Development of nursing care guideline for burned hands

Abstract

Aim To develop an evidence‐based guideline to care for hand‐burned patients. Design An integrative review. Method The search was conducted of EMBASE, PubMed, Web of Science, SCOPUS, Clinical Key, Iranmedex, Magiran, Scientific Information Database (SID), Cochran, CINAHL and Google Scholar databases from January 2000–August 2019. Following the formation of the research team, two researchers independently selected the eligible studies. The initial search resulted in 2,230 records; ultimately, 40 articles were identified to be the review after screening the records based on the study's inclusion and exclusion criteria. Quality of selected studies was evaluated with the MMAT method. Results Data syntheses of selected studies, coded by highlighting the relevant parts of the text, and assigning code words to these areas were done. Following this, a constant comparison was used to develop categories by combining codes. Finally, hand burns nursing care guideline was developed by categorizing descriptive themes in two main phases. Conclusion This review results have shown that evidence‐based guidelines present high‐quality recommendations for the healthcare team, which improves the quality of clinical care. Due to a lack of established guidelines in our context, it seems to be helpful to use evidence‐based guidelines in managing burned hands.

Effect of a Nurse-Led Rehabilitation Program: A Quasi-Experimental Study Examining Functional Outcomes in Patients With Hand Burns

“…The model of early rehabilitation for people with burns is still relatively novel, and we are aware of only a handful of healthcare settings in Egypt that have begun burn rehabilitation programs. According to Jagnoor et al (2018), it is unknown what burn rehabilitation services are accessible, available, or most useful for rehabilitation centers in developing nations, as (Lotfi et al, 2020;Procter, 2010). In addition, this model of care was developed in response to a global demand for early and continuous rehabilitation care for patients with burns (Herzog et al, 2020).…”

“…Hand motor function was assessed using an observational checklist developed by the researchers after a careful review of the related studies (e.g., Ardebili et al, 2014;Lotfi et al, 2020). It was comprised of three crucial hand activities: the ability to rotate the wrist, bend the wrist, and bend the fingers.…”

“…Technological advances in acute burn care management, including intensive care, aggressive surgical wound care, approaches to wound healing, and scar management, have increased the rate of survival after severe burns (Lotfi et al, 2020). Therefore, the importance of early rehabilitation and interventions for adult patients with burns has grown, and these are now regarded as essential parts of burn management (Aghajanzade et al, 2019; Edger-Lacoursière et al, 2023; Seyedoshohadaee et al, 2022).…”

“…The goal of burn rehabilitation is to actively prepare patients to return to the desired conditions under all circumstances, as well as to improve the burn area appearance, restore functionality, encourage activities of the burn area, reduce disability, and help patients in understanding the extent of their burn problems (Procter, 2010). Burn nurses work closely with physicians, occupational therapists, and physiotherapists to assess patients’ rehabilitation needs, provide total patient care, and coordinate activities with a multidisciplinary team (Lotfi et al, 2020). Patients with severe burns frequently require a lengthy rehabilitation process that begins in an acute care facility, moves to an inpatient rehabilitation center, and is completed in an outpatient setting (Procter, 2010).…”

Hand function response to static progressive splinting in post-burn finger contracture

“…Although all body parts remain subjected to burn injury, hands are most commonly affected [1,2]. According to the latest studies, hands are involved in 80% of burn injuries owing to their anatomical position in the body [1]. The hand is among the most frequent sites of scar contracture deformity after burns [3][4][5][6][7][8].…”