Assessment and documentation of non-healing, chronic wounds in
inpatient health care facilities in the Czech Republic: an
evaluation study

J 2015

Assessment and documentation of non-healing, chronic wounds in inpatient health care facilities in the Czech Republic: an evaluation study

POKORNÁ, Andrea a David LEAPER

Základní údaje

Originální název

Assessment and documentation of non-healing, chronic wounds in inpatient health care facilities in the Czech Republic: an evaluation study

Autoři

POKORNÁ, Andrea a David LEAPER

Vydání

International Wound Journal, Hoboken, Wiley-Blackwell, 2015, 1742-4801

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 2.594

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/15:00082129

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Chronic wounds; Clinical guidelines; Nursing practice; Wound assessment; Wound management

Štítky

EL OK

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 27. 4. 2015 12:16, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

The foundation of health care management of patients with non-healing, chronic wounds needs accurate evaluation followed by the selection of an appropriate therapeutic strategy. Assessment of non-healing, chronic wounds in clinical practice in the Czech Republic is not standardised. The aim of this study was to analyse the methods being used to assess non-healing, chronic wounds in inpatient facilities in the Czech Republic. The research was carried out at 77 inpatient medical facilities (8 university/faculty hospitals, 63 hospitals and 6 long- term hospitals) across all regions of the Czech Republic. A mixed model was used for the research (participatory observation including creation of field notes and content analysis of documents for documentation and analysis of qualitative and quantitative data). The results of this research have corroborated the suspicion of inconsistencies in procedures used by general nurses for assessment of non-healing, chronic wounds. However, the situation was found to be more positive with regard to evaluation of basic/fundamental parameters of a wound (e.g. size, depth and location of a wound) compared with the evaluation of more specific parameters (e.g. exudate or signs of infection). This included not only the number of observed variables, but also the action taken. Both were significantly improved when a consultant for wound healing was present (P=0047). The same applied to facilities possessing a certificate of quality issued by the Czech Wound Management Association (P=0010). In conclusion, an effective strategy for wound management depends on the method and scope of the assessment of non-healing, chronic wounds in place in clinical practice in observed facilities; improvement may be expected following the general introduction of a non-healing, chronic wound assessment' algorithm.

Návaznosti

MUNI/A/0948/2013, interní kód MU

Název: Příprava a implementace ošetřovatelského doporučeného postupu v péči o nemocné s nehojící se ránou – objektivizující diagnostika v zařízeních sociální péče (Akronym: KDP-ODSZ)

Investor: Masarykova univerzita, Příprava a implementace ošetřovatelského doporučeného postupu v péči o nemocné s nehojící se ránou – objektivizující diagnostika v zařízeních sociální péče, DO R. 2020_Kategorie A - Specifický výzkum - Studentské výzkumné projekty

Citovat

POKORNÁ, Andrea a David LEAPER. Assessment and documentation of non-healing, chronic wounds in inpatient health care facilities in the Czech Republic: an evaluation study. International Wound Journal. Hoboken: Wiley-Blackwell, 2015, roč. 12, č. 2, s. 224-231. ISSN 1742-4801. Dostupné z: https://doi.org/10.1111/iwj.12372.

@article{1202037,
   author = {Pokorná, Andrea and Leaper, David},
   article_location = {Hoboken},
   article_number = {2},
   doi = {https://doi.org/10.1111/iwj.12372},
   keywords = {Chronic wounds; Clinical guidelines; Nursing practice; Wound assessment; Wound management},
   language = {eng},
   issn = {1742-4801},
   journal = {International Wound Journal},
   title = {Assessment and documentation of non-healing, chronic wounds in inpatient health care facilities in the Czech Republic: an evaluation study},
   volume = {12},
   year = {2015}
}

TY  - JOUR
ID  - 1202037
AU  - Pokorná, Andrea - Leaper, David
PY  - 2015
TI  - Assessment and documentation of non-healing, chronic wounds in inpatient health care facilities in the Czech Republic: an evaluation study
JF  - International Wound Journal
VL  - 12
IS  - 2
SP  - 224-231
EP  - 224-231
PB  - Wiley-Blackwell
SN  - 17424801
KW  - Chronic wounds
KW  - Clinical guidelines
KW  - Nursing practice
KW  - Wound assessment
KW  - Wound management
N2  - The foundation of health care management of patients with non-healing, chronic wounds needs accurate evaluation followed by the selection of an appropriate therapeutic strategy. Assessment of non-healing, chronic wounds in clinical practice in the Czech Republic is not standardised. The aim of this study was to analyse the methods being used to assess non-healing, chronic wounds in inpatient facilities in the Czech Republic. The research was carried out at 77 inpatient medical facilities (8 university/faculty hospitals, 63 hospitals and 6 long- term hospitals) across all regions of the Czech Republic. A mixed model was used for the research (participatory observation including creation of field notes and content analysis of documents for documentation and analysis of qualitative and quantitative data). The results of this research have corroborated the suspicion of inconsistencies in procedures used by general nurses for assessment of non-healing, chronic wounds. However, the situation was found to be more positive with regard to evaluation of basic/fundamental parameters of a wound (e.g. size, depth and location of a wound) compared with the evaluation of more specific parameters (e.g. exudate or signs of infection). This included not only the number of observed variables, but also the action taken. Both were significantly improved when a consultant for wound healing was present (P=0047). The same applied to facilities possessing a certificate of quality issued by the Czech Wound Management Association (P=0010). In conclusion, an effective strategy for wound management depends on the method and scope of the assessment of non-healing, chronic wounds in place in clinical practice in observed facilities; improvement may be expected following the general introduction of a non-healing, chronic wound assessment' algorithm.
ER  -

POKORNÁ, Andrea a David LEAPER. Assessment and documentation of non-healing, chronic wounds in inpatient health care facilities in the Czech Republic: an evaluation study. \textit{International Wound Journal}. Hoboken: Wiley-Blackwell, 2015, roč.~12, č.~2, s.~224-231. ISSN~1742-4801. Dostupné z: https://doi.org/10.1111/iwj.12372.

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