LeBlanc K, Hill M, Rajhathy E, Parslow N, Greenwood C, Swan J, Neill S, Farrelly I, Harley C
Nurses Specialized in Wound, Ostomy, and Continence Canada, Canada.
Alberta Health Services, Canada.
J Tissue Viability. 2024 Nov;33(4):688-692. doi: 10.1016/j.jtv.2024.07.003. Epub 2024 Jul 18.
Debridement is an important component of wound management and can improve outcomes for patients. Debridement needs to be done by an appropriately trained health professional, but the scope of practice, credentials, training, competencies, and regulatory requirements regarding wound debridement can differ. Best Practice Recommendations were created to positively influence patient safety related to all methods of debridement, across the continuum of care, and to be implemented widely by nurses at all professional levels in Canada.
To further develop the Best Practice Recommendations for wound debridement, with an international perspective, by creating a consensus document to support the global adoption of evidence-based debridement practice for health professionals.
A consensus meeting utilising Delphi methods was conducted between the authors to review the consensus statements. Once 80 % agreement was achieved, a wide range of wound care experts were identified by the authors and invited to participate in an external review of the statements.
Fifteen consensus statements about wound debridement were agreed upon and are presented in this paper.
These best practice recommendations have been reviewed by a wide range of practitioners from across the UK and Canada and aim to provide guidance on the standardisation of debridement practices for healthcare professionals.
清创术是伤口处理的重要组成部分，可改善患者预后。清创术需由经过适当培训的卫生专业人员进行，但伤口清创术的执业范围、资质、培训、能力及监管要求可能存在差异。制定最佳实践建议是为了积极影响与各种清创方法相关的患者安全，贯穿整个护理过程，并供加拿大各级专业护士广泛实施。
从国际视角进一步制定伤口清创术的最佳实践建议，创建一份共识文件，以支持全球卫生专业人员采用循证清创实践。
作者之间召开了一次采用德尔菲法的共识会议，以审查共识声明。达成80%的一致意见后，作者确定了广泛的伤口护理专家，并邀请他们参与声明的外部审查。
就伤口清创术达成了15条共识声明，并在本文中呈现。
这些最佳实践建议已由来自英国和加拿大的广泛从业者进行了审查，旨在为医疗保健专业人员的清创实践标准化提供指导。
