Resumo OBJETIVO Mapear as competências específicas do Gestor de Feridas. MÉTODO Scoping Review de artigos completos e gratuitos nas bases de dados CINAHL®, Nursing & Allied Health Collection, Cochrane Plus Collection, MedicLatina, MEDLINE® e 12 associações especialistas em feridas, referências em Português, Inglês, Espanhol e Francês, sem limite temporal. Realizada por dois pesquisadores em agosto de 2017, dos 746 artigos encontrados 19 que atenderam aos critérios de inclusão e exclusão. RESULTADOS Identificaram-se 4 domínios de competências: cuidado (prevenção/tratamento de pessoas com feridas e em terapias avançadas; tomada de decisão; capacitação e supervisão clínica), qualidade (formação especializada; formação de pares; investigação e auditoria), liderança (agente de mudança; trabalho em equipe e consultoria) e gestão (seleção do material; controle de custos). CONCLUSÕES Com quatro domínios de competências, o Gestor de Feridas se focaliza na redefinição dos projetos de vida das pessoas e suas famílias face à presença de feridas, numa parceria de cuidado.

Complex or hard‐to‐heal wounds continue to be a challenge because of the negative impact they have on patients, caregivers, and all the associated costs. This study aimed to identify prognostic factors for the delayed healing of complex wounds. Five databases and grey literature were the sources used to research adults with pressure ulcers/injuries, venous leg ulcers, critical limb‐threatening ischaemia, or diabetic foot ulcers and report the prognostic factors for delayed healing in all care settings. In the last 5 years, a total of 42 original peer‐reviewed articles were deemed eligible for this scoping review that followed the JBI recommendations and checklist PRISMA‐ScR. The most frequent prognostic factors found with statistical significance coinciding with various wound aetiologies were: gender (male), renal disease, diabetes, peripheral arterial disease, the decline in activities of daily life, wound duration, wound area, wound location, high‐stage WIfI classification, gangrene, infection, previous ulcers, and low ankle brachial index. It will be essential to apply critical appraisal tools and assessment risk of bias to the included studies, making it possible to make recommendations for clinical practice and build prognostic models. Future studies are recommended because the potential for healing through identification of prognostic factors can be determined, thus allowing an appropriate therapeutic plan to be developed.

(1) Background: The high prevalence of persons with wounds and its consequences for a person’s quality of life makes the issue a relevant focus of attention for healthcare professionals. Through prognostic factors for healing, the individual risk of complications can be predicted, is possible to predict imminent delays and guide decision-making, thus helping healthcare professionals. (2) Methods: A scoping review performed according to JBI methodology and guided by the Preferred Reporting Items for Systematic Reviews extension for Scoping Reviews (PRISMA-ScR) checklist will aim to identify the studies that meet predefined eligibility criteria. Five databases and gray literature will be the sources used to research adults with pressure ulcers, venous leg ulcers, arterial ulcers, or diabetic foot ulcers and report the prognostic factors for delayed healing in any care setting. (3) Results: This review will consider all quantitative and mixed studies in the last five years. The selection of articles will be carried out by two reviewers independently, using EndNoteWeb and Rayyan. Prognostic factors will be presented by design study, sampling, setting, outcome, wound type, and statistical methods. (4) Conclusions: Mapping prognostic factors for delayed healing could also be a starting point for a systematic review and meta-analyses to quantify the value of each factor.

Health professionals are able to improve the care quality of chronic wounds by monitoring and reporting the wound status. Resorting to visual representations of wound status enhances comprehension by facilitating knowledge transfer to all stakeholders. However, selecting appropriate healthcare data visualisations is a critical challenge and healthcare platforms must be designed to meet their users’ needs and constraints. This article describes the methods used to identify the design requirements and inform the development of a wound monitoring platform through a user-centred approach.

No abstract