School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley, Scotland.
Int Wound J. 2018 Feb;15(1):53-61. doi: 10.1111/iwj.12822. Epub 2017 Oct 17.
The aims of this study were to determine the knowledge and skills of nurses involved in wound care, to provide a critical overview of the current evidence base underpinning wound care and to determine the extent of utilisation of existing evidence by nurses involved in the management of wounds in practice. A semi-systematic review of the literature was undertaken on Cinahl, Medline Science Direct and Cochrane using the search terms: wound, tissue viability, education, nurse, with limitations set for dates between 2009 and 2017 and English language. Shortfalls were found in the evidence base underpinning wound care and in links between evidence and practice, prevalence of ritualistic practice and in structured education at pre- and post-registration levels. The evidence underpinning wound care practice should be further developed, including the conduction of independent studies and research of qualitative design to obtain rich data on both patient and clinician experiences of all aspects of wound management. More structured wound care education programmes, both at pre-registration/undergraduate and professional development levels, should be established.
本研究旨在确定参与伤口护理的护士的知识和技能，批判性地综述当前伤口护理的证据基础，并确定参与伤口管理实践的护士在多大程度上利用了现有证据。本研究对 Cinahl、Medline Science Direct 和 Cochrane 进行了半系统性文献回顾，使用的检索词为：伤口、组织活力、教育、护士，并对 2009 年至 2017 年期间的文献进行了限制，仅限于英文文献。研究发现，伤口护理的证据基础以及证据与实践之间的联系、常规实践的普遍性以及注册前和注册后阶段的结构化教育方面存在不足。应进一步发展伤口护理实践的证据基础，包括开展独立研究和定性设计研究，以获取有关患者和临床医生在伤口管理各个方面的经验的丰富数据。应建立更具结构化的伤口护理教育计划，包括注册前/本科和专业发展阶段。
