لخّصلي

.RTICLE Wound care evidence, knowledge and education amongst nurses: a semi-systematic literature review Lynn Welsh School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley, Scotland International Wound Journal ISSN 1742-4801 Key words Education; Nurse; Tissue Viability; Wound Correspondence to Lynn Welsh, PGCert TLHE, MSc, BSc (Hon), MA, RN, Lecturer in Nursing School of Health Nursing and Midwifery University of the West of Scotland Paisley Campus Room A418 PA1 2BE, 0141 849 4320, Scotland E-mail: [email protected] doi: 10.1111/iwj.12822 Welsh L. Wound care evidence, knowledge and education amongst nurses: a semi-systematic literature review.Key Messages o theeffectivemanagementofchronicwoundsiscomplex, and in order to maximise outcomes for patients, it is rec- ommended that those involved in their care and treatment should have the appropriate knowledge and skills; how- ever, little is known about nurses' knowledge, skills and education in this capacity o a semi-systematic literature review was carried out to determine the current evidence base underpinning wound care; the extent of utilisation of existing evidence by nurses involved in the management of wounds in practice; and the nature and knowledge, skills and education of nurses involved in wound careA 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.The evidence underpinning wound care practice should be further developed, includ- ing 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.Indeed, wound care represents between 35% and 65% of community nurses' caseloads ((7,8)), which has significant implications for an increas- ingly overstretched and pressurised DN work force (6,9,10).

. RTICLE
Wound care evidence, knowledge and education amongst nurses: a semi-systematic literature review
Lynn Welsh
School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley, Scotland
International Wound Journal ISSN 1742-4801
Key words
Education; Nurse; Tissue Viability; Wound
Correspondence to
Lynn Welsh, PGCert TLHE, MSc, BSc (Hon), MA, RN, Lecturer in Nursing
School of Health
Nursing and Midwifery
University of the West of Scotland Paisley Campus
Room A418
PA1 2BE, 0141 849 4320, Scotland E-mail: [email protected]
doi: 10.1111/iwj.12822
Welsh L. Wound care evidence, knowledge and education amongst nurses: a semi-systematic literature review. Int Wound J 2018; 15:53–61
Abstract
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, includ- ing 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.
Introduction/background
The presence of a wound represents a considerable burden in terms of economic cost to health and social care providers and impact on patient quality of life (QoL). This is notably so for chronic wounds, the definition of which has not been universally agreed upon but is generally accepted to refer to wounds that do not follow the normal stages of healing and in which healing is consequently delayed (1). Whilst chronic wounds were previously estimated to cost the National Health Service (NHS) between £2⋅5 and £3 billion p/a (2), more recent data propose that the annual cost to manage wounds and associated comorbidities is between £4⋅5 and £5⋅1 billion (3). In addition, Augustin et al. (4) found living with a wound to have a negative multifactorial impact on psychosocial health and well-being. This impact is recognised to be worsening with changing demographics and a population that is living longer with multiple comorbidities and chronic conditions (5). In the UK, the increasing decentralisation of health and social care means that the majority of the burden lies within the community setting where district nurses (DNs) and other community health and social care providers are responsible
for wound management (6). Indeed, wound care represents between 35% and 65% of community nurses’ caseloads ((7,8)), which has significant implications for an increas- ingly overstretched and pressurised DN work force (6,9,10).
Key Messages
• theeffectivemanagementofchronicwoundsiscomplex, and in order to maximise outcomes for patients, it is rec- ommended that those involved in their care and treatment should have the appropriate knowledge and skills; how- ever, little is known about nurses’ knowledge, skills and education in this capacity
• a semi-systematic literature review was carried out to determine the current evidence base underpinning wound care; the extent of utilisation of existing evidence by nurses involved in the management of wounds in practice; and the nature and knowledge, skills and education of nurses involved in wound care