Page 101 - APPENDIX B: Trials Investigating the Management of Acute Radiation-Induced Skin Reactions Reading Qualitative Research

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WOUND CARE

Prerequisites focus on the attributes of the nurses and include: being professionally

competent, having developed interpersonal skills, being committed to the job, being able

to demonstrate clarity of beliefs and values, and knowing self. The care environment

focuses on the context in which care is delivered and includes: appropriate skill mix,

systems that facilitate shared decision-making, effective staff relationships, organisational

systems that are supportive, the sharing of power, the potential for innovation and risk

taking, and the physical environment. Person-centred processes focus on delivering care

through a range of activities and include: working with patient's beliefs and values. To

overcome this gap between the concept and the reality of person-centred care we have

developed the Person-Centred Nursing Framework… engagement, having sympathetic

presence, sharing decision-making, and providing holistic care. Outcomes, the central

component of the Framework, are the results of effective, person-centred nursing and

include: satisfaction with care, involvement in care, feeling of well-being, and creating a

therapeutic environment. (Online document)

Based on the PCN framework, the three domains of influence for nursing in relation to

this study’s findings are discussed separately in the following three sub-sections: ‘Prerequisites’,

‘The care environment’ and ‘Person-centred processes’.

Prerequisites. Ongoing education and clinical in-services are valuable tools for

competence among radiation therapy nurses involved in patient care. As described earlier, A.

Hughes pointed out the importance of “education” for nurses regarding wound care (personal

communication, August 29, 2013). M. McQuestion would agree with this: “Since products

change frequently, it is important for nurses to understand the categories of products rather than

individual product company names” (personal communication, August 30, 2013).