Influences of spatial practices on pressure ulcer management in the context of spinal cord injury.
Nursing practice is significantly influenced by the type and use of space in which nursing is practised. While investigating current patterns of service delivery for the management of pressure ulcers from the perspective of people with spinal cord injuries and their families, the space in which care was delivered was identified as a central determinant of care. Qualitative methods were used to investigate consumer perspectives among patients residing in both metropolitan and rural communities who had been hospitalized for the management of pressure ulcers. Issues related to the spatial practices of the hospital are discussed, demonstrating a link between well-being and the creation of an appropriate caring milieu. It is concluded that service could be improved markedly if health-care professionals placed more consideration on the impact of space on their service delivery.
Wellard
Sally
S
School of Nursing, Deakin University, Melbourne, Victoria, Australia. swellard@deakin.edu.au
Rushton
Carole
C
D006801:Humans; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D003668:Pressure Ulcer / Q000209:etiology* / Q000628:therapy*; D013028:Space Perception; D013037:Spatial Behavior; D013119:Spinal Cord Injuries / Q000150:complications* / Q000628:therapy*