Burn injury is a significant problem in low and middle-income countries. Moreover, across regions children are more affected by burn injury than adults. The outcome of burn injury is greatly influenced by the quality of care patients receive. This care includes meeting nutritional needs, availability of resources such as dressing supplies, and skills among health care providers. This study describes factors that influence provision of nursing care to the hospitalized pediatric patients with burn injuries at Muhimbili National Hospital, Dar es Salaam, Tanzania. A descriptive qualitative study was conducted among registered nurses working in the Pediatric Burn Unit. Purposeful sampling was used to recruit the participants in the study. Five in-depth interviews were done and content analysis approach was used. The nurses in the study described how they provided nursing care to pediatric patients with burn injuries. They described the use of closed method wound dressing, as an essential skill that accelerated wound healing, decreased the risk of wound contamination, and the incidence of contractures. The nurses felt gratified when they saw patients who had sustained severe burn injury recover well and be discharged home. They appreciated the influence of teamwork in burn patients’ recovery. However, the interviews revealed systematic deficiencies that hindered provision of quality care to patients with burn injuries. The flaws included: inadequate staffing resulting in increased workload among the nurses; a lack of standard skills in burn care among nurses; lack of access to water, which is the mainstay of infection prevention control, and lack of specimen collection equipment. Findings in this study revealed both positive and negative factors which appear to influence care of burn patients. The positive factors (motivation) need to be maintained, and immediate actions should be taken to address the negative (hindering) factors. Large scale studies to quantify these results are deemed necessary, and public health measures are needed to prevent burn injuries in children.

中文翻译：

---

为住院儿科烧伤患者提供护理：坦桑尼亚达累斯萨拉姆 Muhimbili 国立医院护士的定性研究

烧伤是低收入和中等收入国家的一个重大问题。此外，在不同地区，儿童比成人更容易受到烧伤的影响。烧伤的结果很大程度上受患者接受的护理质量的影响。这种护理包括满足营养需求、敷料供应等资源的可用性以及医疗保健提供者的技能。本研究描述了影响坦桑尼亚达累斯萨拉姆 Muhimbili 国家医院烧伤住院儿科患者提供护理服务的因素。在儿科烧伤科工作的注册护士中进行了描述性的定性研究。有目的的抽样被用来招募研究的参与者。进行了五次深度访谈，采用了内容分析法。研究中的护士描述了他们如何为烧伤儿科患者提供护理。他们将封闭式伤口敷料的使用描述为加速伤口愈合、降低伤口污染风险和挛缩发生率的一项基本技能。看到严重烧伤的患者恢复良好，出院回家，护士们感到欣慰。他们赞赏团队合作对烧伤患者康复的影响。然而，访谈揭示了阻碍向烧伤患者提供优质护理的系统性缺陷。缺陷包括：人员配备不足导致护士工作量增加；护士在烧伤护理方面缺乏标准技能；无法获得水，这是感染预防控制的支柱，以及缺乏标本采集设备。本研究的结果揭示了影响烧伤患者护理的积极和消极因素。需要保持积极因素（动机），并立即采取行动解决消极（阻碍）因素。对这些结果进行量化的大规模研究被认为是必要的，并且需要采取公共卫生措施来预防儿童烧伤。