{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:46:29Z","timestamp":1787010389091,"version":"build-2736575974"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"\n PURPOSE:<\/jats:title>\n The purpose of this quality improvement project was to use the best available evidence and expert opinion to develop and implement a simple inpatient nursing care guideline (\u201cThe Guideline\u201d) for patients with minor skin lesions, including candidiasis, skin tears, incontinence-associated dermatitis, and stage 1 and stage 2 pressure injuries that would not require a WOC nurse consultation.<\/jats:p>\n <\/jats:sec>\n \n PARTICIPANTS AND SETTING:<\/jats:title>\n The Guideline was developed for nurses working on inpatient adult acute care units in a large community hospital in southwest Minnesota.<\/jats:p>\n <\/jats:sec>\n \n APPROACH:<\/jats:title>\n The Guideline was validated for its clarity and appropriateness by internal and external hospital-based wound care nurses and implemented through in-person rounding on the nursing units and distribution of badge cards and required completing an online education module. Surveys and wound documentation audits were conducted to measure changes in knowledge and skin care pre- and postimplementation of The Guideline.<\/jats:p>\n <\/jats:sec>\n \n OUTCOMES:<\/jats:title>\n We conducted wound documentation audits of approximately 491 records that assessed whether patients received appropriate treatment and found an improvement from 45% (104 of 231) to 80% (209 of 260). Nurses' self-rating of their knowledge about which dressings and topical treatment to use improved from 18% (16 of 89) agreement to 57% (55 of 96). Nurses' self-rating of their knowledge about when to change dressings and reapply topical treatments improved from 27% (24 of 89) agreement to 65% (62 of 96).<\/jats:p>\n <\/jats:sec>\n \n IMPLICATIONS FOR PRACTICE:<\/jats:title>\n Although there is evidence for a variety of dressings or products to treat wounds, this quality improvement project demonstrated increased adherence with providing appropriate care when fewer treatment options were recommended to nursing staff through our structured guideline. The Guideline continues to be used at the project site and is now being implemented at affiliate hospitals.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/won.0000000000000778","type":"journal-article","created":{"date-parts":[[2021,6,29]],"date-time":"2021-06-29T19:01:20Z","timestamp":1624993280000},"page":"285-291","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Development and Implementation of a Simple Wound Care Guideline for Minor Skin Lesions"],"prefix":"10.1097","volume":"48","author":[{"given":"Alexandra Nicole","family":"Bates","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Ercolano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"4","key":"R3-20250806","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1097\/WON.0000000000000239","article-title":"View from here: building and justifying a comprehensive WOC nurse team","volume":"43","author":"Saunders","year":"2016","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"2","key":"R4-20250806","first-page":"48","article-title":"Implementing a pressure ulcer prevention program and enhancing the role of the CWOCN: impact on outcomes","volume":"52","author":"Hiser","year":"2006","journal-title":"Ostomy Wound Manage"},{"issue":"5","key":"R5-20250806","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1097\/NUR.0b013e3181b207f5","article-title":"Outcomes of a clinical nurse specialist-initiated wound care education program: using the promoting action on research implementation in health services framework","volume":"23","author":"Capasso","year":"2009","journal-title":"Clin Nurse Spec"},{"issue":"6","key":"R6-20250806","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1097\/WON.0000000000000085","article-title":"Developing a wound and skin care program","volume":"41","author":"Ahroni","year":"2014","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"2","key":"R7-20250806","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1097\/WON.0000000000000001","article-title":"Resource nurse program: a nurse-initiated, evidence-based program to eliminate hospital-acquired pressure ulcers","volume":"41","author":"Beinlich","year":"2014","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"3","key":"R8-20250806","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/WON.0000000000000109","article-title":"Universal pressure ulcer prevention bundle with WOC nurse support","volume":"42","author":"Anderson","year":"2015","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"2","key":"R9-20250806","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1111\/j.1365-2702.2005.01429.x","article-title":"Non-blanchable erythema as an indicator for the need for pressure ulcer prevention: a randomized-controlled trial","volume":"16","author":"Vanderwee","year":"2007","journal-title":"J Clin Nurs"},{"issue":"10 suppl","key":"R10-20250806","doi-asserted-by":"crossref","first-page":"S28","DOI":"10.1097\/NNA.0b013e3181f37e56","article-title":"Certification and education: do they affect pressure ulcer knowledge in nursing","volume":"40","author":"Zulkowski","year":"2010","journal-title":"J Nurs Adm"},{"issue":"3","key":"R11-20250806","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1097\/01.ASW.0000412908.43335.46","article-title":"Pressure ulcer knowledge in medical residents: an opportunity for improvement","volume":"25","author":"Levine","year":"2012","journal-title":"Adv Skin Wound Care"},{"issue":"4","key":"R12-20250806","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/01.ASW.0000428863.34294.9d","article-title":"Critical care physicians: attitudes, beliefs, and knowledge about pressure ulcers","volume":"26","author":"Cox","year":"2013","journal-title":"Adv Skin Wound Care"},{"issue":"2","key":"R13-20250806","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1111\/j.1440-172X.2010.01828.x","article-title":"Prevention and treatment of pressure in a university hospital centre: a correlational study examining nurses' knowledge and best practice","volume":"16","author":"Gallant","year":"2010","journal-title":"Int J Nurs Pract"},{"issue":"1","key":"R14-20250806","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1097\/01.ASW.0000475308.06130.df","article-title":"The art of dressing selection: a consensus statement on skin tears and best practice","volume":"29","author":"LeBlanc","year":"2016","journal-title":"Adv Skin Wound Care"},{"issue":"4","key":"R16-20250806","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1002\/nur.20199","article-title":"Is the CVI an acceptable indicator of content validity? Appraisal and recommendation","volume":"30","author":"Polit","year":"2007","journal-title":"Res Nurs Health"}],"container-title":["Journal of Wound, Ostomy & Continence Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/WON.0000000000000778","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T15:03:57Z","timestamp":1754492637000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/WON.0000000000000778"}},"subtitle":["A Quality Improvement Project"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/won.0000000000000778","relation":{},"ISSN":["1071-5754"],"issn-type":[{"value":"1071-5754","type":"print"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}