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Hospital clinicians' perspectives of using compression therapy on venous leg ulcers: a systematic qualitative review

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posted on 2023-05-22, 09:59 authored by Y Lian, L Birt, D Wright
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.

Funding

NIHR Pre-doctoral Clinical Academic Fellowship

History

Author affiliation

School of Healthcare, University of Leicester

Version

  • AM (Accepted Manuscript)

Published in

British Journal of Nursing

Volume

32

Issue

4

Pagination

S30 - S42

Publisher

MA Healthcare

issn

0966-0461

eissn

2052-2819

Copyright date

2023

Available date

2023-05-22

Spatial coverage

England

Language

eng

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