{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T15:53:37Z","timestamp":1785772417549,"version":"3.56.0"},"reference-count":60,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"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 Clinical Nursing"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine and map the available literature on outcomes associated with interventions carried out by advanced practice nurses in chronic wound care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The role of the advanced practice nurses in wound care is identified as a key element in the management of patients with chronic wounds. However, the literature offers fragmented knowledge of the outcomes associated with their practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Scoping review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This scoping review was conducted following the methodological framework proposed by Arskey and O'Malley, following the Preferred Reporting Item for Systematic Review and Meta\u2010analysis for Scoping Review. PRISMA\u2010ScR Checklist is included in the manuscript. Observational or experimental studies related to patients affected by chronic wounds and cared for by advanced practice nurses in wound care were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>The following databases were queried: PubMed, CINAHL, Cochrane Library, and Scopus from 01 May 2025 to 31 October 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The search strategy in the consulted databases identified 1956 studies; 31 met the inclusion criteria. Different types of chronic wounds were investigated: diabetic foot ulcers, venous leg ulcers, and pressure injuries. The most frequently measured outcomes were clinical responses (healing, recurrence, complications), organizational efficiency (referrals, resource utilization), and patient\u2010reported outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Evidence from the included studies suggests that Advanced practice nurses led wound care models may be associated with faster healing, lower recurrence and complication rates, and more efficient care pathways, across different settings. This review highlights the global applicability of APN\u2010led models, showing consistent improvements in clinical, organizational, and patient\u2010reported outcomes through core interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>This scoping review follows Arskey and O'Malley's methodological framework and the Preferred Reporting Item for Systematic Review and Meta\u2010analysis for Scoping Review.<\/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>\n                  <jats:sec>\n                    <jats:title>Protocol Registration<\/jats:title>\n                    <jats:p>\n                      The revision protocol was registered on the OSF (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/doi.org\/10.17605\/OSF.IO\/P9TA4\">https:\/\/doi.org\/10.17605\/OSF.IO\/P9TA4<\/jats:ext-link>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70355","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T07:16:48Z","timestamp":1778483808000},"page":"3597-3618","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Health Outcomes Led by Advanced Practice Nurses in Patients With Chronic Wounds: A Scoping Review"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4308-4204","authenticated-orcid":false,"given":"Leonardo","family":"D'Andrea","sequence":"first","affiliation":[{"name":"Department of Biomedicine and Prevention Tor Vergata University  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Vanzi","sequence":"additional","affiliation":[{"name":"Research Interdepartmental Center for Research and Training (CIFAPPS) University of Rome Tor Vergata; Centre of Excellence for Nursing Scholarship (CECRI), Board of Nursing (OPI) of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosaria","family":"Alvaro","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention Tor Vergata University  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessia","family":"De Angelis","sequence":"additional","affiliation":[{"name":"Nursing Department ASL Roma 4  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serenella","family":"Savini","sequence":"additional","affiliation":[{"name":"Nursing Department ASL Roma 4  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4673-7473","authenticated-orcid":false,"given":"Ercole","family":"Vellone","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention Tor Vergata University  Rome Italy"},{"name":"Faculty of Nursing and Midwifery Wroclaw Medical University  Wroc\u0142aw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Zaghini","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention Tor Vergata University  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9970-0100","authenticated-orcid":false,"given":"Dario","family":"Monaco","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention Tor Vergata University  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.10.002"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000109"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00152192\u2010199407000\u201000010"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13026"},{"issue":"4","key":"e_1_2_13_7_1","doi-asserted-by":"crossref","first-page":"206","DOI":"10.33235\/wpr.29.4.206-210","article-title":"A New District Nursing Model Improves Venous Leg Ulcer Healing Rates","volume":"29","author":"Bourke A.","year":"2021","journal-title":"Wound Practice & Research: Journal of the Australian Wound Management Association"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/wound.2011.0329"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2014.19.sup3.s39"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u2010172X.2005.00521.x"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns2005.09.19.52.47.c3950"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102702.2008.02648.x"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u201013\u201086"},{"key":"e_1_2_13_14_1","unstructured":"European Pressure Ulcer Advisory Panel National Pressure Injury Advisory Panel & Pan Pacific Pressure Injury Alliance.2019.\u201cPrevention and Treatment of Pressure Ulcers\/Injuries: Clinical Practice Guideline. 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