Management of Nonhealable and Maintenance Wounds: A Systematic Integrative Review and Referral Pathway
Rattachement africain : Afrique du Sud, bh. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
GENERAL PURPOSE: To synthesize the evidence regarding nonhealable and maintenance wound management and propose an interprofessional referral pathway for wound management. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES: After participating in this continuing professional development activity, the participant will apply knowledge gained to:1. Identify the ideas from the authors' systematic review that could prove useful in understanding nonhealable and maintenance wound management.2. Select evidence-based management strategies for nonhealable and maintenance wound management. ABSTRACT: OBJECTIVEThis systematic integrative review aims to identify, appraise, analyze, and synthesize evidence regarding nonhealable and maintenance wound management to guide clinical practice. An interprofessional referral pathway for wound management is proposed. DATA SOURCES: An electronic search of Scopus, Web of Science, PubMed, Academic Search Ultimate, Africa-Wide Information, Cumulative Index of Nursing and Allied Health Literature database with Full Text, Health Source: ConsumerEdition, Health Source: Nursing/Academic Edition, and MEDLINE was conducted for publications from 2011 to 2019. Search terms included (nonhealable/nonhealing, chronic, stalled, recurring, delayed healing, hard-to-heal) and wound types most associated with nonhealable or maintenance wounds. Published studies were hand searched by the authors. STUDY SELECTION: Studies were appraised using two quality appraisal tools. Thirteen reviews, six best-practice guidelines, three consensus studies, and six original nonexperimental studies were selected. DATA EXTRACTION: Data were extracted using a coding framework including treatment of underlying causes, patient-centered concerns, local wound care, alternative outcomes, health dialogue needs, challenges within resource restricted contexts, and prevention. DATA SYNTHESIS: Data were clustered by five wound types and local wound bed factors; further, commonalities were identified and reported as themes and subthemes. CONCLUSIONS: Strong evidence on the clinical management of nonhealable wounds is limited. Few studies describe outcomes specific to maintenance care. Patient-centered care, timely intervention by skilled healthcare providers, and involvement of the interprofessional team emerged as the central themes of effective management of maintenance and nonhealable wounds.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Management of Nonhealable and Maintenance Wounds: A Systematic Integrative Review and Referral Pathway
- Date Crossref
- 01/01/2021
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of South Africa Lecturer Pretoria, Afrique du Sud (code pays fourni par la source)Université ou école supérieure
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University of the Free State Department of Plastic and Reconstructive Surgery Bloemfontein, Afrique du Sud (code pays fourni par la source)Université ou école supérieure
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North-West University Afrique du Sud (code pays fourni par la source)Université ou école supérieure
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Tygerberg Hospital Afrique du Sud (code pays fourni par la source)Établissement de santé
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King Hamad University Hospital Wound Care & Hyperbaric Oxygen Therapy Unit pays non établi dans la noticeÉtablissement de santé
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Kimberley Hospital Afrique du Sud (code pays fourni par la source)Établissement de santé
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Right to Care Afrique du Sud (code pays fourni par la source)Organisation à but non lucratif
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Acknowledgments: The authors thank Brinsley Davids pays non établi dans la noticeInstitution
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Clinical Nurse Specialist Johannesburg, Afrique du Sud (pays nommé en fin d’affiliation)Établissement de santé
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Clinical Wound Care Nurse Cape Town, Afrique du Sud (pays nommé en fin d’affiliation)Établissement de santé
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Dr Annatjie Van der Wath for providing training on principles of qualitative analysis pays non établi dans la noticeInstitution
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faculty Dr Nick Kairinos for critical review of this article. The Wound Healing Association of Southern Africa sponsored the subscription fee for the Evidence for Policy and Practice Information Reviewer software. No other project funding was received. The author pays non établi dans la noticeUniversité ou école supérieure
Lecturer — University of South Africa (Pretoria, Afrique du Sud), Department of Plastic and Reconstructive Surgery — University of the Free State (Bloemfontein, Afrique du Sud) et North-West University (Afrique du Sud), avec 9 autres affiliations. Pays d’affiliation : Afrique du Sud.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.