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

    Author(s)
    Dhar, Anusuya
    Needham, Judith
    Gibb, Michelle
    Coyne, Elisabeth
    Griffith University Author(s)
    Coyne, Elisabeth
    Needham, Judith A.
    Dhar, Anu
    Year published
    2020
    Metadata
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    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 ...
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    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.
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    Journal Title
    Journal of Clinical Nursing
    Volume
    29
    Issue
    15-16
    DOI
    https://doi.org/10.1111/jocn.15278
    Subject
    Nursing
    Public Health and Health Services
    Psychology
    Science & Technology
    Life Sciences & Biomedicine
    Nursing
    chronic wounds
    community nursing
    Publication URI
    http://hdl.handle.net/10072/397375
    Collection
    • Journal articles

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