Graduating student nurses' and student podiatrists' wound care competence – An integrative literature review

Kielo, Emilia; Salminen, Leena; Stolt, Minna

doi:10.1016/j.nepr.2017.11.002

Cited by 27 publications

(18 citation statements)

References 32 publications

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“…However, neither the home-care nurses nor the community nurses receive formal education on wound care and there is no difference in wound-care knowledge between bachelor’s degree students with or without any previous medical education [63]. Indeed, our findings are similar to those of other studies on populations in other countries [64,65], and this issue (the lack of a clear, long-term home-based strategy for wound care in VLU patients) is due to inconsistent nursing education and specifically wound-care education in nursing. Inconsistency in nursing education, lack of both patient understanding and provider expertise can promote an increased risk for patient nonadherence due to unintentional acceptance of antiquated treatment theory and a potentially less than fully reasoned or effective approach to the wound treatment plan of care [66,67].…”

Section: Discussionsupporting

confidence: 85%

“Wounds Home Alone”—Why and How Venous Leg Ulcer Patients Self-Treat Their Ulcer: A Qualitative Content Study

Žulec

Rotar-Pavlič

Puharić³

et al. 2019

IJERPH

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Background: Venous leg ulcers (VLUs), the most common type of leg ulcerations, have long healing times and high recurrence rates; reimbursement rules and a general shortage of nursing staff have put self-treatment into focus. The study aimed to investigate why and how patients with VLUs self-treat their ulcers. Methods: Patients with VLUs (N = 32) were selected by criterion sampling for a multicentric qualitative study using semi-structured interviews. The interviews were analyzed via inductive qualitative content analysis. Results: More than two-thirds of participants sometimes self-treated VLU and one quarter changed their prescribed treatment. Experiences were expressed through four themes as follows: (a) current local VLU therapy; (b) VLU self-treatment; (c) patient education; and (d) psychosocial issues. The main reasons for self-treatment were a lack of healthcare resources, reimbursement restrictions, and dissatisfaction with conventional treatment together with insufficient knowledge about the wound-healing process and possible side effects. No educational materials were provided for patients or caregivers. Many patients adopted homemade remedies. Conclusion: Patients with VLUs practice self-care due to limited healthcare availability, a low awareness of the causes of their condition, and the effects of therapy on VLU healing. Future educational intervention is needed to enhance self-treatment.

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Section: Discussionsupporting

confidence: 85%

“Wounds Home Alone”—Why and How Venous Leg Ulcer Patients Self-Treat Their Ulcer: A Qualitative Content Study

Žulec

Rotar-Pavlič

Puharić³

et al. 2019

IJERPH

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“…At the moment, information of evidence‐based PU prevention exists, but it is not used. Also, Kielo, Salminen, and Stolt () stated that nursing students’ knowledge in the prevention of wounds is poor. This review may serve as a source when educating nursing students to search for information on evidence‐based practices in wound prevention.…”

Section: Discussionmentioning

confidence: 99%

Preventive interventions for pressure ulcers in long‐term older people care facilities: A systematic review

Mäki-Turja-Rostedt

Stolt

Leino‐Kilpi

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To explore the effectiveness of interventions aimed at pressure ulcer (PU) prevention in long‐term older people care facilities (LOPC). Background Pressure ulcers cause suffering for patients and constitute a major financial burden. Although most PUs could be prevented, their number has remained high. To avoid unnecessary suffering and costs, PU prevention must be effective. Design A systematic review. Methods A systematic search was conducted in six electronic databases PubMed (MEDLINE), CINAHL, Web of Science Core Collection, Scopus, Cochrane Wounds Group Specialized Register and Cochrane Central Register of Controlled Trials. The inclusion criteria were: (a) study published in 2005–2017, (b) intervention with pre‐ and post‐tests, focusing on PU prevention, (c) implemented in LOPC facilities, (d) persons >65 years as study population, and (e) outcomes reported as PU incidence or prevalence or healing time. The PRISMA guidelines were followed. The methodological quality of the studies was evaluated using the Joanna Briggs Institute's MAStARI critical appraisal checklist. The data were analysed with narrative synthesis. Results The review included eighteen studies. The study designs were RCTs (n = 10), comparable cohort or case–control studies (n = 3), and descriptive or case series (n = 5). PU incidence in LOPC facilities decreased by using computerised decision‐making support systems, PU prevention programmes, repositioning or advanced cushions. PU prevalence decreased with PU prevention programmes, by using advanced mattresses and overlays, or by adding protein and energy supplements to diet. Conclusions There are many ways to prevent PUs in LOPC facilities; no single effective way can be identified. One‐third of the preventive interventions in LOPC facilities were effective. However, systematic evidence from randomised trials on preventive interventions of PUs in LOPC settings is still lacking. Relevance to clinical practice The findings can be used in practice for selecting and in research for developing effective preventive interventions of PUs in LOPC facilities.

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“…Furthermore, a previous literature review has shown that nurses and graduating student nurses have limited competence in wound care (Kielo et al, ). Those studies in the review have mostly focused on knowledge of, and attitudes towards, wound care.…”

Section: Resultsmentioning

confidence: 99%

“…In nursing research, the concept of competence is multidimensional (Kajander‐Unkuri, Salminen, Saarikoski, Suhonen, & Leino‐Kilpi, ), and in this study, competence is defined as a combination of knowledge, performance, skills, values and attitudes in accordance with Cowan, Norman, and Coopamah (). According to previous studies, competence in wound care is limited among registered nurses (e.g., Welsh, ; Ylönen et al, ) and graduating student nurses (Kielo, Salminen, & Stolt, ).…”

Section: Introductionmentioning

confidence: 99%

Competence areas for registered nurses and podiatrists in chronic wound care, and their role in wound care practice

Kielo

Suhonen

Salminen

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To identify general competence areas for graduating registered nurses and podiatrists providing chronic wound care. Background The provision of care for chronic wounds involves a team of multiple professionals, and registered nurses and podiatrists play an important role. However, previous studies have found that registered nurses have limited competence in wound care. In addition, there are no standardised international competence areas for the provision of chronic wound care by registered nurses and podiatrists. Design A qualitative design was used in this study. Methods The data were collected using six focus‐group interviews with the following professionals: (a) registered nurses; (b) authorised wound care nurses; (c) nurse educators; (d) physicians; (e) podiatrists; and (f) podiatry educators (N = 23). The data were analysed using inductive and deductive content analysis. COREQ guidelines were followed, See Appendix S1. Results The competence areas for registered nurses and podiatrists providing care for chronic wounds include knowledge, skills and performance in anatomy and physiology; aetiology, care and prevention of chronic wounds; and wound management and assessment. The competence areas also include a set of attitudes and values relating to chronic wound care and patients with chronic wounds. Conclusions In nursing and podiatry education and in working life, teaching should focus on these areas of competence in chronic wound care. This would standardise and integrate education on wound care, especially that of chronic wounds. Relevance to clinical practice Wound care is an important part of clinical practice in nursing and podiatry. It is suggested that registered nurses and podiatrists need general competence in chronic wound care to carry out evidence‐based, safe, high‐quality and cost‐effective care. These results could be used to define registered nurses’ and podiatrists’ competence areas and roles in evidence‐based wound care as independent healthcare professionals.

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Graduating student nurses' and student podiatrists' wound care competence – An integrative literature review

Cited by 27 publications

References 32 publications

“Wounds Home Alone”—Why and How Venous Leg Ulcer Patients Self-Treat Their Ulcer: A Qualitative Content Study

“Wounds Home Alone”—Why and How Venous Leg Ulcer Patients Self-Treat Their Ulcer: A Qualitative Content Study

Preventive interventions for pressure ulcers in long‐term older people care facilities: A systematic review

Competence areas for registered nurses and podiatrists in chronic wound care, and their role in wound care practice

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