Designing a Research Study to Obtain Accurate Wound Survey Data in Rural Ghana

2.50
Hdl Handle:
http://hdl.handle.net/10755/308482
Category:
Abstract
Type:
Presentation
Title:
Designing a Research Study to Obtain Accurate Wound Survey Data in Rural Ghana
Author(s):
Benskin, Linda L. L.
Lead Author STTI Affiliation:
Alpha Delta
Author Details:
Linda L. L. Benskin, PhD-C, RN, SRN (Ghana), CWCN, CWS, DAPWCA, lindabenskin@utexas.edu
Abstract:

Session presented on: Monday, November 18, 2013

Purpose: Unrelenting heat, poor sanitation, lack of knowledge, and poverty all contribute to a disabling wound prevalence often exceeding 20% in rural areas of tropical developing nations. Detailed descriptions of usual wound management practices by village care providers are needed to design effective, culturally-appropriate wound management protocols. No such descriptions were found in the literature. The purpose was to design a study to obtain accurate descriptions of usual topical wound management practices in Ghanaian villages. Barriers to obtaining accurate data in this setting include:

1. cultural differences that prevent classical surveys from being understood

2. a universal reluctance to expose ones’ work to strangers for evaluation

3. a sense of hospitality which dictates that one provide pleasing answers, in preference to accurate answers

4. the challenge of presenting queries with adequate relevance to elicit quantifiable responses

Method: Thirty actual wound cases (photos/histories) were presented to five Ghanaians experienced in wound care and familiar with village life. Based upon their responses, seven cases were chosen as representative interview prompts for the 75 study participants in 25 villages throughout Ghana. Semi-structured interviews were guided by these case studies because story-telling is integral to village cultures and is relatively unintimidating. Open-ended questions avoided inferring that any particular aspect of wound management, such as cleansing, is expected.

Results: Most of the study participants offered detailed descriptive responses, verifying that the seven chosen wound exemplars were familiar and the case study method put them at ease. The eclectic detailed nature of the responses indicates that the participants did not simply provide answers they believed would be pleasing.

Conclusion: Using representative wound cases to elicit objective data overcame the significant barriers that have prevented researchers from discovering actual wound management practices in rural developing areas. This study design template can be utilized in many diverse settings.

Keywords:
wound; study design; developing countries
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDesigning a Research Study to Obtain Accurate Wound Survey Data in Rural Ghanaen_GB
dc.contributor.authorBenskin, Linda L. L.en_GB
dc.contributor.departmentAlpha Deltaen_GB
dc.author.detailsLinda L. L. Benskin, PhD-C, RN, SRN (Ghana), CWCN, CWS, DAPWCA, lindabenskin@utexas.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308482-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p><b>Purpose: </b>Unrelenting heat, poor sanitation, lack of knowledge, and poverty all contribute to a disabling wound prevalence often exceeding 20% in rural areas of tropical developing nations. Detailed descriptions of usual wound management practices by village care providers are needed to design effective, culturally-appropriate wound management protocols. No such descriptions were found in the literature. The purpose was to <i>design a study</i> to obtain accurate descriptions of usual topical wound management practices in Ghanaian villages. Barriers to obtaining accurate data in this setting include: <p>1. cultural differences that prevent classical surveys from being understood <p>2. a universal reluctance to expose ones’ work to strangers for evaluation <p>3. a sense of hospitality which dictates that one provide pleasing answers, in preference to accurate answers <p>4. the challenge of presenting queries with adequate relevance to elicit quantifiable responses <p><b>Method: </b>Thirty actual wound cases (photos/histories) were presented to five Ghanaians experienced in wound care and familiar with village life. Based upon their responses, seven cases were chosen as representative interview prompts for the 75 study participants in 25 villages throughout Ghana. Semi-structured interviews were guided by these case studies because story-telling is integral to village cultures and is relatively unintimidating. Open-ended questions avoided inferring that any particular aspect of wound management, such as cleansing, is expected. <p><b>Results: </b>Most of the study participants offered detailed descriptive responses, verifying that the seven chosen wound exemplars were familiar and the case study method put them at ease. The eclectic detailed nature of the responses indicates that the participants did not simply provide answers they believed would be pleasing. <p><b>Conclusion: </b>Using representative wound cases to elicit objective data overcame the significant barriers that have prevented researchers from discovering actual wound management practices in rural developing areas. This study design template can be utilized in many diverse settings.en_GB
dc.subjectwounden_GB
dc.subjectstudy designen_GB
dc.subjectdeveloping countriesen_GB
dc.date.available2013-12-19T17:31:56Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:31:56Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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