Wound care practices: a survey of acute care nurses

Gillespie, Brigid M.; Chaboyer, Wendy; Allen, Pamela; Morely, Nicola; Nieuwenhoven, Paul

doi:10.1111/jocn.12479

Cited by 42 publications

(94 citation statements)

References 24 publications

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“…Gillespie et al . also recognised the role of experiential knowledge but found gaps between knowledge and practice and a failure of nurses to apply recommendations made by national clinical guidelines, whilst a high number of respondents in deFaria et al . and Ferreira et al .…”

Section: Poorly Developed Links Between Evidence and Practicementioning

confidence: 99%

“…This was supported by Gillespie et al . who found that despite having a good theoretical knowledge of wound assessment, Australian nurses working in the acute sector demonstrated similar poor links between knowledge and practice and poor application of clinical guidelines. Dugdall and Watson was the only study that did not explicitly explore knowledge; however, they did identify a link between higher and specialist wound care education and a positive attitude to EBP, which subsequently led to better wound care practice.…”

Section: Inadequate Wound Care Knowledge Amongst Nursesmentioning

confidence: 99%

“…However, although empirical evidence was widely agreed to be a crucial component of EBP in relation to wound care, additional types of knowledge, such as that gleaned from informal sources (i.e., experience, clinical practice and learning through colleagues), were also recognised to be important . Indeed, the Centres for Disease Prevention and Control [CDC] in the USA applies a combination of empirical evidence, theoretical knowledge and contextual knowledge to shape each of its recommendations , which supports an increasing awareness of the role of informal sources of knowledge in EBP. Dugdall and Watson additionally recognised shortfalls in evidence pertaining to the management of wounds for specific patient groups (e.g.…”

Section: Evidence In Wound Carementioning

confidence: 99%

“…When questioned about their level of professional autonomy in the selection of wound care products, 63% also stated that authorisation from the doctor was required in this capacity. This is in contrast to the UK where nurses historically take the lead in the management of wounds; however, although this might be argued to be reflective of differences in the organisational and professional hierarchies in health care, nurses from those studies carried out in other areas also reported some lack of knowledge, which reveals a potential deficit in a range of geographical settings . Finally, only McCluskey and McCarthy explored the nature and types of knowledge nurses apply to shape wound care practice, including those that are empirical, formal and explicit and also those that are tacit, informal and contextual, the latter of which were perceived to be linked to competence and experiential learning in practice.…”

Section: Inadequate Wound Care Knowledge Amongst Nursesmentioning

confidence: 99%

“…Four of the studies attributed much wound care practice to derive from historic and ritualistic practices (). Ferreira et al .…”

Section: Ritualistic and Historic Practice In Wound Carementioning

confidence: 99%

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Wound care evidence, knowledge and education amongst nurses: a semi‐systematic literature review

Welsh

2017

International Wound Journal

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The aims of this study were to determine the knowledge and skills of nurses involved in wound care, to provide a critical overview of the current evidence base underpinning wound care and to determine the extent of utilisation of existing evidence by nurses involved in the management of wounds in practice. A semi-systematic review of the literature was undertaken on Cinahl, Medline Science Direct and Cochrane using the search terms: wound, tissue viability, education, nurse, with limitations set for dates between 2009 and 2017 and English language. Shortfalls were found in the evidence base underpinning wound care and in links between evidence and practice, prevalence of ritualistic practice and in structured education at pre-and post-registration levels. The evidence underpinning wound care practice should be further developed, including the conduction of independent studies and research of qualitative design to obtain rich data on both patient and clinician experiences of all aspects of wound management. More structured wound care education programmes, both at pre-registration/undergraduate and professional development levels, should be established.

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Section: Poorly Developed Links Between Evidence and Practicementioning

confidence: 99%

Section: Inadequate Wound Care Knowledge Amongst Nursesmentioning

confidence: 99%

Section: Evidence In Wound Carementioning

confidence: 99%

Section: Inadequate Wound Care Knowledge Amongst Nursesmentioning

confidence: 99%

“…Four of the studies attributed much wound care practice to derive from historic and ritualistic practices (). Ferreira et al .…”

Section: Ritualistic and Historic Practice In Wound Carementioning

confidence: 99%

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Wound care evidence, knowledge and education amongst nurses: a semi‐systematic literature review

Welsh

2017

International Wound Journal

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Wound Care Education in Undergraduate and Graduate Nursing Settings

Sengul,

Karadag,

Kirkland-Kyhn

2024

Nursing Clinics of North America

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Setting the surgical wound care agenda across two healthcare districts: A priority setting approach

et al. 2020

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Introduction: Surgical wound care requires an interprofessional approach; however, there is considerable variation in practice and a lack of robust evidence to guide clinicians. Thus, it is important to identify priority areas from the perspectives of end-users to target efforts to both generate and implement high quality evidence. Objective: To rank the top four priority questions in wound management across two health districts to inform future research and implementation efforts in wound care. Methods: A multisite modified nominal group technique was used to build consensus. Two interactive two-hour workshops were held across two health services districts. Participants were recruited from nursing, allied health and medicine. In preparation for the workshops, a standard operating procedure was developed, and 25 wound care priority questions identified, a priori. Descriptive statistics were used to analyse workshop data. Results: Across districts, 38 health professionals participated in the workshops. From a list of 25 clinical questions, the top 10 were determined, and from these, the top four. The number one priority question identified by 23/38 (60.5%) participants across districts related to patients' understanding/knowledge of their wound treatment. The number two priority question 15/38 (39.5%) participants voted on focussed on patient involvement in wound care. Conclusions: Overall, the priority questions reflect the need to encourage patient participation in wound care. These wound care priorities can be used to inform future research and improvement efforts in wound care.

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Wound care practices: a survey of acute care nurses

Abstract: While it is important for nurses to detect early wound complications, treatment plans based on wound assessments need to be informed by current clinical guidelines. In implementing the guideline, it is essential to first identify barriers and facilitators to knowledge transfer.

Cited by 42 publications

References 24 publications

Wound care evidence, knowledge and education amongst nurses: a semi‐systematic literature review

Wound care evidence, knowledge and education amongst nurses: a semi‐systematic literature review

Wound Care Education in Undergraduate and Graduate Nursing Settings

Setting the surgical wound care agenda across two healthcare districts: A priority setting approach

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