{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T18:00:11Z","timestamp":1789236011033,"version":"build-2803163510"},"reference-count":28,"publisher":"Mark Allen Group","issue":"15","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2024,8,13]]},"abstract":"<jats:sec><jats:title>Objectives:<\/jats:title><jats:p> To determine the profile of diabetes patients with neuropathic and neuro-ischaemic lesions who are referred to the advanced practice nurse (APN) in complex chronic wounds; to determine whether a training strategy aimed at primary care nurses and nursing homes that care for patients with diabetic foot disease influences the performance of professionals; and to assess the extent, follow-up and evaluation of diabetic foot disease in patients with neuropathic ulcers and neuro-ischaemic ulcers referred to the specialist APN before and after the training. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> The characteristics of patients referred to the APN over a period of 6.5 years were analysed, as well as the numbers of amputations and deaths pre- and post-training. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> of the total of 103 patients, 78 were men; across both sexes the average age was 69 years. Fifty patients had neuropathic ulcers and 53 had neuro-ischaemic ulcers, with healing rates of 59%. There were 50 amputations and 37 deaths over the study period. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Prevention of diabetic foot ulcers depends on having in place a fast, agile, practical clinical pathway between primary care and hospital, with the role of the APN, including the co-ordination of care between primary and secondary settings, being key. <\/jats:p><\/jats:sec>","DOI":"10.12968\/bjon.2024.0006","type":"journal-article","created":{"date-parts":[[2024,8,14]],"date-time":"2024-08-14T15:15:51Z","timestamp":1723648551000},"page":"S4-S15","source":"Crossref","is-referenced-by-count":3,"title":["Diabetic foot ulcers: evaluating the role of the specialist advanced practice nurse in complex chronic wounds"],"prefix":"10.12968","volume":"33","author":[{"given":"Juan F","family":"Jim\u00e9nez-Garc\u00eda","sequence":"first","affiliation":[{"name":"Advanced Practice Nurse in Complex Chronic Wounds, Poniente de Almer\u00eda Health District, Spain, Associate Professor, University of Almer\u00eda, Spain, and Executive Member of the Spanish Pressure Ulcer Advisory Panel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan F","family":"Jim\u00e9nez-Abad","sequence":"additional","affiliation":[{"name":"Urology Resident Internal Physician. 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