关键词: 压力性损伤；手术；理论域框架；促进因素；障碍因素；质性研究

Abstract: Objective: From the perspective of nurses, to explore the facilitators and barriers of the implementation of the intraoperative acquired pressure injury risk assessment scale (hereinafter referred to as the scale) and to provide insights for improving the clinical evaluation quality. Methods: This study was a descriptive qualitative research, crafting interview outline guided by theoretical domain framework. Semi-structured in-depth interviews were conducted with 11 operating room nurses from 6 tertiary hospitals in Guangxi, Shandong, Shanxi, Sichuan, and Guizhou province. Oriented content analysis was used to summarize and extract the themes. Results: The facilitators included strong clinical demand, good feasibility, and authority of the scale. The barriers included environmental constraints, lack of confidence among nurses, behavioral differences among nurses, poor intelligence of hospital information systems, and insufficient patient participation. Conclusion: There are both promoting factors and hindering factors in the process of scale evaluation. Nurses need to attach importance to the practical significance of scale, improve training, nursing process and auxiliary tools, and promote the clinical application of scale.

Key words: pressure injury; surgery; Theoretical Domain Framework; facilitators; barriers; qualitative study