The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers
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 A...
| Main Authors: | , , , , , , , |
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| Format: | info:eu-repo/semantics/article |
| Language: | English |
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MDPI
2020
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| Subjects: | |
| Online Access: | http://hdl.handle.net/10835/7311 |
| _version_ | 1789408415867469824 |
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| author | Jiménez García, Juan Francisco Aguilera Manrique, Gabriel Arboledas Bellón, Josefina Gutiérrez García, María González Jiménez, Francisco Lafuente Robles, Nieves Parra Anguita, Laura García Fernández, Francisco Pedro |
| author_facet | Jiménez García, Juan Francisco Aguilera Manrique, Gabriel Arboledas Bellón, Josefina Gutiérrez García, María González Jiménez, Francisco Lafuente Robles, Nieves Parra Anguita, Laura García Fernández, Francisco Pedro |
| author_sort | Jiménez García, Juan Francisco |
| collection | DSpace |
| description | 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. |
| format | info:eu-repo/semantics/article |
| id | oai:repositorio.ual.es:10835-7311 |
| institution | Universidad de Cuenca |
| language | English |
| publishDate | 2020 |
| publisher | MDPI |
| record_format | dspace |
| spelling | oai:repositorio.ual.es:10835-73112023-04-12T19:19:17Z The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers Jiménez García, Juan Francisco Aguilera Manrique, Gabriel Arboledas Bellón, Josefina Gutiérrez García, María González Jiménez, Francisco Lafuente Robles, Nieves Parra Anguita, Laura García Fernández, Francisco Pedro venous ulcers effectiveness advanced practice nurse complex chronic wounds 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. 2020-01-16T07:37:43Z 2020-01-16T07:37:43Z 2019-12-11 info:eu-repo/semantics/article 1660-4601 http://hdl.handle.net/10835/7311 en https://www.mdpi.com/1660-4601/16/24/5037 Attribution-NonCommercial-NoDerivatives 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess MDPI |
| spellingShingle | venous ulcers effectiveness advanced practice nurse complex chronic wounds Jiménez García, Juan Francisco Aguilera Manrique, Gabriel Arboledas Bellón, Josefina Gutiérrez García, María González Jiménez, Francisco Lafuente Robles, Nieves Parra Anguita, Laura García Fernández, Francisco Pedro The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers |
| title | The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers |
| title_full | The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers |
| title_fullStr | The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers |
| title_full_unstemmed | The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers |
| title_short | The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers |
| title_sort | effectiveness of advanced practice nurses with respect to complex chronic wounds in the management of venous ulcers |
| topic | venous ulcers effectiveness advanced practice nurse complex chronic wounds |
| url | http://hdl.handle.net/10835/7311 |
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