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The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers

Author

Listed:
  • Juan Francisco Jiménez-García

    (Advanced Practice Nurse in Complex Chronic Wound, Sanitary District Poniente of Almería, 04746 Venta del Viso, Spain)

  • Gabriel Aguilera-Manrique

    (Nursing Department, Dean of the Faculty of Health Sciences, University of Almería, 04120 Almería, Spain)

  • Josefina Arboledas-Bellón

    (Advanced Practice Nurse in Complex Chronic Wound, Sanitary District Jaén Northeast, 23400 Úbeda, Spain)

  • María Gutiérrez-García

    (Advanced Practice Nurse in Complex Chronic Wound, Sanitary District Serrania of Malaga, 29400 Ronda, Spain)

  • Francisco González-Jiménez

    (Advanced Practice Nurse in Complex Chronic Wound, Sanitary District Metropolitano of Granada, 18016 Granada, Spain)

  • Nieves Lafuente-Robles

    (Director of the Comprehensive Care Plan for Andalusia, 41001 Sevilla, Spain)

  • Laura Parra-Anguita

    (Health Sciences Department, University of Jaen, 23071 Jaén, Spain)

  • Francisco Pedro García-Fernández

    (Nursing Department, Vice-Dean of the Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain)

Abstract

This study aims to evaluate the effectiveness of advanced practice nurses with respect to complex chronic wounds (APN-CCWs) in the care of patients with venous ulcers. A multicentric, quasi-experimental pre-post study was conducted without a control group in the sanitary management areas where the APN-CCW program is being piloted. The intervention consisted of a mass training of clinical nurses from the participating districts on the proper management of injuries and the use of compression therapy. The data were collected through a specifically constructed questionnaire with questions regarding descriptive variables of injuries and their treatment. A total of 643 professionals responded (response rate of 89.1%), attending to a total population of 707,814 inhabitants. An increase in multilayer bandage use by 15.67%, an increase in elastic bandage use by 13.24%, and a significant decrease in the referral of patients to consultation with hospital specialists was achieved, from 21.08% to 12.34%. The number of patients referred to the APNs was 13.25%, which implied a resolution rate of 94.08% of their injuries. In conclusion, the coordination by the APN-CCWs in patients with venous ulcers was effective in improving the continuity of care, in the optimization of resources, and in their care role.

Suggested Citation

  • Juan Francisco Jiménez-García & Gabriel Aguilera-Manrique & Josefina Arboledas-Bellón & María Gutiérrez-García & Francisco González-Jiménez & Nieves Lafuente-Robles & Laura Parra-Anguita & Francisco P, 2019. "The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers," IJERPH, MDPI, vol. 16(24), pages 1-9, December.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:24:p:5037-:d:296437
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