Areas of nursing competence in acute wound care: A focus group study

Kielo-Viljamaa, Emilia; Suhonen, Riitta; Jalonen, Leena; Stolt, Minna

doi:10.1016/j.colegn.2021.04.003

Cited by 20 publications

(47 citation statements)

References 36 publications

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“…58 Enabler: understanding of wound healing phases, differentiating inflammatory phase from the signs of an infection. 59 Utilising wound care guidelines and dressing algorithms to assist decision making. 37 Knowledge (including knowledge of condition/scientific rationale)…”

Section: Knowledgementioning

confidence: 99%

Acute care nurses' experience in providing evidence‐based care for patients with laparotomy wounds: A scoping review

Hulbert‐Lemmel,

Madhuvu,

Team

2023

International Wound Journal

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To systematically search and synthesise available literature on barriers and enablers to evidence‐based care for patients with laparotomy wounds reported by acute care nurses. Specifically, we focused on wound assessment, infection control techniques, wound products used, escalation of care, dressing application, documentation and holistic care. The Preferred Reporting Items for Systematic review and Meta‐Analyses extension for Scoping Reviews Checklist and explanation documents directed the review. The methodology framework created by Arksey and O'Malley, updated by Levac et al., and the Joanna Briggs Institute were utilised to assist the scoping review process. Data synthesis was guided by the Theoretical Domains Framework. Six qualitative and mixed methods studies were selected for the review. Most reported barriers and enablers were mapped to knowledge, skills, beliefs about consequences, environmental context and resources and beliefs about capability domains. The main barriers were limited access to and utilisation of wound assessment tools and clinical practice guidelines for wound management and suboptimal time management skills. Inconsistent management of laparotomy wounds was related to ward culture and nurses' lack of knowledge and skills in surgical wound assessment and aseptic technique during wound encounters. The reported enablers were knowledge of multi‐factorial risk factors for surgical wound recovery, valuing education and reflective practice and believing that protocols should be utilised alongside comprehensive wound assessments. Holistic wound care included patient education on the role of mobilisation and nutrition in wound healing. Acute care nurses do not routinely incorporate comprehensive, evidence‐based care recommendations for laparotomy wound management. Further research on evidence‐based care behaviours in managing laparotomy wounds is required. The results indicate a need for standardising the practice of laparotomy wound management while acknowledging the current challenges faced in the ward environment.

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Section: Knowledgementioning

confidence: 99%

Acute care nurses' experience in providing evidence‐based care for patients with laparotomy wounds: A scoping review

Hulbert‐Lemmel,

Madhuvu,

Team

2023

International Wound Journal

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“…[1][2][3][4] Research indicates that physicians and nurses do not receive adequate wound education, perpetuating wound mismanagement. [5][6][7][8][9][10][11][12][13] Wounds that are not managed appropriately may result in delayed healing, complications, decreased quality of life, and increased healthcare costs. 3,4,14…”

Section: Introductionmentioning

confidence: 99%

ABCDEFGHI Systematic Approach to wound assessment and management

Hunt

Azad

2023

Nursing

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The ABCDEFGHI approach introduces a systematic approach to wound care. It instructs the clinician to Ask pertinent questions, including those that may identify local and systemic Barriers to wound healing. After obtaining a thorough history, the clinician may proceed to Clean the wound and Do a physical examination, specifically looking for Exposed structures and Factors that will complicate the healing process. Good Healing strategies involving various dressings can then be implemented to promote healing. If necessary, a referral can be made to Involve specialists using various referral pathways. Information used to synthesize this approach was obtained through a review of national and international guidelines and Google Scholar, MEDLINE, and PubMed databases. The ABCDEFGHI approach to wound assessment and management is a simple and easy-to-follow guide that can be easily implemented into practice, thereby improving clinician confidence and competence in wound care.

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“…The chronic wound has been assigned as a major public health problem associated with very high economic costs, representing 2–4% of the total health system costs in the West ( Magin et al, 2016 ; Rodrigues et al, 2019 ; Azevedo et al, 2020 ). Maaz Arif et al( 2021 ) and Kielo-Viljamaa et al (2021 ) reported that approximately 1–2% of the population in the developed countries suffers from chronic wound. As has been explained by other authors, the hindered closure of nonhealing (chronic) wounds (namely pressure ulcer, static venous ulcer, and diabetic wounds, etc.)…”

Section: Introductionmentioning

confidence: 99%

Genipin-Crosslinking Effects on Biomatrix Development for Cutaneous Wound Healing: A Concise Review

Nike

Fadilah

Sallehudin

et al. 2022

Front. Bioeng. Biotechnol.

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Split skin graft (SSG), a standard gold treatment for wound healing, has numerous limitations such as lack of fresh skin to be applied, tedious process, severe scarring, and keloid formation followed by higher risks of infection. Thus, there is a gap in producing polymeric scaffolds as an alternative for wound care management. Bioscaffold is the main component in tissue engineering technology that provides porous three-dimensional (3D) microarchitecture for cells to survive. Upon skin tissue reconstruction, the 3D-porous structure ensures sufficient nutrients and gaseous diffusion and cell penetration that improves cell proliferation and vascularization for tissue regeneration. Hence, it is highly considered a promising candidate for various skin wound healing applications. To date, natural-based crosslinking agents have been extensively used to tailor the physicochemical and mechanical properties of the skin biomatrix. Genipin (GNP) is preferable to other plant-based crosslinkers due to its biological activities, such as antiinflammatory and antioxidant, which are key players to boost skin wound healing. In addition, it has shown a noncytotoxic effect and is biocompatible with human skin cells. This review validated the effects of GNP in biomatrix fabrication for skin wound healing from the last 7 years of established research articles and stipulated the biomaterial development-scale point of view. Lastly, the possible role of GNP in the skin wound healing cascade is also discussed. Through the literature output, it can be concluded that GNP has the capability to increase the stability of biomatrix and maintain the skin cells viability, which will contribute in accelerating wound healing.

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Areas of nursing competence in acute wound care: A focus group study

Cited by 20 publications

References 36 publications

Acute care nurses' experience in providing evidence‐based care for patients with laparotomy wounds: A scoping review

Acute care nurses' experience in providing evidence‐based care for patients with laparotomy wounds: A scoping review

ABCDEFGHI Systematic Approach to wound assessment and management

Genipin-Crosslinking Effects on Biomatrix Development for Cutaneous Wound Healing: A Concise Review

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