Wound care is one of those nursing skills that is important but is frequently applied in a haphazard fashion. A recent study in the British Journal of Nursing found that cardiac nurses in Irish hospitals had knowledge deficits about wound healing and the signs and symptoms of surgical site infection.


The constraints that nurses face in delivering the care they believe their patients require are diverse. Nurses work in an environment where their work is undervalued because it is mainly done in private. The personal nature of nurses' work with their patients while highly prized by the recipient is not something that nurses discuss openly. It is invisible to nearly everyone else because nurses don't talk about their work.


There has never been a shift where nurses can say I did everything that I needed to do today. Nurses set very high standards for themselves because they know that the consequences of error can be catastrophic. Nurses also know what the standard of care is like in the area where they are working. The things that matter to nurses about where they work are positive relationships between staff, teamwork, autonomy and job satisfaction.