The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers
| Autor: | Francisco Pedro García-Fernández, María Gutiérrez-García, Juan Francisco Jiménez-García, Josefina Arboledas-Bellón, Francisco González-Jiménez, Nieves Lafuente-Robles, Laura Parra-Anguita, Gabriel Aguilera-Manrique |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Referral Health Toxicology and Mutagenesis medicine.medical_treatment effectiveness Total population Elastic bandage Article Varicose Ulcer 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Medicine Humans In patient 030212 general & internal medicine advanced practice nurse Response rate (survey) Advanced Practice Nursing Wound Healing 030504 nursing business.industry Wound Closure Techniques Public Health Environmental and Occupational Health complex chronic wounds Bandages venous ulcers Treatment Outcome Emergency medicine Chronic Disease Advanced Practice Nurses Female 0305 other medical science business Bandage |
| Zdroj: | International Journal of Environmental Research and Public Health riUAL. Repositorio Institucional de la Universidad de Almería Universidad de Almería Volume 16 Issue 24 |
| Popis: | This study aims to evaluate the effectiveness of advanced practice nurses with respect to complex chronic wounds (APN-CCWs) in the care of patients with venous ulcers. A multicentric, quasi-experimental pre-post study was conducted without a control group in the sanitary management areas where the APN-CCW program is being piloted. The intervention consisted of a mass training of clinical nurses from the participating districts on the proper management of injuries and the use of compression therapy. The data were collected through a specifically constructed questionnaire with questions regarding descriptive variables of injuries and their treatment. A total of 643 professionals responded (response rate of 89.1%), attending to a total population of 707,814 inhabitants. An increase in multilayer bandage use by 15.67%, an increase in elastic bandage use by 13.24%, and a significant decrease in the referral of patients to consultation with hospital specialists was achieved, from 21.08% to 12.34%. The number of patients referred to the APNs was 13.25%, which implied a resolution rate of 94.08% of their injuries. In conclusion, the coordination by the APN-CCWs in patients with venous ulcers was effective in improving the continuity of care, in the optimization of resources, and in their care role. |
| Databáze: | OpenAIRE |
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