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Updated: Jan 2, 2026

Assessment of Acute Wound Healing using the Dorsal Subcutaneous Polyvinyl Alcohol Sponge Implantation and Excisional Tail Skin Wound Models.
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Wound care practices across two acute care settings: A comparative study.

Brigid M Gillespie1,2, Rachel Walker1,3, Frances Lin1

  • 1School of Nursing & Midwifery, Health, Griffith University, Gold Coast, QLD, Australia.

Journal of Clinical Nursing
|December 11, 2019
PubMed
Summary

Surgical wound care practices varied between two Australian hospitals, particularly in hand hygiene and glove use. Adopting evidence-based approaches is crucial for reducing surgical site infections.

Keywords:
acute careclinical guidelinesdocumentationevidence-based practicehospitalsnursesnursing practicepost-operative caresurgical nursingwound care

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Area of Science:

  • Healthcare quality improvement
  • Surgical nursing practices
  • Infection prevention and control

Background:

  • Surgical site infections (SSIs) are a common complication, affecting up to 9.5% of procedures.
  • Despite clinical guidelines, significant variation exists in surgical wound care practices.
  • Preventable SSIs pose a considerable risk to patient outcomes.

Purpose of the Study:

  • To describe and compare surgical wound care practices in two Australian hospitals.
  • To identify variations in nursing practices and documentation related to wound care.
  • To inform strategies for improving surgical wound management and reducing SSIs.

Main Methods:

  • Prospective comparative study utilizing structured observations and electronic medical record audits.
  • Data collected on observed wound care, assessment documentation, and patient characteristics.
  • Adherence to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement.

Main Results:

  • 154 nurses and 257 surgical patients were observed across two hospitals.
  • Hand hygiene adherence after dressing changes was low in both hospitals (7% and 11%).
  • Significant differences observed in hand hygiene prior to dressing changes and clean glove technique use between hospitals.

Conclusions:

  • Clinical variations in surgical wound care practices are influenced by the specific clinical context.
  • Enhanced adherence to evidence-based practices in surgical wound management can mitigate patient risks.
  • Standardizing wound care protocols is essential for reducing wound-related complications.