{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:52:14Z","timestamp":1791978734842,"version":"4.4.0"},"reference-count":35,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify factors influencing nurses' postoperative wound care practices relative to dressing management, patient education and wound care documentation in a Sri Lankan tertiary care hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional observational study was conducted from June to August 2025 across general surgery wards in a 3000\u2010bed tertiary hospital in Sri Lanka. Participants included a consecutive sample of 250 postoperative patients and a convenience sample of 63 registered nurses interacting during wound care activities. Nurses were observed multiple times, and patients were observed once. Data were collected through semi\u2010structured observations and chart audits using validated data collection tools. Mixed\u2010model analyses were performed to identify the predictors of dressing management, patient education and wound care documentation based on the distribution of each outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The multivariable linear mixed model analysis identified female sex, previous wound care training and having a second nurse to assist as significant predictors of nurses' dressing management practices. The multivariable generalised linear mixed model analyses showed that previous wound care training and outpatient status significantly predicted patient education delivery, while inpatient status was the only significant predictor of wound care documentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings highlight the need for coordinated efforts in training, adequate staffing, regular and structured patient education and structured documentation tools to strengthen nurses' postoperative wound care practices in resource\u2010limited settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Targeted training focused on evidence\u2010based wound care and patient education, as well as establishing structured wound care documents for both inpatients and outpatients in resource\u2010limited settings, would facilitate delivery of high\u2010quality care for postoperative patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study identifies factors influencing nurses' postoperative wound care practices, providing a foundation for targeted interventions to standardise postoperative wound care quality in resource\u2010limited settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70791","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:31:51Z","timestamp":1791977511000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of Nurses' Postoperative Wound Care Practices in a Resource\u2010Limited Setting: An Observational Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9966-0126","authenticated-orcid":false,"given":"Gayani Priyangika","family":"Gamage","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery Griffith University, Gold Coast Campus  Southport Queensland Australia"},{"name":"NHMRC Centre of Research Excellence in Wiser Wound Care Griffith University, Gold Coast Campus  Southport Queensland Australia"},{"name":"Department of Nursing and Midwifery, Faculty of Allied Health Sciences General Sir John Kotelawala Defence University  Colombo Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0310-1387","authenticated-orcid":false,"given":"Sanjeewa","family":"Seneviratne","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine University of Colombo  Colombo Sri Lanka"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1466-2374","authenticated-orcid":false,"given":"Josephine","family":"Lovegrove","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Griffith University, Gold Coast Campus  Southport Queensland Australia"},{"name":"NHMRC Centre of Research Excellence in Wiser Wound Care Griffith University, Gold Coast Campus  Southport Queensland Australia"},{"name":"Herston Infectious Diseases Institute Metro North Health  Herston Queensland Australia"},{"name":"School of Nursing, Midwifery &amp; Social Work The University of Queensland, UQCCR  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5437-0777","authenticated-orcid":false,"given":"Georgia","family":"Tobiano","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Griffith University, Gold Coast Campus  Southport Queensland Australia"},{"name":"NHMRC Centre of Research Excellence in Wiser Wound Care Griffith University, Gold Coast Campus  Southport Queensland Australia"},{"name":"Nursing and Midwifery Education and Research Unit Gold Coast University Hospital, Gold Coast Hospital and Health Service  Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3186-5691","authenticated-orcid":false,"given":"Brigid Mary","family":"Gillespie","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Griffith University, Gold Coast Campus  Southport Queensland Australia"},{"name":"NHMRC Centre of Research Excellence in Wiser Wound Care Griffith University, Gold Coast Campus  Southport Queensland Australia"},{"name":"Nursing and Midwifery Education and Research Unit Gold Coast University Hospital, Gold Coast Hospital and Health Service  Southport Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(10)61458\u20104"},{"issue":"1","key":"e_1_2_17_3_1","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1186\/s12912-023-01592-3","article-title":"Nursing Teamwork Is Essential in Promoting Patient\u2010Centered Care: A Cross\u2010Sectional Study","volume":"22","author":"Baek H.","year":"2023","journal-title":"BMC Nursing"},{"key":"e_1_2_17_4_1","unstructured":"Centers for Disease Control and Prevention.2024.\u201cSurgical Site Infection (SSI) Event. 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