The outcomes and experience of people receiving community‐based nurse‐led wound care: A systematic review

Abstract

Aims and objectives:To review the literature related to the outcomes and experience of people receiving nurse-led care for chronic wounds in the community.Background: Chronic wounds lead to a poor quality of life and are an economic burden to the Australian healthcare system. A lack of awareness into the significance of chronic wounds leads to limited resources being available to facilitate the provision of evidence-based care. The majority of chronic wounds are managed by nurses in the community, and a better understanding into current models of care is required to inform future practice.Design: A systematic quantitative literature review.Methods: A systematic search was conducted in four electronic databases, and the inclusion criteria were as follows: English language, peer-reviewed, published from 2009-2019 and primary research. The data were compiled into an Excel database for reporting as per the Pickering and Byrne (Higher Education Research & Development, 33, 534.) method of systematic quantitative literature review. This review used the PRISMA checklist. The Mixed Methods Appraisal Tool was used for quality appraisal.Results: Twelve studies were included in the review. Home nursing care, social community care and nursing within a wound clinic were identified as three types of nurse-led care in the literature. The findings demonstrate that nurse-led care was cost-effective, reported high levels of client satisfaction and contributed to improved wound healing and reduced levels of pain. Conclusions:Nurse-led care is a positive experience for people with chronic wounds and leads to better outcomes. The findings suggested a need for further client education and specialised training for healthcare practitioners managing chronic wounds. RELEVANCE TO CLINICAL PRACTICE:This review demonstrates that nurse-led care for people with chronic wounds in the community is cost-effective and improves client outcomes. Raising awareness into the significance of chronic wounds aims to promote the resources required to facilitate evidence-based care.

Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review

“…Finally, the systematic review by Dhar, Needham [ 56 ] reported significant improvements in pain and wound size for adults with chronic wounds receiving nurse-led wound in community. Overall improvements were not significant for quality of life and rate of wound healing.…”

Benefits of Collaboration Between the Wound, Ostomy, and Continence Nurse and Orthopedic Surgeon When Treating Skin Defects After Soft Tissue Sarcoma Resection

“…In recent years, the usefulness of nurse-led wound management has been reported in Europe and the United States. [8][9][10][11][12] Certified wound care nurses (CWCNs) are specialized wound care nurses who, under the guidance of a physician, manage pressure injuries and a variety of chronic wounds. 13,14 These specialty practice nurses provide wound assessment, cleansing, debridement, NPWT, treatment planning, topical therapies, recommendations concerning systemic therapies such as wound-related medication recommendations, and ongoing assessment and treatment.…”

“…In recent years, the usefulness of nurse-led wound management has been reported in Europe and the United States 8–12. Certified wound care nurses (CWCNs) are specialized wound care nurses who, under the guidance of a physician, manage pressure injuries and a variety of chronic wounds 13,14.…”

Realist evaluation of social outcomes in community care: the application of affordance theory to the Lindsay Leg Clubs

“…Due to the relative novelty of the Leg Clubs as a setting for social scientific research, most of these outcomes are reported in member satisfaction questionnaires (Clark 2012;Lindsay 2018a) or anecdotal stories (Mew 2015;Hampton 2016). Extant systematic enquiries into holistic care in the Leg Clubs are in early stages, while scientific reviews of existing primary research note a small quantity of evidence on the outcomes (Abu Ghazaleh et al 2018;Dhar et al 2020). It is therefore necessary to conduct more research into understanding Leg Club outcomes (Bawden et al 2018).…”