{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T14:26:05Z","timestamp":1792592765218,"version":"4.5.0"},"reference-count":44,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2020,4,23]],"date-time":"2020-04-23T00:00:00Z","timestamp":1587600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007602","name":"Programme Grants for Applied Research","doi-asserted-by":"publisher","award":["RP\u2010PG\u20100609\u201010171"],"award-info":[{"award-number":["RP\u2010PG\u20100609\u201010171"]}],"id":[{"id":"10.13039\/501100007602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>To explore surgeons\u2019 and nurses\u2019 perspectives of managing surgical wounds healing by secondary intention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Every year, more than 10 million surgical operations are performed in the NHS in the UK. Most surgical wounds heal by primary intention, where the edges of the wound are brought together with staples, sutures, adhesive glue or clips. Sometimes wounds are deliberately left open to heal, from the base up, known as \u201chealing by secondary intention.\u201d These wounds are often slow to heal, prone to infection and complex to manage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative, descriptive approach, using semi\u2010structured interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Interviews with five (general, vascular and plastic) surgeons and 7 nurses (3 tissue viability nurses, 2 district and 1 community nurse, and 1 hospital nurse) working in hospital and community care settings in two locations in the north of England. Data analysis followed the recommended sequential steps of \u201cFramework\u201d approach. Consolidated criteria for reporting qualitative research guided the study report.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants reported that the main types of wounds healing by secondary intention that they manage are extensive abdominal cavity wounds; open wounds relating to treatment for pilonidal sinus; large open wounds on the feet of patients with diabetes; and axilla and groin wounds, associated with removal of lymph nodes for cancer. Infection and prolonged time to healing were the main challenges. Negative pressure wound therapy was the most favoured treatment option.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Negative pressure wound therapy was advocated by professionals despite a lack of research evidence indicating clinical or cost\u2010effectiveness. Our findings underscore the need for rigorous evaluation of negative pressure wound therapy, and other wound care treatments, through studies that include economic evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance for clinical practice<\/jats:title><jats:p>Clinical decision\u2010making in wound care could be optimised through further robust studies to inform practitioners about the cost\u2010effectiveness of available treatments.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15279","type":"journal-article","created":{"date-parts":[[2020,4,12]],"date-time":"2020-04-12T06:45:46Z","timestamp":1586673946000},"page":"2557-2571","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Nurses\u2019 and surgeons\u2019 views and experiences of surgical wounds healing by secondary intention: A qualitative study"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5388-2455","authenticated-orcid":false,"given":"Dorothy","family":"McCaughan","sequence":"first","affiliation":[{"name":"Department of Health Sciences University of York York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9241-8361","authenticated-orcid":false,"given":"Laura","family":"Sheard","sequence":"additional","affiliation":[{"name":"Bradford Institute for Health Research Bradford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2631-123X","authenticated-orcid":false,"given":"Nicky","family":"Cullum","sequence":"additional","affiliation":[{"name":"Division of Nursing, Midwifery and Social Work School of Health Sciences Faculty of Biology, Medicine and Health Manchester Academic Health Science Centre University of Manchester Manchester UK"},{"name":"Research and Innovation Division Manchester Academic Health Science Centre Manchester University NHS Foundation Trust Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6546-3685","authenticated-orcid":false,"given":"Jo","family":"Dumville","sequence":"additional","affiliation":[{"name":"Division of Nursing, Midwifery and Social Work School of Health Sciences Faculty of Biology, Medicine and Health Manchester Academic Health Science Centre University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2566-6859","authenticated-orcid":false,"given":"Ian","family":"Chetter","sequence":"additional","affiliation":[{"name":"Academic Vascular Surgical Unit Hull York Medical School University of Hull, Hull and East Yorkshire NHS Trust Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,23]]},"reference":[{"key":"e_1_2_16_2_1","first-page":"CD006213","article-title":"Healing by primary versus secondary intention after surgical treatment for pilonidal sinus","volume":"1","author":"Al\u2010Khamis A.","year":"2010","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199706000-00002"},{"key":"e_1_2_16_4_1","unstructured":"Baker S. &Edwards R.(2012).How many qualitative interviews is enough? 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