title: Nurses' experiences of leech therapy in plastic and reconstructive surgery.
abstract: The aim of this study was to explore nurses' experience of using leech therapy. Leech therapy is useful in promoting revascularisation of skin grafts. Nurse disquiet in their role as leech therapists has been noted. This study explored the experience of Irish nurses. A qualitative design with an interview schedule was used to learn about emotional and practical clinical experiences. Interviews were carried out with seven nurses working with leeches in reconstructive surgery in 2013. These interviews were coded and explored for themes. Results revealed that many nurses feel aversion to the use of leeches. This may be associated with the use of a parasitic organism as treatment in conflict with the nurse's role in cross infection. It was also found that management of a nurse's own and patient's emotional responses is required. In conclusion, preparation for the role of leech therapy beyond the purely practical is necessary, and should explore affective responses of the practitioner and patients.
authors.affiliation: Nurse, St. James' Hospital Hospital Dublin, Ireland.
authors.forename: Alison
authors.initials: A
authors.lastname: Reynolds
authors.affiliation: Assistant Professor of Midwifery, School of Nursing and Midwifery, Trinity College Dublin, Ireland.
authors.forename: Colm
authors.initials: C
authors.lastname: OBoyle
mesh_terms: D001291:Attitude of Health Personnel; D006801:Humans; D007494:Ireland; D024763:Leeching / Q000451:nursing*; D009726:Nurses / Q000523:psychology*; D036301:Qualitative Research; D019651:Plastic Surgery Procedures / Q000451:nursing*; D016038:Skin Transplantation / Q000451:nursing*; D013518:Surgery, Plastic / Q000451:nursing*
keywords: Affect; Aversion; Emotion work; Hirudo medicinalis; Leech therapy; Plastic reconstructive surgery