitals Bristol NHS Foundation Trust.
  • 3 Professor of Social Medicine, Population Health Sciences, Bristol Medical School, University of Bristol, and NIHR Collaboration for Leadership in Applied Health Research and Care West, University Hospitals Bristol NHS Trust.
  • 4 Lecturer in Qualitative Health Science, Population Health Sciences, Bristol Medical School, University of Bristol.
  • 5 Research Fellow, Population Health Sciences, Bristol Medical School, University of Bristol.
  • 6 Senior Lecturer in Qualitative and Mixed Methods Applied Research, Institute of Applied Health Research, University of Birmingham.
Type
Published Article
Journal
British journal of nursing (Mark Allen Publishing)
Publication Date
Nov 14, 2019
Volume
28
Issue
20
Identifiers
DOI: 10.12968/bjon.2019.28.20.S10
PMID: 31714826
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Primary surgical abdominal wounds are usually covered with a dressing. However, little is known about the practical issues and costs around these dressings. This study aimed to provide an in-depth description of patients' and health professionals' perspectives on the clinical and practical issues associated with standard and novel dressing (glue-as-a-dressing) use on primary surgical wounds, and to establish whether and how their experience compares with these perspectives. During semi-structured interviews, patients and health professionals discussed their positive experience of glue-as-a-dressing and no dressing around six themes: wound contamination and infection, wound healing, wound care, physical protection afforded by simple dressings, the potential psychological impact of an exposed wound, and ability to carry out everyday tasks. Current views on the practice of dressings for primary abdominal wounds are influenced by ingrained clinical practice. These views can be challenged when exposed to novel dressing strategies or as new evidence of the clinical effect of dressing strategies emerges.

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