A Prospective Study With Historical Data Comparison to Evaluate the Benefits of Using a Range of Products From a Single Manufacturer for Training, Competencies in Wound Care and the Appropriate Use of Product
Trial Snapshot
- Phase
- Not Applicable
- Status
- Terminated
- Sponsor
- Enrollment
- 21
- Locations
- 2
- Primary Endpoint
- Incidence of inappropriate use of dressings for the wound condition and patient lifestyle
Study Overview
Brief Summary
This study is designed to investigate whether the adoption of the use of a range of wound care products from a single manufacturer makes training in appropriate product selection more effective and results in more accurate selection of the appropriate product for the wound and for the patient's lifestyle, thereby incurring less waste and reducing the number of referrals by the community nursing team to the Tissue Viability Team.
One community nursing team will switch to using a full range of dressings and compression products from BSN medical UK for three months. Nurse training on the products will be given and nurse competencies and confidence in woundcare and appropriate product selection will be tested at the start and end of the study.
The number and type of referrals to the Tissue Viability Team will be measured.
Total anonymised data on numbers of referrals, wound closure, numbers of wounds and quantity and cost of products used will be collected and compared with the historical record for three months prior to the study. Patients will complete a Quality of Life questionnaire at enrolment and exit from the study.
Patients for whom BSN medical UK products are not appropriate or not desired by the patient will not be enrolled and will receive the usual range of products available to the community nursing team.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All healthcare professionals of the Billericay team responsible for dressing changes who are willing to take part in this study and give their written informed consent.
- •Inclusion Criteria for the patients:
- •Patients giving their informed consent and with an open wound being treated by the community nursing team
- •All patients whose wounds can be treated with BSN medical UK Product range for wound and leg ulcer management.
Exclusion Criteria
- •for the patients:
- •Age <18 years
- •Subjects who do not give their consent for any reason
- •Subjects who are unable to read and understand patient information sheet and consent form
Arms & Interventions
Prospective Data
Use of BSN medical UK range of wound dressings and compression products for 12 weeks treatment period Training and testing of woundcare nursing competencies Quality of Life questionnaire for patients
Intervention: Use of wound care products from a single manufacturer (Other)
Historical data
Historical data from the three months prior to the study on time needed for nurse training, number of referrals to the Tissue Viability Team, costs of dressings used, number of patients with wounds treated, types of wounds, number of wound closures and duration of treatment .
Outcomes
Primary Outcomes
Incidence of inappropriate use of dressings for the wound condition and patient lifestyle
Time Frame: At the end of 12 weeks treatment period
As measured by referrals for case review to the Tissue Viability Team during the study
Secondary Outcomes
- Total number of wound closure occurred(At the end of 12 weeks treatment period)
- Average duration of treatment(At the end of 12 weeks treatment period)
- Number of patients with wounds treated(At the end of 12 weeks treatment period)
- Wound types treated(At the end of 12 weeks treatment period)
- Patients Quality of Life living with a Wound(At the start of the study and at the end of 12 weeks treatment period)
- Confidence of healthcare professionals in their dressing selection(At the start of the study and at the end of 12 weeks treatment period)
- Visual Analogue Scoring by the healthcare professionals of the simplification of training(At the end of 12 weeks treatment period)
- Time required for training(At the end of 12 weeks treatment period)
- NHS Trainer's time(At the end of 12 weeks treatment period)
- NHS Trainer's cost(At the end of 12 weeks treatment period)
- Nurse's concordance with training measured by the total number of referrals to the tissue viability team caused by inappropriate dressing selections defined by the trust's guidelines(At the end of 12 weeks treatment period)
- Costs of dressings used(At the end of 12 weeks treatment period)
- Number of wounds which could not be treated by the integrated range(At the end of 12 weeks treatment period)
- Condition of wounds which could not be treated by the integrated range(At the end of 12 weeks treatment period)