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

Juan Francisco Jiménez-García, Gabriel Aguilera-Manrique, Josefina Arboledas-Bellón, María Gutiérrez-García, Francisco González-Jiménez, Nieves Lafuente-Robles, Laura Parra-Anguita and Francisco Pedro García-Fernández
Additional contact information
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

IJERPH, 2019, vol. 16, issue 24, 1-9

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.

Keywords: venous ulcers; effectiveness; advanced practice nurse; complex chronic wounds (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/16/24/5037/pdf (application/pdf)
https://www.mdpi.com/1660-4601/16/24/5037/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:16:y:2019:i:24:p:5037-:d:296437

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().