IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v29y2020i5-6p831-839.html
   My bibliography  Save this article

Wound care practices across two acute care settings: A comparative study

Author

Listed:
  • Brigid M. Gillespie
  • Rachel Walker
  • Frances Lin
  • Shelley Roberts
  • Anne Eskes
  • Jodie Perry
  • Sean Birgan
  • Paul Nieuwenhoven
  • Elizabeth Garrahy
  • Rosalind Probert
  • Wendy Chaboyer

Abstract

Aims and objectives Describe and compare current surgical wound care practices across two hospitals in two health services districts, Australia. Background Surgical site infections (SSI) are a complication of surgery and occur in up to 9.5% of surgical procedures, yet they are preventable. Despite the existence of clinical guidelines for SSI prevention, there remains high variation in wound care practice. Design Prospective comparative design using structured observations and chart audit. Methods A specifically developed audit tool was used to collect data on observed wound care practices, documentation of wound assessment and practice, and patients’ clinical characteristics from patients’ electronic medical records. Structured observations of a consecutive sample of surgical patients receiving wound care with a convenience sample of nurses were undertaken. The manuscript adheres to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement. Results In total, 154 nurses undertaking acute wound care and 257 surgical patients who received wound care were observed. Across hospitals, hand hygiene adherence after dressing change was lowest (Hospital A: 8/113, 7%; Hospital B: 16/144, 11%; χ2: 8.93, p = .347). Most wound dressing practices were similar across sites, except hand hygiene prior to dressing change (Hospital A: 107/113, 95%; Hospital B: 131/144, 91%; (χ2: 7.736, p = .021) and use of clean gloves using nontouch technique (Hospital A: 88/113, 78%; Hospital B: 90/144, 63%; χ2: 8.313, p = .016). The most commonly documented wound characteristic was wound type (Hospital A: 43/113, 38%; Hospital B: 70/144, 49%). What nurses documented differed significantly across sites (p

Suggested Citation

  • Brigid M. Gillespie & Rachel Walker & Frances Lin & Shelley Roberts & Anne Eskes & Jodie Perry & Sean Birgan & Paul Nieuwenhoven & Elizabeth Garrahy & Rosalind Probert & Wendy Chaboyer, 2020. "Wound care practices across two acute care settings: A comparative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(5-6), pages 831-839, March.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:5-6:p:831-839
    DOI: 10.1111/jocn.15135
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.15135
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.15135?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Brigid M Gillespie & Claudia Bull & Rachel Walker & Frances Lin & Shelley Roberts & Wendy Chaboyer, 2018. "Quality appraisal of clinical guidelines for surgical site infection prevention: A systematic review," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-17, September.
    2. Baumann, Lisa Ann & Baker, Jannah & Elshaug, Adam G., 2018. "The impact of electronic health record systems on clinical documentation times: A systematic review," Health Policy, Elsevier, vol. 122(8), pages 827-836.
    3. Corallo, Ashley N. & Croxford, Ruth & Goodman, David C. & Bryan, Elisabeth L. & Srivastava, Divya & Stukel, Therese A., 2014. "A systematic review of medical practice variation in OECD countries," Health Policy, Elsevier, vol. 114(1), pages 5-14.
    4. Brigid M Gillespie & Wendy Chaboyer & Evelyn Kang & Jayne Hewitt & Paul Nieuwenhoven & Nicola Morley, 2014. "Postsurgery wound assessment and management practices: a chart audit," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(21-22), pages 3250-3261, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kai Klinker & Manuel Wiesche & Helmut Krcmar, 2020. "Digital Transformation in Health Care: Augmented Reality for Hands-Free Service Innovation," Information Systems Frontiers, Springer, vol. 22(6), pages 1419-1431, December.
    2. Kollerup, Anna & Wadmann, Sarah & Bek, Toke & Kjellberg, Jakob, 2022. "National clinical guidelines and treatment centralization do not guarantee consistency in healthcare delivery. A mixed-methods study of wet age-related macular degeneration treatment in Denmark," Health Policy, Elsevier, vol. 126(12), pages 1291-1302.
    3. Stefan Rabbe & Meilin Möllenkamp & Benedetta Pongiglione & Hedwig Blommestein & Pim Wetzelaer & Renaud Heine & Jonas Schreyögg, 2022. "Variation in the utilization of medical devices across Germany, Italy, and the Netherlands: A multilevel approach," Health Economics, John Wiley & Sons, Ltd., vol. 31(S1), pages 135-156, September.
    4. Adetunji, Oluwarantimi & Ottino, Kevin & Tucker, Austin & Al-Attar, Ghada & Abduljabbar, Mohammad & Bishai, David, 2020. "Variations in pediatric hospitalization in seven European countries," Health Policy, Elsevier, vol. 124(11), pages 1165-1173.
    5. Negar Darabi & Niyousha Hosseinichimeh, 2020. "System dynamics modeling in health and medicine: a systematic literature review," System Dynamics Review, System Dynamics Society, vol. 36(1), pages 29-73, January.
    6. Madhan Balasubramanian & Aliya Hasan & Suruchi Ganbavale & Anfal Alolayah & Jennifer Gallagher, 2021. "Planning the Future Oral Health Workforce: A Rapid Review of Supply, Demand and Need Models, Data Sources and Skill Mix Considerations," IJERPH, MDPI, vol. 18(6), pages 1-33, March.
    7. Sophie Massin & Antoine Nebout & Bruno Ventelou, 2018. "Predicting medical practices using various risk attitude measures," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(6), pages 843-860, July.
    8. Frances Lin & Brigid M. Gillespie & Wendy Chaboyer & Yu Li & Karen Whitelock & Nicola Morley & Shirley Morrissey & Frances O’Callaghan & Andrea P. Marshall, 2019. "Preventing surgical site infections: Facilitators and barriers to nurses’ adherence to clinical practice guidelines—A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1643-1652, May.
    9. Christine A. Sinsky & Adam Rule & Genna Cohen & Brian G. Arndt & Tait D. Shanafelt & Christopher D. Sharp & Sally L. Baxter & Ming Tai-Seale & Sherry Yan & You Chen & Julia Adler-Milstein & Michelle H, "undated". "Metrics for Assessing Physician Activity Using Electronic Health Record Log Data," Mathematica Policy Research Reports 50e1a11e7e664342a421de11e, Mathematica Policy Research.
    10. Noémie Malléjac & Zeynep Or, 2019. "Évaluation d'impact d'une nouvelle organisation en chirurgie orthopédique sur les parcours de soins," Post-Print hal-04225092, HAL.
    11. Seghieri, Chiara & Berta, Paolo & Nuti, Sabina, 2019. "Geographic variation in inpatient costs for Acute Myocardial Infarction care: Insights from Italy," Health Policy, Elsevier, vol. 123(5), pages 449-456.
    12. Unto Häkkinen & Tor Iversen & Mikko Peltola & Clas Rehnberg & Timo T. Seppälä & on behalf of the EuroHOPE study group, 2015. "Towards Explaining International Differences in Health Care Performance: Results of the EuroHOPE Project," Health Economics, John Wiley & Sons, Ltd., vol. 24(S2), pages 1-4, December.
    13. Dorota Kilańska & Agnieszka Ogonowska & Barbara Librowska & Maja Kusiak & Michał Marczak & Remigiusz Kozlowski, 2022. "The Usability of IT Systems in Document Management, Using the Example of the ADPIECare Dorothea Documentation and Nurse Support System," IJERPH, MDPI, vol. 19(14), pages 1-20, July.
    14. David A Cook & Laurie J Pencille & Denise M Dupras & Jane A Linderbaum & V Shane Pankratz & John M Wilkinson, 2018. "Practice variation and practice guidelines: Attitudes of generalist and specialist physicians, nurse practitioners, and physician assistants," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
    15. Pia Kjær Kristensen & Raquel Perez-Vicente & George Leckie & Søren Paaske Johnsen & Juan Merlo, 2020. "Disentangling the contribution of hospitals and municipalities for understanding patient level differences in one-year mortality risk after hip-fracture: A cross-classified multilevel analysis in Swed," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-14, June.
    16. Daisy Duell & Xander Koolman & France Portrait, 2017. "Practice variation in the Dutch long‐term care and the role of supply‐sensitive care: Is access to the Dutch long‐term care equitable?," Health Economics, John Wiley & Sons, Ltd., vol. 26(12), pages 1728-1742, December.
    17. Gutacker, Nils & Bloor, Karen & Bojke, Chris & Walshe, Kieran, 2018. "Should interventions to reduce variation in care quality target doctors or hospitals?," Health Policy, Elsevier, vol. 122(6), pages 660-666.
    18. Vidoli, Francesco & Pignataro, Giacomo & Benedetti, Roberto, 2022. "Identification of spatial regimes of the production function of Italian hospitals through spatially constrained cluster-wise regression," Socio-Economic Planning Sciences, Elsevier, vol. 82(PA).
    19. María José Cabañero‐Martínez & Juan Diego Ramos‐Pichardo & María Luisa Velasco‐Álvarez & Sofía García‐Sanjuán & Manuel Lillo‐Crespo & Julio Cabrero‐García, 2019. "Availability and perceived usefulness of guidelines and protocols for subcutaneous hydration in palliative care settings," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(21-22), pages 4012-4020, November.
    20. Jacobs, Karel & Roman, Erin & Lambert, Jo & Moke, Lieven & Scheys, Lennart & Kesteloot, Katrien & Roodhooft, Filip & Cardoen, Brecht, 2022. "Variability drivers of treatment costs in hospitals: A systematic review," Health Policy, Elsevier, vol. 126(2), pages 75-86.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:29:y:2020:i:5-6:p:831-839. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.