Acute care nurses' experience in providing evidence-based care for patients with laparotomy wounds: A scoping review.
acute care
evidence-based care
experience
laparotomy wounds
nursing
Journal
International wound journal
ISSN: 1742-481X
Titre abrégé: Int Wound J
Pays: England
ID NLM: 101230907
Informations de publication
Date de publication:
27 Dec 2023
27 Dec 2023
Historique:
received:
31
10
2023
accepted:
08
12
2023
medline:
28
12
2023
pubmed:
28
12
2023
entrez:
28
12
2023
Statut:
aheadofprint
Résumé
To systematically search and synthesise available literature on barriers and enablers to evidence-based care for patients with laparotomy wounds reported by acute care nurses. Specifically, we focused on wound assessment, infection control techniques, wound products used, escalation of care, dressing application, documentation and holistic care. The Preferred Reporting Items for Systematic review and Meta-Analyses extension for Scoping Reviews Checklist and explanation documents directed the review. The methodology framework created by Arksey and O'Malley, updated by Levac et al., and the Joanna Briggs Institute were utilised to assist the scoping review process. Data synthesis was guided by the Theoretical Domains Framework. Six qualitative and mixed methods studies were selected for the review. Most reported barriers and enablers were mapped to knowledge, skills, beliefs about consequences, environmental context and resources and beliefs about capability domains. The main barriers were limited access to and utilisation of wound assessment tools and clinical practice guidelines for wound management and suboptimal time management skills. Inconsistent management of laparotomy wounds was related to ward culture and nurses' lack of knowledge and skills in surgical wound assessment and aseptic technique during wound encounters. The reported enablers were knowledge of multi-factorial risk factors for surgical wound recovery, valuing education and reflective practice and believing that protocols should be utilised alongside comprehensive wound assessments. Holistic wound care included patient education on the role of mobilisation and nutrition in wound healing. Acute care nurses do not routinely incorporate comprehensive, evidence-based care recommendations for laparotomy wound management. Further research on evidence-based care behaviours in managing laparotomy wounds is required. The results indicate a need for standardising the practice of laparotomy wound management while acknowledging the current challenges faced in the ward environment.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.
Références
Galaal K, Donkers H, Bryant A, Lopes A. Laparoscopy versus laparotomy for the management of early stage endometrial cancer. Cochrane Database Syst Rev. 2018;10(10):1-44. doi:10.1002/14651858.CD006655.pub3
Rajaretnam N, Okoye E, Burns B. Laparotomy. StatPearls publishing; 2022 Retrieved October 10, 2022 from www.ncbi.nlm.nih.gov/books/NBK525961/
Stevens CL, Brown C, Watters D. Measuring outcomes of clinical care: Victorian emergency laparotomy audit using quality investigator. World J Surg. 2018;42(7):1981-1987. doi:10.1007/s00268-017-4418-4
Broughton KJ, Aldridge O, Pradhan S, Aitken RJ. The perth emergency laparotomy audit. ANZ J Surg. 2017;87(11):893-897. doi:10.1111/ans.14208
Royal Australasian College of Surgeons (RACS). (2016). Australian and New Zealand Audit of Surgical Mortality (ANZASM) National Report 2016. RACS. https://www.surgeons.org/-/media/Project/RACS/surgeons-org/files/surgical-mortality-audits/anzasm-reports/2017-10-05_rpt_racs_anzasm_national_report_2016.pdf?rev=84d67d943ed14d05a502f9509%20adbbf3b&hash=B44712AAF2D2D0DE36985EE6F6846C8F.
Saunders DI, Murray D, Pichel AC, et al. Variations in mortality after emergency laparotomy: the first report of the U.K. Emergency Laparotomy Network. Br J Anaesth. 2012;109(3):368-375. doi:10.1093/bja/aes165
Australian Institute of Health and Welfare (AIHW). Elective surgery activity. 2023. https://www.aihw.gov.au/reports-data/myhospitals/intersection/activity/eswt
Drysdale HRE, Ooi S, Geelong, Surgical COVID-19 Response Team, Nagra S, Watters DA, Guest GD. Clinical activity and outcomes during Geelong's general surgery response to the coronavirus disease 2019 pandemic. Austr New Zealand J Surg. 2020;90(9):1573-1579. doi:10.1111/ans.16207
ANZELA-QI Working Party, Aitken RJ, Griffiths B, et al. Two-year outcomes from the Australian and New Zealand emergency laparotomy audit-quality improvement pilot study. Austr New Zealand J Surg. 2021;91(12):2575-2582. doi:10.1111/ans.17037
Aitken RJ, Watters DA. Clearing elective surgery waiting lists after the COVID-19 pandemic cannot be allowed to compromise emergency surgery care. Med J Austr. 2022;217:237-238. doi:10.5694/mja2.51672
Anjum R, Huda F, Goswami AG, Tandon A. Effect of personal protective equipment (PPE) on surgical site infection in emergency laparotomy: an observational study from a tertiary care centre. Cureus. 2022;14(4):1-7. doi:10.7759/cureus.24278
Lin F, Gillespie BM, Chaboyer W, et al. Preventing surgical site infections: facilitators and barriers to nurses' adherence to clinical practice guidelines-A qualitative study. J Clin Nurs. 2019;28(9-10):1643-1652. doi:10.1111/jocn.14766
Mohsen M, Riad N, Badawy A. Compliance and barriers facing nurses with surgical site infection prevention guidelines. Open J Nursing. 2020;10:15-33. doi:10.4236/ojn.2020.101002
Geehan GM, Edelduok IM, Bucholc M, et al. Systematic review and meta-analysis of wound bundles in emergency midline laparotomy identifies that it is time for improvement. Life. 2021;11(2):1-14. doi:10.3390/life11020138
GlobalSurg Collaborative. Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: A prospective, international, multicentre cohort study. Lancet Infect Dis. 2018;18(5):516-525. doi:10.1016/S1473-3099(18)30101-4
National Emergency Laparotomy Audit (NELA) Project Team. The impact of COVID-19 on emergency laparotomy - an interim report of the national emergency laparotomy audit. 2021. https://www.nela.org.uk/downloads/COVID_analysis_08%20Mar%202021.pdf.
Gillespie BM, Chaboyer W, St John W, Morley N, Nieuwenhoven P. Health professionals' decision-making in wound management: A grounded theory. J Adv Nurs. 2015;71(6):1238-1248. doi:10.1111/jan.12598
Gillespie BM, Walker R, Lin F, et al. Wound care practices across two acute care settings: A comparative study. J Clin Nurs. 2020;29(5-6):831-839. doi:10.1111/jocn.15135
Gillespie BM, Chaboyer W, Allen P, Morely N, Nieuwenhoven P. Wound care practices: A survey of acute care nurses. J Clin Nurs. 2014b;23(17-18):2618-2627. doi:10.1111/jocn.12479
Sürme Y, Kartın PT, Çürük GN. Knowledge and practices of nurses regarding wound healing. J Perianesth Nurs. 2018;33(4):471-478. doi:10.1016/j.jopan.2016.04.143
Dung P, Trang L, Tung H. Nurses' knowledge, practice, and confidence after the training program on wound care at the agriculture general hospital in Vietnam. Open J Nursing. 2020;10:646-656. doi:10.4236/ojn.2020.106045
Flanagan M. Barriers to the implementation of best practice in wound care. Wounds UK. 2005;1(3):74-82. https://www.wounds-uk.com/download/resource/54
Welsh L. Wound care evidence, knowledge and education amongst nurses: A semi-systematic literature review. Int Wound J. 2018;15(1):53-61. doi:10.1111/iwj.12822
Gizaw MA, Negawo MK, Bala ET, Daba DB. Knowledge, practice, and associated factors towards postoperative wound care among nurses working in public hospitals in Ethiopia: A multicenter cross-sectional study in low resource setting area. Health Sci Rep. 2022;5(4):1-11. doi:10.1002/hsr2.677
Oseni OM, Adejumo PO. Nurses' reported practice and knowledge of wound assessment, assessment tools and documentation in a selected hospital in Lagos, Nigeria. Afr J Med Med Sci. 2014;43(2):149-157.
Sonoiki T, Young J, Alexis O. Challenges faced by nurses in complying with aseptic non-touch technique principles during wound care: A review. Br J Nurs. 2020;29(5):28-35. doi:10.12968/bjon.2020.29.5.S28
Gartlan J, Smith A, Clennett S, et al. An audit of the adequacy of acute wound care documentation of surgical inpatients. J Clin Nurs. 2010;19(15-16):2207-2214. doi:10.1111/j.1365-2702.2010.03265.x
Timmins BA, Riché TC, Saint-Jean MW, Tuck J, Merry L. Nursing wound care practices in Haiti: facilitators and barriers to quality care. Int Nurs Rev. 2018;65(4):542-549. doi:10.1111/inr.12438
National Institute for Health and Care Excellence (NICE). Surgical site infections: prevention and treatment (NG125). 2019 https://www.nice.org.uk/guidance/ng125
Halberg N, Assafi L, Nørholm V. Understandings of and experiences with evidence-based practice among nurses in a surgical department: A constructivist approach. J Clin Nurs. 2021;30(3-4):488-498. doi:10.1111/jocn.15563
Karlsson A, Lindeborg P, Gunningberg L, Jangland E. Evidence-based nursing-how is it understood by bedside nurses? A phenomenographic study in surgical settings. J Nurs Manag. 2019;27(6):1216-1223. doi:10.1111/jonm.12802
Thorsteinsson HS, Sveinsdóttir H. Readiness for and predictors of evidence-based practice of acute-care nurses: A cross-sectional postal survey. Scand J Caring Sci. 2014;28(3):572-581. doi:10.1111/scs.12083
Wallin L, Boström AM, Gustavsson JP. Capability beliefs regarding evidence-based practice are associated with application of EBP and research use: validation of a new measure. Worldviews Evid Based Nurs. 2012;9(3):139-148. doi:10.1111/j.1741-6787.2012.00248.x
Alqahtani N, Kyeung M, Kitsantas P, Rodan M. Nurses' evidence-based practice knowledge, attitudes and implementation: A cross-sectional study. J Clin Nurs. 2019;29(1-2):274-283. doi:10.1111/jocn.15097
Gillespie B, Chaboyer W, Nieuwenhoven P, Rickard C. Drivers and barriers of surgical wound management in a large health care organisation: results of an environmental scan. Wound Pract Res. 2012;20(2):90-102. https://journals.cambridgemedia.com.au/application/files/2916/0515/8189/2002_05.pdf
Do HTT, Finlayson K, Edwards H. Surgical wound assessment in Vietnam: A think-aloud technique and interview analysis. J Wound Care. 2020;29(4):4-13. doi:10.12968/jowc.2020.29.Sup4.S4
McCaughan D, Sheard L, Cullum N, Dumville J, Chetter I. Nurses' and surgeons' views and experiences of surgical wounds healing by secondary intention: A qualitative study. J Clin Nurs. 2020;29(13-14):2557-2571. doi:10.1111/jocn.15279
Wang J, Cheng L, Liu J, et al. Laparoscopy vs. laparotomy for the management of abdominal trauma: A systematic review and meta-analysis. Front Surg. 2022;9:1-13. doi:10.3389/fsurg.2022.817134
National Wound Care Strategy Programme. Recommendations for surgical wounds. 2021 https://www.nationalwoundcarestrategy.net/wp-content/uploads/2021/05/Surgical-Wound-Recommendations-WEB-25Feb21-1.pdf
Ubbink DT, Brölmann FE, Go PM, Vermeulen H. Evidence-based care of acute wounds: A perspective. Adv Wound Care. 2015;4(5):286-294. doi:10.1089/wound.2014.0592
Frassini S, Cobianchi L, Fugazzola P, et al. ECLAPTE: effective closure of laparotomy in emergency-2023 world society of emergency surgery guidelines for the closure of laparotomy in emergency settings. World J Emerg Surg. 2023;18(2):1-22. doi:10.1186/s13017-023-00511-w
Mizell J. Principles of abdominal wall close. UpToDate. 2022;1-33. https://www.uptodate.com/contents/principles-of-abdominal-wall-closure?topicRef=1&source=see_link
Gillespie BM, Chaboyer W, Kang E, Hewitt J, Nieuwenhoven P, Morley N. Postsurgery wound assessment and management practices: A chart audit. J Clin Nurs. 2014a;23(21-22):3250-3261. doi:10.1111/jocn.12574
Montauban P, Balakumar C, Rait J, et al. Impact of the COVID-19 pandemic on the management and outcomes of emergency surgical patients: A retrospective cohort study. J Perioper Pract. 2023;33(1-2):37-47. doi:10.1177/17504589211032625
Rajesh J, Valentelyte G, McNamara DA, Sorensen J. Impact of the COVID-19 pandemic on provision and outcomes of emergency abdominal surgery in Irish public hospitals. Ir J Med Sci. 2022;191(5):2275-2282. doi:10.1007/s11845-021-02857-z
Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32. doi:10.1080/1364557032000119619
Levac D, Colquhoun H, O'Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5(69):1-9. doi:10.1186/1748-5908-5-69
Joanna Briggs Institute (J.B.I.). JBI manual for evidence - the scoping review framework: 11.1.3. 2020 https://jbi-global-wiki.refined.site/space/MANUAL/4687752
Atkins L, Francis J, Islam R, et al. A guide to using the theoretical domains framework of behaviour change to investigate implementation problems. Implement Sci. 2017;12(77):1-18. doi:10.1186/s13012-017-0605-9
Hulbert-Lemmel SL, Madhuvu A, Team V. Acute care nurses' experience in providing evidence-based care for patients with laparotomy wounds: A scoping review protocol. Wound Pract Res. 2023;31(2):74-81. doi:10.33235/wpr.31.2.74-81
Page MJ, McKenzie JE, Bossuyt PM, et al. The P.R.I.S.M.A. 2020 statement: an updated guideline for reporting systematic reviews. Br Med J. 2021;372(71):1-9. doi:10.1136/bmj.n71
Peters M, Godfrey C, Mcinerney P, Soares C, Khalil H, Parker D. Methodology for JBI scoping reviews. 2015 https://nursing.lsuhsc.edu/jbi/docs/reviewersmanuals/scoping-.pdf
Hong QN, Pluye P, Fàbregues S, et al. Mixed methods appraisal tool (MMAT) version 2018. McGill University; 2018 http://mixedmethodsappraisaltoolpublic.pbworks.com/w/file/fetch/127916259/MMAT_2018_criteria-manual_2018-08-01_ENG.pdf
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche P, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet. 2007;370(9596):1453-1457. doi:10.1016/s0140-6736(07)61602-x
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Quality Health Care. 2007;19(6):349-357. doi:10.1093/intqhc/mzm042
Richardson M, Khouja CL, Sutcliffe K, Thomas J. Using the theoretical domains framework and the behavioural change wheel in an overarching synthesis of systematic reviews. BMJ Open. 2019;9:e024950. doi:10.1136/bmjopen-2018-024950
Weller CD, Richards C, Turnour L, Team V. Understanding factors influencing venous leg ulcer guideline implementation in Australian primary care. Int Wound J. 2020;17(3):804-818. doi:10.1111/iwj.13334
Reeves BC, Rooshenas L, Macefield RC, et al. Three wound-dressing strategies to reduce surgical site infection after abdominal surgery: the Bluebelle feasibility study and pilot RCT. Health Technol Assess. 2019;23(39):1-166. doi:10.3310/hta23390
Kielo-Viljamaa E, Suhonen R, Jalonen L, Stolt M. Areas of nursing competence in acute wound care: A focus group study. Collegian. 2021;29(1):44-53. doi:10.1016/j.colegn.2021.04.003
Ding S, Lin F, Marshall AP, Gillespie BM. Nurses' practice in preventing postoperative wound infections: an observational study. J Wound Care. 2017;26(1):28-37. doi:10.12968/jowc.2017.26.1.28
Do HTT, Edwards H, Finlayson K. Postoperative wound assessment documentation and acute care nurses' perception of factors impacting wound documentation: A mixed methods study. Int J Clin Pract. 2021;75(2):e13668. doi:10.1111/ijcp.13668
Lavallée JF, Gray TA, Dumville J, Cullum N. Barriers and facilitators to preventing pressure ulcers in nursing home residents: A qualitative analysis informed by the theoretical domains framework. Int J Nurs Stud. 2018;82:79-89. doi:10.1016/j.ijnurstu.2017.12.015
Paksaite P, Crosskey J, Sula E, West C, Watson M. A systematic review using the theoretical domains framework to identify barriers and facilitators to the adoption of prescribing guidelines. Int J Pharm Pract. 2021;29(1):3-11. doi:10.1111/ijpp.12654
Weller CD, Turnour L, Connelly E, Banaszak-Holl J, Team V. Clinical coders' perspectives on pressure injury coding in acute care services in Victoria, Australia. Front Public Health. 2022;10:1-18. doi:10.3389/fpubh.2022.893482
Azad A, Min J, Syed S, Anderson S. Continued nursing education in low-income and middle-income countries: a narrative synthesis. BMJ Glob Health. 2020;5(2):1-8. doi:10.1136/bmjgh-2019-001981
Gupta J, Patwa MC, Khuu A, Creanga AA. Approaches to motivate physicians and nurses in low- and middle-income countries: a systematic literature review. Hum Resour Health. 2021;19(4):1-20. doi:10.1186/s12960-020-00522-7
Reis JD, Sa-Couto P, Mateus J, et al. Impact of wound dressing changes on nursing workload in an intensive care unit. Int J Environ Res Public Health. 2023;20(5284):1-17. doi:10.3390/ijerph20075284
Tuinman A, de Greef MHG, Krijnen WP, Paans W, Roodbol PF. Accuracy of documentation in the nursing care plan in long-term institutional care. Geriatr Nurs. 2017;38(6):578-583. doi:10.1016/j.gerinurse.2017.04.007
Mutshatshi TE, Mothiba TM, Mamogobo PM, Mbombi MO. Record-keeping: challenges experienced by nurses in selected public hospitals. Curationis. 2018;41(1):1-6. doi:10.4102/curationis.v41i1.1931
Obilor HN, Omolara AB, Ani OB. A survey of nurses' wound assessment knowledge, attitude and competence in Nigeria. Wound Pract Res. 2021;29(3):140-147. doi:10.33235/wpr.29.3.140-147
Tasew H, Mariye T, Teklay G. Nursing documentation practice and associated factors among nurses in public hospitals, Tigray, Ethiopia. BMC Res Notes. 2019;12(612):1-6. doi:10.1186/s13104-019-4661-x
McCluskey P, McCarthy G. Nurses' knowledge and competence in wound management. Wounds UK. 2012;8(2):37-47. https://web.p.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=0&sid=61c5cdba-4b37-4602-ab23-77724d465aae%40redis
Vains AS, Finlayson K. How generalist nurses inform their clinical decision-making in wound management: A scoping review. Wound Pract Res. 2021;30(2):112-118. doi:10.33235/wpr.30.2.112-118
Welsh L, Lusher J. A reflexive thematic analysis of the patterns of knowing in wound management amongst specialist and generalist nurses. Nurs Forum. 2022;57(3):358-373. doi:10.1111/nuf.12691
Blackburn J, Ousey K, Stephenson J. Nurses' education, confidence, and competence in appropriate dressing choice. Adv Skin Wound Care. 2019;32(10):470-476. doi:10.1097/01.ASW.0000577132.81124.88
Zarchi K, Latif S, Haugaard VB, Hjalager IR, Jemec GB. Significant differences in nurses' knowledge of basic wound management - implications for treatment. Acta Derm Venereol. 2014;94(4):403-407. doi:10.2340/00015555-1770
Department of Foreign Affairs and Trade. Joint statement on the establishment of a strategic partnership between Australia and Vietnam. 2018 https://www.dfat.gov.au/geo/vietnam/Pages/joint-statement-on-the-establishment-of-a-strategic-partnership-between-australia-and-viet-nam
Altaweli R, Alzamanan M, Ashour Y, Aldawsari Z. Management of acute surgical wounds in Saudi Arabia: nursing staff knowledge and practice. J Wound Care. 2023;32(1):9-18. doi:10.12968/jowc.2023.32.Sup1.S9
Ding S, Lin F, Gillespie BM. Surgical wound assessment and documentation of nurses: an integrative review. J Wound Care. 2016;25(5):232-240. doi:10.12968/jowc.2016.25.5.232
Greatrex-White S, Moxey H. Wound assessment tools and nurses' needs: an evaluation study. Int Wound J. 2015;12(3):293-301. doi:10.1111/iwj.12100
Liberato de Moura MR, Dowsett C, Bain K, Bain M. Advancing practice in holistic wound management: A consensus-based call to action. Wounds Int. 2020;11(4):70-75. https://woundsinternational.com/wp-content/uploads/sites/8/2023/02/35f4cc796a2bbbdc5bb8dc476a680514.pdf
Lindsay E, Renyi R, Wilkie P, et al. Patient-centred care: A call to action for wound management. J Wound Care. 2017;26(11):662-677. doi:10.12968/jowc.2017.26.11.662
Bishop A. Wound assessment and dressing selection: an overview. Br J Nurs. 2021;30(5):12-20. doi:10.12968/bjon.2021.30.5.S12
Hussey G, Young T. The impact of psychological factors on wound healing. Wounds Int. 2020;11(4):58-62. https://woundsinternational.com/wp-content/uploads/sites/8/2023/02/e265031ed764f32e01098046e3b29a58.pdf
Critical Appraisal Skills Programme (CASP). C.A.S.P. checklists. 2022 https://casp-uk.net/casp-tools-checklists/
O'Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014;89(9):1245-1251. doi:10.1097/ACM.0000000000000388