Surgical wound assessment and documentation of nurses: an integrative review

Ding, Shuying; Lin, Frances; Gillespie, Brigid M.

doi:10.12968/jowc.2016.25.5.232

Cited by 32 publications

(34 citation statements)

References 28 publications

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“…The findings from this study stress the need to develop interventions that are designed to standardise documentation practices in this hospital, a finding consistent with evidence from current literature (Ding et al, ). Understandably, clear and complete wound care documentation helps healthcare professionals to communicate and track patients’ wound healing process.…”

Section: Discussionsupporting

confidence: 89%

“…Marshall, West, and Aitken (2013) reported that nurses often used their peers as source of knowledge. A recent integrative review identified very few studies which investigated wound documentation practices, but where documentation was reported, it was often described as incomplete or inconsistent (Ding, Lin, & Gillespie, 2016;Gillespie, Chaboyer, Kang et al, 2014). These findings highlight the need to explore why there is limited adherence to wound care CPGs in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

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Preventing surgical site infections: Facilitators and barriers to nurses’ adherence to clinical practice guidelines—A qualitative study

Lin

Gillespie

Chaboyer

et al. 2019

Journal of Clinical Nursing

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Aims To identify the facilitators of and barriers to nurses’ adherence to evidence‐based wound care clinical practice guidelines (CPGs) in preventing surgical site infections (SSIs) in an Australian tertiary hospital. Background Current research suggests that up to 50% of nurses are unaware of the evidence‐based recommendations to prevent SSIs and that adherence to evidence‐based CPGs is suboptimal. However, little is known regarding the facilitators and barriers to adherence to evidence‐based CPGs. Design A qualitative study incorporating ethnographic data collection techniques. Methods Data collection included semi‐structured individual interviews and focus groups (N = 20), and examination of existing hospital policy and procedure documents. Thematic analysis using inductive and deductive approaches was conducted. This manuscript adheres to the COnsolidated criteria for REporting Qualitative research (COREQ) guidelines. Findings Data analysis revealed four themes: adhering to aseptic technique, knowledge and information seeking, documenting wound care and educating and involving patients in wound care. Facilitators and barriers within each theme were identified. Facilitators included participants’ active information‐seeking behaviour, a clear understanding of the importance of aseptic technique, and patient participation in wound care. Barriers included participants’ knowledge and skills deficits regarding application of aseptic technique principles in practice, the availability of the hospital's wound care procedure document, suboptimal wound care documentation and the timing of patient education. Conclusions There is a need to develop interventions to improve nurses’ adherence to recommended CPGs including following aseptic technique principles, hand hygiene, documentation and patient education. Hospital procedure documents that outline wound care need to reflect current recommended CPGs. Relevance to clinical practice Adhering to evidence‐based CPGs has been found to be effective in reducing and preventing SSIs. Our study provides an in‐depth understanding of the barriers and facilitators to nurses’ adherence to recommended CPGs. The findings may inform future practice improvements in wound care.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Preventing surgical site infections: Facilitators and barriers to nurses’ adherence to clinical practice guidelines—A qualitative study

Lin

Gillespie

Chaboyer

et al. 2019

Journal of Clinical Nursing

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“…The aim of this study was to describe, through observations, nurses' surgical wound practices in an acute university hospital in Australia. To the best of our knowledge, 27 this study is the first to examine nurses' practices prospectively, and thus provides a baseline for further research in this area. The results of this study suggest that there are some incongruencies in the uptake of guidelines on aseptic technique in surgical wound care.…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, no audit tool is available and no cross-sectional observational study has been conducted on nurses' management of surgical wounds healing by primary intention. 27…”

mentioning

confidence: 99%

Nurses' practice in preventing postoperative wound infections: an observational study

et al. 2017

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Despite surgical wound care guideline recommendations on aseptic technique compliance, patient education, wound assessment and documentation practices, there is a clear gap between recommended and observed wound care practice. This study highlights an area where clinical practice is not reflective of evidence-based recommendations, suggesting that to minimise SSI as an adverse event, practice should be evaluated and strategies incorporating evidence into practice are explored.

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“…Further studies are needed, however, to understand how nursing documentation and patient/family education may be improved in local practice (Ding et al. ). Quality documentation is imperative as it facilitates the nursing process and enables effective communication between healthcare professionals (Ousey & Cook ).…”

Section: Discussionmentioning

confidence: 99%

Nursing wound care practices in Haiti: facilitators and barriers to quality care

Timmins

Riché²,

Saint-Jean³

et al. 2018

International Nursing Review

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Surgical wound assessment and documentation of nurses: an integrative review

Abstract: The authors declare that they have no conflict of interest.

Cited by 32 publications

References 28 publications

Preventing surgical site infections: Facilitators and barriers to nurses’ adherence to clinical practice guidelines—A qualitative study

Preventing surgical site infections: Facilitators and barriers to nurses’ adherence to clinical practice guidelines—A qualitative study

Nurses' practice in preventing postoperative wound infections: an observational study

Nursing wound care practices in Haiti: facilitators and barriers to quality care

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