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Julie Gagnon, Michelle Lalonde, Viola Polomeno

    Recherche En Soins Infirmiers
    |January 24, 2021
    PubMed
    Summary

    Nurses face challenges in applying evidence-based wound care due to knowledge, attitude, and environmental barriers. A strategic plan can improve wound care quality in healthcare facilities.

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    Area of Science:

    • Nursing
    • Public Health
    • Evidence-Based Practice

    Background:

    • Wound care is a significant public health concern and a key area of nursing responsibility.
    • Despite established best practices and guidelines, a gap exists between evidence and clinical application in wound care.
    • Understanding barriers to knowledge transfer is crucial for improving nursing practice in wound management.

    Purpose of the Study:

    • To identify barriers hindering nurses' optimal knowledge transfer in wound care.
    • This integrative review addresses the theory-practice gap in evidence-based wound care.

    Main Methods:

    • An integrative literature review was conducted using Whittemore and Knalf's (2005) methodology.
    • A systematic search of six databases identified relevant articles.
    • 13 articles were selected for analysis from an initial retrieval of 82.

    Main Results:

    • The literature confirms a significant theory-practice gap in wound care.
    • Identified barriers include factors related to nurses' knowledge, attitudes, and the healthcare environment.
    • Limited perspectives were found from new graduate nurses and those in rural settings.

    Conclusions:

    • Interventions are needed to enhance the nursing role in wound care.
    • A tailored strategic plan for each healthcare facility can improve the quality of wound care delivery.
    • Addressing identified barriers is essential for bridging the evidence-practice gap.

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