Effect of Polyhexamethylene Biguanide Solution on Bacterial Load and Biofilm in Venous Leg Ulcers: A Randomized Controlled Trial.

Purpose: The purpose of this study was to investigate the effect of polyhexamethylene biguanide (PHMB) solution as a wound cleanser on bacterial load and bacterial biofilm in venous leg ulcers.

Design: Randomized controlled trial.

Subjects And Setting: The target population was adults attending the dermatology outpatient clinic of the Clinical Hospital of the Federal University of Minas Gerais, Brazil.

Use of the Diffusion of Innovation Model in venous ulcers by specialized professionals.

Objective:: To analyze the influence of the evidence and of the opinion of peers on the decisions of specialists regarding the agreement with recommendations for prevention and treatment of venous ulcer.

Methods:: This is a quasi-experimental study with two interventions: provision of studies with the evidence of the recommendations and provision of the opinion of peers, with sample of 73 specialized doctors and nurses. Delphi technique was used in the search for agreement, with three rounds.

[Nursing: conceptual approaching].

The authors discuss some aspects of the concepts of values such as health and illness, theory and practice, professional power, image and space whith are the determinant factors of the concept of Nursing here presented.