Outcomes Associated With Wound Care Nurses' Practice for the Management of Venous Leg Ulcers: A Scoping Review.

Clin Nurse Spec

Author Affiliations: Wound Specialist, Department of Biomedicine and Prevention University of Rome Tor Vergata, Rome (Dr Monaco); Assistant Professor in Nursing, Health Sciences Department, University of Florence, Florence (Dr Iovino); Director of Nursing Department (Mr Turci) and Territorial Manager (Ms Marchini), ASL Roma 4; Wound Specialist, ASL Rome 2 (Ms Scarozza); General Director (Dr Matranga), Medical Director (Dr Ursino), Research Nurse (Dr Savini), ASL Roma 4, Rome, Italy.

Published: December 2024

Introduction: The role of the wound care nurse is identified as a key element in the management of patients with venous leg ulcers (VLUs). However, the literature offers fragmented knowledge of the outcomes associated with their practice.

Aims: To identify, summarize, and map all available evidence based on the wound care nurses practice for the treatment of VLUs.

Methods: A scoping review was conducted in May 2024 on PubMed, CINAHL, Scopus, and Cochrane Library databases. Observational or experimental studies related to patients affected by VLUs and cared for by wound care nurse specialists were included.

Results: Of the 1562 articles reviewed, 9 studies met the inclusion criteria. The most frequently measured outcomes were clinical responses and included healing rate and ulcer recurrence. Less frequent outcomes were patient-reported and resource utilization measures.

Conclusion: This review indicates a general predominance of outcomes related to objective clinical responses. Future studies should broaden the types of outcomes by also including patient-reported parameters (eg, pain, quality of life, stress) in order to gain greater evidence on the impact of wound care nurse specialists in the care of patients affected by VLUs.

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http://dx.doi.org/10.1097/NUR.0000000000000868DOI Listing

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