{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T03:45:29Z","timestamp":1791949529798,"version":"4.3.4"},"reference-count":66,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To identify and synthesise the scientific evidence on determinants of self\u2010care deficits in people with chronic wounds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Scoping review based on the Joanna Briggs Institute guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This scoping review was conducted by a review team responsible for study screening, data extraction and synthesis. The categorisation of findings was grounded in Orem's Self\u2010Care Deficit Theory and operationalised using the COM\u2010B model and the Theoretical Domains Framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>A comprehensive search, without date or language restrictions, was conducted in Web of Science, MEDLINE (PubMed), Cochrane Library, Scopus (Elsevier), SciELO, Ovid and EMBASE (Elsevier), from November 2023 to April 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 3076 records identified, 22 studies were included. Most were cross\u2010sectional studies, with sample sizes ranging from seven to 1085 participants and a mean age of 61.45\u2009years, predominantly involving people with venous leg ulcers and diabetic foot ulcers. Findings were synthesised into four categories: clinical, socioeconomic, behavioural and health system\u2010related factors, indicating that multiple interrelated determinants influence engagement in self\u2010care and contribute to persistent self\u2010care deficits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings demonstrate the vulnerability of people living with chronic wounds, arising from the complex interaction of clinical, psychosocial, socioeconomic and health service\u2010related factors that determine self\u2010care deficits. These deficits compromise wound healing, prolong treatment and negatively affect quality of life, underscoring the need for person\u2010centred approaches to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>This study reinforces the need for integrated and sustainable models of care grounded in person\u2010centred practice, aimed at strengthening self\u2010care capacities, enhancing clinical practice and informing more equitable health policies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This review highlights the multifactorial nature of self\u2010care deficits in people with chronic wounds. Nursing plays a key role in identifying barriers and strengthening capacities through Orem's supportive\u2013educative system. Person\u2010centred interventions improve adherence and continuity of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This review follows the PRISMA guidelines for reporting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>This study did not include patient or public involvement in its design, conduct, or reporting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70628","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:21:06Z","timestamp":1777555266000},"page":"9609-9625","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Determinant Factors of Self\u2010Care Deficit in People With Chronic Wounds: A Scoping 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Farias","family":"Ramos","sequence":"additional","affiliation":[{"name":"Clincal Nursing Departament Federal University of Para\u00edba (UFPB)  Jo\u00e3o Pessoa Para\u00edba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8828-1251","authenticated-orcid":false,"given":"Selene Cordeiro","family":"Vasconcelos","sequence":"additional","affiliation":[{"name":"Postgraduate Nursing Program\/Federal University of Para\u00edba (PPGENF\/UFPB) Federal University of Paraiba  Jo\u00e3o Pessoa Para\u00edba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0305-4843","authenticated-orcid":false,"given":"Maria Eliane Moreira","family":"Freire","sequence":"additional","affiliation":[{"name":"Postgraduate Nursing Program\/Federal University of Para\u00edba (PPGENF\/UFPB) Federal University of Paraiba  Jo\u00e3o Pessoa Para\u00edba 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