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Open AccessArticle

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

1
Advanced Practice Nurse in Complex Chronic Wound, Sanitary District Poniente of Almería, 04746 Venta del Viso, Spain
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Nursing Department, Dean of the Faculty of Health Sciences, University of Almería, 04120 Almería, Spain
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Advanced Practice Nurse in Complex Chronic Wound, Sanitary District Jaén Northeast, 23400 Úbeda, Spain
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Advanced Practice Nurse in Complex Chronic Wound, Sanitary District Serrania of Malaga, 29400 Ronda, Spain
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Advanced Practice Nurse in Complex Chronic Wound, Sanitary District Metropolitano of Granada, 18016 Granada, Spain
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Director of the Comprehensive Care Plan for Andalusia, 41001 Sevilla, Spain
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Health Sciences Department, University of Jaen, 23071 Jaén, Spain
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Nursing Department, Vice-Dean of the Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(24), 5037; https://doi.org/10.3390/ijerph16245037
Received: 17 November 2019 / Revised: 5 December 2019 / Accepted: 9 December 2019 / Published: 11 December 2019
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. View Full-Text
Keywords: venous ulcers; effectiveness; advanced practice nurse; complex chronic wounds venous ulcers; effectiveness; advanced practice nurse; complex chronic wounds
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Jiménez-García, J.F.; Aguilera-Manrique, G.; Arboledas-Bellón, J.; Gutiérrez-García, M.; González-Jiménez, F.; Lafuente-Robles, N.; Parra-Anguita, L.; García-Fernández, F.P. The Effectiveness of Advanced Practice Nurses with Respect to Complex Chronic Wounds in the Management of Venous Ulcers. Int. J. Environ. Res. Public Health 2019, 16, 5037.

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