Hospital clinicians' perspectives of using compression therapy on venous leg ulcers: a systematic qualitative review.
British journal of nursing (Mark Allen Publishing)(2023)
摘要
Venous leg ulcer treatment is frequently discontinued in hospitals in contravention of national guidance, significantly affecting patient outcomes and increasing NHS costs.
AIM:To identify, from the published literature, reasons for variable implementation.
METHOD:Systematic review with narrative synthesis, including full papers in English with empirical qualitative data. Synonyms for venous leg ulcer, compression therapy and secondary care were searched across a range of health-related databases. The Critical Appraisal Skills Programme (CASP) checklist determined study quality, and meta-ethnography was used for data synthesis.
RESULTS:7040 titles and abstracts and 41 full-text papers were screened with four papers selected. Three key themes were generated: educational needs surrounding implementation of compression therapy, patient factors regarding adherence and organisational resources including availability of appropriate equipment and trained staff.
CONCLUSION:Barriers at the ward level were identified. There is a need to better understand why hospitals are not addressing them.
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关键词
Compression therapy,Secondary care,Staff training,Venous leg ulcers
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