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Compression therapy in patients with venous leg ulcers: a best practice implementation project
María Jesús Samaniego Ruiz1, Nieves Valero Moll1, Miguel Muñoz Gálvez2
1Northeast Health Management Area of Granada, Granada, Spain.
Implementing best practices significantly improved venous leg ulcer care in a rural setting. Compression therapy use increased from 16.7% to 60%, enhancing patient outcomes and adherence to evidence-based guidelines.
Area of Science:
- Wound care
- Implementation science
- Rural health
Background:
- Venous leg ulcers are common lower extremity ulcerations.
- Compression therapy is the gold standard treatment.
- Best practice implementation is crucial for effective management.
Purpose of the Study:
- To promote best practices in venous leg ulcer management.
- To improve care in a rural community-care setting.
Main Methods:
- Utilized the JBI Evidence Implementation Framework.
- Employed audit and feedback processes.
- Identified and managed barriers to best practice compliance.
Main Results:
- Increased compliance with compression therapy (16.7% to 60%).
- Improved documentation (6.7% to 50%) and bandage replacement (6.7% to 60%).
- Enhanced patient education (0% to 46.7%) and holistic assessment (0% to 13%).
Conclusions:
- Successfully introduced compression therapy for venous ulcers.
- Highlighted the need for continued improvement and long-term evidence implementation.
- Individualized adherence interventions require further development.
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