Management of the SOP Flow for Homecare Treatment of Malignant Wounds: An Exploratory Study of the Community of Homecare Wound Nurses in the Denpasar Area

Abstract

ABSTRACT Background: Malignant wound is a chronic wound that occurs due to cancer invasion into the skin tissue, often accompanied by a pungent odor, heavy exudate, bleeding, and severe pain. Homecare wound management practices face limitations concerning the operational location in the field, as well as varying skill competencies among nurses. Standard Operating Procedures (SOP) that should be systematically and specifically compiled are sometimes not well evaluated. Homecare in the wound care community is described as one solution for providing continuous care for patients at home, especially those who are in advanced stages or have physical mobility limitations. Various risks may occur during wound care at the patient's home, necessitating a study of the homecare SOP principles being implemented, to provide service benefits that strive for improved comfort, as well as ensuring good emotional support. Therefore, the SOP implementation in homecare services is crucial to examine the systematic approach in providing services. This research method is qualitative research, through in-depth interviews aimed specifically at identifying and exploring how the SOP for homecare services is applied, particularly for patients with malignant wounds. The instrument for qualitative research or research tool is the researcher themselves. The participants invited and participating in the FGD process are implementing nurses with varying ages, education levels, and work experience. The results of data analysis from the interview themes showed 3 themes in the study, namely: optimization of preparation for wound care planning in patients with malignant wounds, implementation standards for malignant wound care services, and a homecare wound care protocol model for malignant wounds. The discussion of the 3 themes in the research results is expected to serve as an evaluation for the development of homecare wound care services for cancer wound patients.