How generalist nurses inform their clinical decision-making in wound management: a scoping review

Vains, Adeline S; Finlayson, Kathleen

doi:10.33235/wpr.30.2.112-118

Cited by 3 publications

(8 citation statements)

References 26 publications

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“…A common similarity showed that nursing staff relied on ritualistic wound management behaviours that were not evidence‐based 12,13,23,75 . Although the United Kingdom nurses were aware of the evidence‐based recommendations for wound management, they did not necessarily translate this knowledge into their day‐to‐day practice 72,73 . In general, however, the reliance on experience‐based practices acknowledges nurses' limited clinical education outside of their initial training, reliance on senior nurses, skill loss and the need for additional education on wound care 13,20,23,73,75,76 …”

Section: Discussionmentioning

confidence: 99%

“…Other barriers were related to nurses' awareness of local policies and procedures, accessibility to procedural documentation and task orientated approach by following the wound documentation prompts without further interpretation of the assessment. These barriers, such as basing actions on lower level resources instead of empirical evidence, are not uncommon in wound care practices by nurses for other wound types 19,23,72–74 …”

Section: Discussionmentioning

confidence: 99%

“…These barriers, such as basing actions on lower level resources instead of empirical evidence, are not uncommon in wound care practices by nurses for other wound types. 19,23,[72][73][74] There are abundant articles on ward-based nurses' experiences and wound management practice not explicitly related to laparotomy wounds. 13,20,23,28,74 A common similarity showed that nursing staff relied on ritualistic wound management behaviours that were not evidencebased.…”

Section: Barriersmentioning

confidence: 99%

“…72,73 In general, however, the reliance on experience-based practices acknowledges nurses' limited clinical education outside of their initial training, reliance on senior nurses, skill loss and the need for additional education on wound care. 13,20,23,73,75,76 Commonalities were identified between the nurses' experiences reported in Vietnam, a low-income country and Australia, a developed country. These commonalities in practice may pertain to Australia and Vietnam's educational relationship and sharing the Indo-Pacific region.…”

Section: Barriersmentioning

confidence: 99%

“…12,13,23,75 Although the United Kingdom nurses were aware of the evidence-based recommendations for wound management, they did not necessarily translate this knowledge into their day-to-day practice. 72,73 In general, however, the reliance on experience-based practices acknowledges nurses' limited clinical education outside of their initial training, reliance on senior nurses, skill loss and the need for additional education on wound care. 13,20,23,73,75,76 Commonalities were identified between the nurses' experiences reported in Vietnam, a low-income country and Australia, a developed country.…”

Section: Barriersmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%