Exploring Patient and Caregiver Perceptions of Primary Healthcare Sector Home Care for Simple Acute Wounds

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GENERAL PURPOSE:To provide information about a study exploring patient and caregiver perceptions of home wound care for patients with simple acute wounds in Singapore.TARGET AUDIENCE:This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.LEARNING OBJECTIVES/OUTCOMES:After completing this continuing education activity, you should be able to:1. Assess benefits and barriers to home wound care management.2. Analyze the methodology, results, and implications of the study.BACKGROUND:To control healthcare expenditure, patients with simple, acute, low-risk wounds are encouraged to perform self–wound care at home. However, patient perception of this care is not known.OBJECTIVE:To explore patient and caregiver perceptions of home wound care for patients with simple acute wounds in the primary healthcare sector in Singapore.METHODS:This study used the constructivist grounded theory approach. Nine participants from 2 polyclinics were interviewed. In vivo codes were extracted, and the constant comparative technique was applied throughout the analytical process.RESULTS:Fear, lack of knowledge, and the difficulty in performing care resulted in many patients avoiding self–wound care. Age, educational level, and cost did not have much impact. Participants with some first aid knowledge and those who appreciated the flexibility of self–wound care were more likely to embrace this concept. Participants also suggested that telecommunications and mobile nurses could assist in this concept.CONCLUSIONS:Generally, patients are willing to accept this self–wound care concept. To ensure successful implementation, nurses should encourage eligible patients to attend educational programs to prepare them to perform wound care at home.

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