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Due to Inadequate patient recruitment
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This study is designed to investigate whether the adoption of the use of a range of wound care products from a single manufacturer makes training in appropriate product selection more effective and results in more accurate selection of the appropriate product for the wound and for the patient's lifestyle, thereby incurring less waste and reducing the number of referrals by the community nursing team to the Tissue Viability Team.
One community nursing team will switch to using a full range of dressings and compression products from BSN medical UK for three months. Nurse training on the products will be given and nurse competencies and confidence in woundcare and appropriate product selection will be tested at the start and end of the study.
The number and type of referrals to the Tissue Viability Team will be measured.
Total anonymised data on numbers of referrals, wound closure, numbers of wounds and quantity and cost of products used will be collected and compared with the historical record for three months prior to the study. Patients will complete a Quality of Life questionnaire at enrolment and exit from the study.
Patients for whom BSN medical UK products are not appropriate or not desired by the patient will not be enrolled and will receive the usual range of products available to the community nursing team.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Prospective Data | Experimental | Use of BSN medical UK range of wound dressings and compression products for 12 weeks treatment period Training and testing of woundcare nursing competencies Quality of Life questionnaire for patients |
|
| Historical data | No Intervention | Historical data from the three months prior to the study on time needed for nurse training, number of referrals to the Tissue Viability Team, costs of dressings used, number of patients with wounds treated, types of wounds, number of wound closures and duration of treatment . |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Use of wound care products from a single manufacturer | Other | The participating Healthcare Professionals will be asked to use BSN medical wound care products for the study duration |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of inappropriate use of dressings for the wound condition and patient lifestyle | As measured by referrals for case review to the Tissue Viability Team during the study | At the end of 12 weeks treatment period |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with wounds treated | At the end of 12 weeks treatment period | |
| Wound types treated | At the end of 12 weeks treatment period | |
| Total number of wound closure occurred |
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All healthcare professionals of the Billericay team responsible for dressing changes who are willing to take part in this study and give their written informed consent.
Inclusion Criteria for the patients:
Exclusion Criteria for the patients:
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| Name | Affiliation | Role |
|---|---|---|
| Ray Norris | North East London NHS Foundation Trust | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| South West Essex Community Services, North East London NHS Foundation Trust, Brentwood Community Hospital | Brentwood | Essex | CM15 8DR | United Kingdom |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24899053 | Background | Blome C, Baade K, Debus ES, Price P, Augustin M. The "Wound-QoL": a short questionnaire measuring quality of life in patients with chronic wounds based on three established disease-specific instruments. Wound Repair Regen. 2014 Jul-Aug;22(4):504-14. doi: 10.1111/wrr.12193. | |
| Background | British Broadcasting Corporation 10th Sept 2015 www.bbc.co.uk/news/ accessed 6th Oct 2015 | ||
| Background | Cook L (2011) Assessment: exploring competency and current practice.British Journal of Community Nursing Wound care supplement 16. S34-40 | ||
| Background | Dowsett C (2009) Use of TIME to improve community nurses' wound care knowledge and practice.. Wounds UK, Vol 5 No.3 |
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| At the end of 12 weeks treatment period |
| Average duration of treatment | At the end of 12 weeks treatment period |
| Patients Quality of Life living with a Wound | as measured by use of the validated questionnaire Wound QoL. | At the start of the study and at the end of 12 weeks treatment period |
| Confidence of healthcare professionals in their dressing selection | as measured by written assessment | At the start of the study and at the end of 12 weeks treatment period |
| Visual Analogue Scoring by the healthcare professionals of the simplification of training | At the end of 12 weeks treatment period |
| Time required for training | At the end of 12 weeks treatment period |
| NHS Trainer's time | At the end of 12 weeks treatment period |
| NHS Trainer's cost | At the end of 12 weeks treatment period |
| Nurse's concordance with training measured by the total number of referrals to the tissue viability team caused by inappropriate dressing selections defined by the trust's guidelines | At the end of 12 weeks treatment period |
| Costs of dressings used | At the end of 12 weeks treatment period |
| Number of wounds which could not be treated by the integrated range | At the end of 12 weeks treatment period |
| Condition of wounds which could not be treated by the integrated range | At the end of 12 weeks treatment period |
| 25375403 | Background | Dowsett C, Bielby A, Searle R. Reconciling increasing wound care demands with available resources. J Wound Care. 2014 Nov;23(11):552, 554, 556-8 passim. doi: 10.12968/jowc.2014.23.11.552. |
| 26644123 | Background | Guest JF, Ayoub N, McIlwraith T, Uchegbu I, Gerrish A, Weidlich D, Vowden K, Vowden P. Health economic burden that wounds impose on the National Health Service in the UK. BMJ Open. 2015 Dec 7;5(12):e009283. doi: 10.1136/bmjopen-2015-009283. |
| 16240619 | Background | Huynh T, Forget-Falcicchio C. Assessing the primary nurse role in the wound healing process. J Wound Care. 2005 Oct;14(9):407-9. doi: 10.12968/jowc.2005.14.9.26832. |
| 26198553 | Background | Joy H, Bielby A, Searle R. A collaborative project to enhance efficiency through dressing change practice. J Wound Care. 2015 Jul;24(7):312, 314-7. doi: 10.12968/jowc.2015.24.7.312. |
| Background | Kerr (2014) How best to record and describe wound exudate Wounds UK Vol 10 No 2 |
| Background | McIntosh C, Ousey K (2008) A survey of nurses' and podiatrists' attitudes, skills and knowledge of lower extremity wound care. Wounds UK Vol 4 No 1 |
| Background | Office for National Statistics (2011) Topic Guide to Older People. |
| Background | Ousey K. Stephenson J et al (2013) Wound Care in five English NHS Trusts: Results of a Survey. Wounds UK Vol 9 No 4 |
| 20852568 | Background | Smith G, Greenwood M, Searle R. Ward nurses' use of wound dressings before and after a bespoke education programme. J Wound Care. 2010 Sep;19(9):396-402. doi: 10.12968/jowc.2010.19.9.78229. |
| Background | Wicks G (2012) CQUIN Targets; effective dressing selection. Wound Essentials Vol 7 Issue 2 Nov |
| 12572232 | Background | Wong I. Assessing the value of a leg ulcer education programme in Hong Kong. J Wound Care. 2003 Jan;12(1):17-9. doi: 10.12968/jowc.2003.12.1.26459. |