Vacuum‐assisted closure home care training: a process to link education to improved patient outcomes

Abstract

Negative pressure wound therapy (NPWT) applies subatmospheric pressure across the wound bed inducing cellular and molecular changes that are beneficial to wound healing. This healing modality may facilitate tissue debridement, infection/inflammation control, and moisture balance; the key components of the wound bed preparation paradigm. To ensure that scientific evidence is diffused into daily clinical practice, we are proposing a knowledge transfer model that articulates an educational plan for the various levels of professional development. The discussion highlights the challenges and potential solutions to integrate NPWT into a seamless continuum of care including a community-based patient care model.

Étude descriptive des facilitateurs et des obstacles dans le transfert des connaissances en soins de plaies chez des infirmiers et des infirmières nouvellement diplômées travaillant au Québec

“…Cependant, on remarque malheureusement en clinique que les traitements en soins de plaies ne sont pas toujours basés sur ces recommandations. Woo et Sibbald soulignent qu'un déficit du transfert des données probantes à la pratique en soins de plaies perdure malgré la disponibilité de lignes directrices (19). En ce sens, Jones, Fennie et Lenihan ont examiné la pratique clinique des soins de plaies chroniques dans une étude rétrospective sur 400 dossiers patients de multiples milieux (20).…”

“…Étant donné qu'un facteur perçu comme un obstacle peut aussi être reconnu comme un facilitateur [14,19], l'étude a porté sur ces deux composantes. Dans le respect de ce cadre de référence, le terme « données probantes » sera utilisé pour désigner les différentes appellations comme pratiques exemplaires, meilleures pratiques, pratique basée sur des preuves (evidence based practice) et lignes directrices.…”

Clinical and economic consequences of discharge from hospital with on-going TNP therapy: A pilot study

“…Despite the potential advantages associated with the use of TNP in home-based wound healing, there are a number of challenges which may impede the uptake of this technology [7], although most can be overcome. These include:…”

Perspectives on the Process of Negative Pressure Wound Therapy at Home in Patients With Chronic Wound: A Qualitative Descriptive Study

“…By balancing wound fluid, improving microcirculation, and controlling infection, NPWT may speed up the preparation of wound bed and stimulate wound healing. 8,9 With the improvement of apparatus and technique, there are more and more wound professionals trying the treatment to heal recalcitrant wounds. 10 Although NPWT is an effective treatment, it is not a completely safe treatment, and sometimes, there are adverse effects including pain, bleeding, and retention of the dressing, infection, skin maceration.…”