Nh. Cox et J. Bowman, An evaluation of educational requirements for community nurses treating dermatological patients, CLIN EXP D, 25(1), 2000, pp. 12-15
In a questionnaire to community nurses treating dermatological patients, 14
out of 69 (20%) either treated children or gave advice to parents regardin
g childhood eczema, 35 (51%) treated adult eczema, 11 (16%) treated psorias
is, 55 (80%) treated leg ulcers, and 30 (43%) treated other dermatological
problems. Specific questions regarding confidence to treat or educate were
analysed in relation to the tasks being performed. All but 15% (8/55) treat
ing leg ulcers were confident about their ability to apply four-layer banda
ging. However, 8 out of 11 (72%) respondents treating psoriasis were not co
nfident about their ability to treat scalp scaling, 11 out of 14 (79%) of t
hose treating childhood eczema were not confident about applying body suiti
ng, and 26 out of 36 (72%) of those treating eczema (any age), were not con
fident about ability to recognize infection as a cause or complication of d
ermatoses. The favoured educational modalities were visits to the local der
matology department (60/69, 87%), availability of a dermatology Nurse Pract
itioner or Liason Nurse, or access to a hospital nurse-run dermatology clin
ic (both 44/69, 63%), or attendance at courses (36/69, 52%). Community nurs
es have an important role in treating and educating patients who may not re
quire or be able to attend hospitals for treatment; they will achieve this
best by provision of relevant locally based education, with allocation of a
dequate study time.