Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society · 2026
Wounds of the Body, Wounds of the Self: Addressing Shame in the Care of Patients Living With Obesity and Chronic Wounds.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
O'Grady Tim Porter
Аннотация
PURPOSE: The purpose of this integrative review was to examine shame as a hidden determinant of outcomes among patients living with obesity and chronic leg and foot ulcers and to offer evidence-based strategies for wound, ostomy, and continence (WOC) nurses to recognize, mitigate, and transform shame in clinical practice.
DESIGN: Integrative review and practice synthesis.
SEARCH STRATEGY: Targeted integrative review of literature (2020-2025) using PubMed, CINAHL, PsycINFO, and Cochrane databases with supplemental ancestry or hand searching. Topics included weight stigma, psychosocial determinants of wound care engagement, trauma-informed and dignity-conserving approaches, and service models (telemedicine, peer support, integrated behavioral care).
FINDINGS: Shame-amplified by weight stigma and structural inequities-erodes trust, adherence, and engagement, and is associated with poorer healing trajectories. Interventions grounded in the Presence-Partnership-Dignity framework-pairing technical excellence with relational competence-integrate behavioral health and redesign services for emotional safety, thereby improving participation and outcomes.
IMPLICATIONS: Addressing shame is not an ancillary concern; it is central to wound care quality. WOC nurses are uniquely positioned to lead practice, education, and system redesign that restores dignity, strengthens self-efficacy, and advances equitable healing.
DESIGN: Integrative review and practice synthesis.
SEARCH STRATEGY: Targeted integrative review of literature (2020-2025) using PubMed, CINAHL, PsycINFO, and Cochrane databases with supplemental ancestry or hand searching. Topics included weight stigma, psychosocial determinants of wound care engagement, trauma-informed and dignity-conserving approaches, and service models (telemedicine, peer support, integrated behavioral care).
FINDINGS: Shame-amplified by weight stigma and structural inequities-erodes trust, adherence, and engagement, and is associated with poorer healing trajectories. Interventions grounded in the Presence-Partnership-Dignity framework-pairing technical excellence with relational competence-integrate behavioral health and redesign services for emotional safety, thereby improving participation and outcomes.
IMPLICATIONS: Addressing shame is not an ancillary concern; it is central to wound care quality. WOC nurses are uniquely positioned to lead practice, education, and system redesign that restores dignity, strengthens self-efficacy, and advances equitable healing.