Complex wound care by a nurse practitioner in primary care: a quality improvement evaluation on healing rates, costs and patient satisfaction

Abstract

Complex wounds are a major burden for healthcare professionals. Patients with complex wounds are often referred to hospitals or wound expertise centres. Complex wound care could be organised in primary care, but very little published evidence for this is available. In this study, members of a primary healthcare organisation were interviewed to ascertain how the wound care was organised. Patient characteristics and data regarding wound care, healing rates and costs were collected from medical records. Patients filled in a questionnaire concerning accessibility, communication, medical counselling and the overall experience of their treatment. This study followed 25 patients with a total of 42 wounds. Some 82% of the wounds were healed within a mean treatment duration of 9.7 weeks. Mean treatment costs were calculated at €155 (£130) for healed patients. Patients were generally very satisfied with their treatment, illustrated by an overall 8.7 out of 10 scoring on an amended survey based on the Consumer Quality Index. Treating complex wounds in primary care seemed adequate, with high patient satisfaction and tolerable costs.

Wound management provided by advanced practice nurses: a scoping review

“…Seven articles published between 2012 and 2021 were included in this review. Three sources were from the United States, 34–36 2 from Australia, 33,37 and 1 each from Canada 38 and The Netherlands 39 . A retrospective design was used in 3 of the sources 33,35,36 .…”

“…The wound care service included treating various types of wounds. Lastly, the source from The Netherlands 39 utilized a quasi-experimental design to implement a quality improvement measure in which NP-led chronic wound care was implemented in the community setting. The NP had advanced wound care education.…”

“…As previously discussed, based on the absence of any mention of wound care education, many articles did not meet our inclusion criteria. Furthermore, many of the included articles were retrospective quality improvement audits, 33,35,36,39 which have design limitations. Retrospective chart audits may contain incomplete or missing data or inconsistent documentation between providers 51 …”

Edukasi Pemilihan Balutan Meningkatkan Kemampuan Praktik Perawatan Luka Dalam Kegiatan Home Care Bagi Alumni Prodi Keperawatan Baturaja

“…Luka dianggap telah sembuh walau akhirnya malah menimbulkan bekas menghitam dan jaringan parut. Anggapan bahwa luka yang telah mengering adalah kondisi luka yang telah sembuh inilah yang harus diubah karena tidak sesuai dengan prinsip penyembuhan luka (Taidouch, Crouwers, & Spigt, 2021).…”

The effectiveness of advanced practice registered nurses with wound care specialization in the home setting on wound resolution and healthcare utilizationhe Home Setting on Wound Resolution and Healthcare Utilization

“…Several researchers have concentrated on the impact of advanced practice registered nurses (APRNs) within the home setting and in transitional models between settings with positive outcomes, but were not specific to wound care. [2,[10][11][12][13][14][15][16][17][18] Coppa [10] found hospitalizations and readmits significantly decreased where APRNs did autonomous primary care delivery for 82 homebound patients. In contrast, Jones et al [11] used primary care co-management between the Medical Doctor (MD) and the APRN for 87 HH patients.…”