Outcomes of wound care nurses' practice in patients with pressure ulcers: An integrative review.
integrative review
nurse specialists
nursing care
outcomes
pressure ulcers
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
06
07
2020
revised:
27
10
2020
accepted:
13
11
2020
pubmed:
4
12
2020
medline:
4
6
2021
entrez:
3
12
2020
Statut:
ppublish
Résumé
Wound care nurses are recognised as a key element for improving health outcomes. However, there is still fragmented knowledge of the outcomes associated with their practice in individuals with pressure ulcers. To identify, summarise and map all available evidence related to the outcomes of wound care nurses' practice in individuals with pressure ulcers. Integrative literature review. To report the review, we followed the modified version of Cooper's five-step methodology, and the PRISMA guidelines. The search was carried out on CINAHL, PubMed, the Cochrane Library and Scopus, with a time frame ranging from each database inception to December 21, 2019. We included observational or experimental studies of adult individuals affected by (or at risk of) developing pressure ulcers who were also cared for by wound care nurses. Of the 439 peer-reviewed publications, 13 studies met the inclusion criteria. The most frequent outcomes were pressure ulcer incidence, healing rate and time taken for complete healing. Less frequent outcomes were changes in pressure ulcers' stage, number of completely healed wounds, treatment costs and physical discomfort. No patient-reported outcomes were assessed. This review indicates that clinical-related outcomes were by far the most reported. Future studies should broaden the spectrum of outcomes to include more subjective parameters (e.g. pain, quality of life, stress, etc.), in order to gain a better understanding of the global impact of wound care practice on patients with pressure ulcers. There is promising evidence of a positive impact of wound care nurses' practice on health and economic outcomes. Nonetheless, more robust and rigorous research is needed to provide stronger evidence in the field and support investment in these practitioners.
Sections du résumé
BACKGROUND
BACKGROUND
Wound care nurses are recognised as a key element for improving health outcomes. However, there is still fragmented knowledge of the outcomes associated with their practice in individuals with pressure ulcers.
AIMS AND OBJECTIVES
OBJECTIVE
To identify, summarise and map all available evidence related to the outcomes of wound care nurses' practice in individuals with pressure ulcers.
DESIGN
METHODS
Integrative literature review.
REVIEW METHOD
METHODS
To report the review, we followed the modified version of Cooper's five-step methodology, and the PRISMA guidelines.
METHODS
METHODS
The search was carried out on CINAHL, PubMed, the Cochrane Library and Scopus, with a time frame ranging from each database inception to December 21, 2019. We included observational or experimental studies of adult individuals affected by (or at risk of) developing pressure ulcers who were also cared for by wound care nurses.
RESULTS
RESULTS
Of the 439 peer-reviewed publications, 13 studies met the inclusion criteria. The most frequent outcomes were pressure ulcer incidence, healing rate and time taken for complete healing. Less frequent outcomes were changes in pressure ulcers' stage, number of completely healed wounds, treatment costs and physical discomfort. No patient-reported outcomes were assessed.
CONCLUSION
CONCLUSIONS
This review indicates that clinical-related outcomes were by far the most reported. Future studies should broaden the spectrum of outcomes to include more subjective parameters (e.g. pain, quality of life, stress, etc.), in order to gain a better understanding of the global impact of wound care practice on patients with pressure ulcers.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
There is promising evidence of a positive impact of wound care nurses' practice on health and economic outcomes. Nonetheless, more robust and rigorous research is needed to provide stronger evidence in the field and support investment in these practitioners.
Types de publication
Journal Article
Review
Langues
eng
Pagination
372-384Informations de copyright
© 2020 John Wiley & Sons Ltd.
Références
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