Seaton PCJ, Cant RP, Trip HT, et al.
International wound journal. Date of publication 2020 Jun 1;volume 17(3):587-600.
1. Int Wound J. 2020 Jun;17(3):587-600. doi: 10.1111/iwj.13308. Epub 2020 Feb 7.
Quality indicators for a community-based wound care centre: An integrative
review.
Seaton PCJ(1), Cant RP(2)(3), Trip HT(1).
Author information:
(1)Centre for Postgraduate Nursing Studies, University of Otago, Christchurch,
New Zealand.
(2)Monash University, Melbourne, Victoria, Australia.
(3)Federation University, Churchill, Victoria, Australia.
The purpose of this review was to identify the role and contribution of
community-based nurse-led wound care as a service delivery model. Centres
increasingly respond proactively to assess and manage wounds at all stages - not
only chronic wound care. We conducted an integrative review of literature,
searching five databases, 2007-2018. Based on inclusion and exclusion criteria,
we systematically approached article selection and all three authors
collaborated to chart the study variables, evaluate data, and synthesise
results. Eighteen studies were included, representing a range of care models
internationally. The findings showed a need for nurse-led clinics to provide
evidence-based care using best practice guidelines for all wound types. Wound
care practices should be standardised across the particular service and be
integrated with higher levels of resources such as investigative services and
surgical units. A multi-disciplinary approach was likely to achieve better
patient outcomes, while patient-centred care with strong patient engagement was
likely to assist patients' compliance with treatment. High-quality
community-based wound services should include nursing leadership based on a
hub-and-spoke model. This is ideally patient-centred, evidence-based, and
underpinned by a commitment to developing innovations in terms of treatment
modalities, accessibility, and patient engagement.
© 2020 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
DOI: 10.1111/iwj.13308
PMCID: PMC7949261
PMID: 32030879 [Indexed for MEDLINE]
Conflict of interest statement: The authors declare that they have no conflict
of interest.
