{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T14:56:06Z","timestamp":1701442566675},"reference-count":75,"publisher":"Mark Allen Group","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2020,12,2]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> To determine the number of specialised wound care units\/clinics (SWCUs) in Spain, at present, and to describe their most important characteristics. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> This was an observational study with a descriptive-analytical, cross-sectional, multicentre approach, where the studied population consisted of SWCUs in Spain. A specific data-collection questionnaire was designed using a modified Delphi method, consisting of four rounds, with the collaboration of 10 wound experts. The final questionnaire included 49 items distributed across four dimensions\/areas with a content validity index (CVI-Total for pertinence=0.96 and CVI-Total for relevance=0.94. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> A total of 42 SWCUs were included in the study. Most SWCUs were based in hospitals (n=15, 35.7%) or healthcare centres, covering a specific healthcare area (n=17, 40.5%). SWCU coordinators were primarily nurses (n=33, 78.6%). Staff members' professions in SWCUs included registered nurses (n=38 units, 92.7%), nursing assistants (n=8 units, 19.5%), podiatrists (n=8 units, 19.5%), vascular surgeons (n=7 units, 17%), osteopaths (n=2 units, 4.8%) and medical doctors from different specialties (n=3 units, 7.2%). For wound aetiology, the most prevalent wounds managed were diabetic foot ulcers (n=38 units, 90.5%), followed by venous leg ulcers (n=36 units, 85.7%) and arterial ischaemic ulcers (n=36 units, 85.7%). A statistically significant association was found between the number of staff members in a SWCU and the existence of resistance\/opposition barriers when developing a SWCU (Chi-square test, p=0.049; Cram\u00e9r's V=0.34; 34%), as well as between resistance\/opposition barriers when developing a SWCU and a nurse as coordinator of a SWCU (MacNemar test, p=0.007, Cram\u00e9r's V=0.35; 35%). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> The typical SWCU implemented in Spain is located in a hospital or integrated in a healthcare structure that offers coverage to a whole health area and providing services for people with hard-to-heal wounds (wound management and prevention) and health professionals (advice, consultancy and training\/education). Despite the growing number of SWCUs in Spain, the future of this new organisational model is uncertain, as there can be barriers to creating them and some deficiencies, such as low staff numbers, which need to be addressed. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2020.29.12.764","type":"journal-article","created":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T19:12:54Z","timestamp":1608059574000},"page":"764-775","source":"Crossref","is-referenced-by-count":1,"title":["Specialised wound care clinics in Spain: distribution and characteristics"],"prefix":"10.12968","volume":"29","author":[{"given":"H\u00e9ctor","family":"Gonz\u00e1lez-de la Torre","sequence":"first","affiliation":[{"name":"Complejo Hospitalario Materno-Infantil Insular de Gran Canaria, Servicio Canario de Salud, Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Verd\u00fa-Soriano","sequence":"additional","affiliation":[{"name":"Department of Community Nursing, Preventive Medicine, Public Health and History of Science, Faculty of Health Sciences, University of Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda L","family":"Quintana-Lorenzo","sequence":"additional","affiliation":[{"name":"Gerencia de Atenci\u00f3n Primaria de Gran Canaria, Servicio Canario de Salud, Las Palmas de Gran Canaria, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Berenguer-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Community Nursing, Preventive Medicine, Public Health and History of Science, Faculty of Health Sciences, University of Alicante, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel Sarabia","family":"Lav\u00edn","sequence":"additional","affiliation":[{"name":"Departamento de Enfermer\u00eda, Facultad de Enfermer\u00eda, Universidad de Cantabria, Santander, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier","family":"Soldevilla-\u00c1greda","sequence":"additional","affiliation":[{"name":"Servicio Riojano de Salud, Consultorio de Ausejo, La Rioja, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"B1","unstructured":"European Wound Management Association (EWMA). Position Document: Hard-to-heal wounds: a holistic approach. MEP Ltd, 2008"},{"key":"B2","unstructured":"Vowden P. Hard-to-heal wounds made easy. Wounds International 2011; 2(4)"},{"issue":"1","key":"B3","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/j.1742-481X.2010.00656.x","volume":"7","author":"Queen D.","year":"2010","journal-title":"Int Wound J"},{"issue":"12","key":"B4","doi-asserted-by":"crossref","first-page":"e009283","DOI":"10.1136\/bmjopen-2015-009283","volume":"5","author":"Guest JF","year":"2015","journal-title":"BMJ Open"},{"issue":"6","key":"B5","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1111\/j.1524-475X.2009.00543.x","volume":"17","author":"Sen CK","year":"2009","journal-title":"Wound Repair Regen"},{"issue":"1","key":"B6","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1186\/s13643-016-0329-y","volume":"5","author":"J\u00e4rbrink K","year":"2016","journal-title":"Syst Rev"},{"issue":"2","key":"B7","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1111\/iwj.12603","volume":"14","author":"Guest JF","year":"2017","journal-title":"Int Wound J"},{"issue":"4","key":"B8","doi-asserted-by":"crossref","first-page":"154","DOI":"10.12968\/jowc.2009.18.4.41607","volume":"18","author":"Posnett J","year":"2009","journal-title":"J Wound Care"},{"issue":"2","key":"B9","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1111\/iwj.12610","volume":"14","author":"Gonz\u00e1lez de la Torre H","year":"2017","journal-title":"Int Wound J"},{"key":"B10","unstructured":"International consensus. Optimising wellbeing in people living with a wound. An expert working group review. Wounds International, 2012"},{"issue":"5","key":"B12","doi-asserted-by":"crossref","first-page":"S38","DOI":"10.1016\/S0002-9610(03)00303-9","volume":"187","author":"Gottrup F.","year":"2004","journal-title":"Am J Surg"},{"issue":"6","key":"B13","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1111\/iwj.12768","volume":"14","author":"Pruim L","year":"2017","journal-title":"Int Wound J"},{"key":"B14","volume-title":"Integral management of chronic wounds-2a","author":"Soldevilla-Agreda JJ","year":"2016"},{"issue":"1","key":"B15","first-page":"5","volume":"3","author":"Gottrup F.","year":"2003","journal-title":"EWMA Journal."},{"key":"B16","first-page":"S1","volume":"23","author":"Moore Z","year":"2014","journal-title":"J Wound Care"},{"issue":"2","key":"B17","first-page":"31","volume":"12","author":"Van Acker K.","year":"2012","journal-title":"EWMA Journal (Electronic Supplement)"},{"key":"B19","doi-asserted-by":"crossref","first-page":"248S","DOI":"10.1097\/PRS.0000000000002702","volume":"138","author":"Sood A","year":"2016","journal-title":"Plast Reconstr Surg"},{"issue":"9","key":"B20","doi-asserted-by":"crossref","first-page":"426","DOI":"10.12968\/jowc.2015.24.9.426","volume":"24","author":"Rondas AA","year":"2015","journal-title":"J Wound Care"},{"key":"B21","doi-asserted-by":"crossref","first-page":"S92","DOI":"10.1016\/j.ygyno.2008.07.044","volume":"111","author":"Attinger CE","year":"2008","journal-title":"Gynecol Oncol"},{"issue":"3","key":"B22","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1097\/01.sap.0000248116.28131.94","volume":"58","author":"Sholar AD","year":"2007","journal-title":"Ann Plast Surg"},{"issue":"3","key":"B23","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1177\/1534734614568667","volume":"15","author":"Jiang Y","year":"2016","journal-title":"Int J Low Extrem Wounds"},{"key":"B25","unstructured":"Gonz\u00e1lez de la Torre H. Wound units in Spain. [PhD thesis. In Spanish]. University of Alicante. 2017. https:\/\/tinyurl.com\/y2gt63t3 (accessed 1 December 2020)"},{"issue":"3","key":"B26","first-page":"142","volume":"28","author":"Gonz\u00e1lez de la Torre H","year":"2017","journal-title":"Gerokomos"},{"issue":"2","key":"B27","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1097\/01.ASW.0000411408.97930.af","volume":"25","author":"Sibbald RG","year":"2012","journal-title":"Adv Skin Wound Care"},{"issue":"2","key":"B28","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1111\/j.1067-1927.2004.012204.x","volume":"12","author":"Gottrup F.","year":"2004","journal-title":"Wound Repair Regen"},{"issue":"5","key":"B29","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.12968\/jowc.2015.24.Sup5.S1","volume":"24","author":"Moore Z","year":"2015","journal-title":"J Wound Care"},{"issue":"3","key":"B30","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1097\/WON.0b013e3182164214","volume":"38","author":"Clegg A","year":"2011","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"9498","key":"B32","doi-asserted-by":"crossref","first-page":"1719","DOI":"10.1016\/S0140-6736(05)67698-2","volume":"366","author":"Boulton AJ","year":"2005","journal-title":"Lancet"},{"issue":"5","key":"B33","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.medcli.2013.11.022","volume":"142","author":"Arag\u00f3n-S\u00e1nchez J.","year":"2014","journal-title":"Med Clin (Barc)"},{"issue":"3","key":"B34","doi-asserted-by":"crossref","first-page":"186","DOI":"10.12968\/jowc.2018.27.3.186","volume":"27","author":"Manu C","year":"2018","journal-title":"J Wound Care"},{"key":"B35","unstructured":"National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: quick reference guide. Emily Haesler (Ed.). Cambridge Media, 2014"},{"issue":"4","key":"B36","doi-asserted-by":"crossref","first-page":"162","DOI":"10.4321\/S1134-928X2014000400006","volume":"25","author":"Pancorbo-Hidalgo PL","year":"2014","journal-title":"Gerokomos"},{"issue":"2","key":"B37","doi-asserted-by":"crossref","first-page":"90","DOI":"10.4321\/S1134-928X2013000200008","volume":"24","author":"Torra i Bou JE","year":"2013","journal-title":"Gerokomos."},{"issue":"3","key":"B38","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1097\/WON.0b013e318215f798","volume":"38","author":"Gray M","year":"2011","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"9","key":"B39","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1097\/01.ASW.0000405216.27050.97","volume":"24","author":"Sibbald RG","year":"2011","journal-title":"Adv Skin Wound Care"},{"key":"B40","unstructured":"European Wound Management Association (EWMA). Position document: wound bed preparation in practice. MEP Ltd, 2004"},{"issue":"4","key":"B41","first-page":"18","volume":"3","author":"Weir D.","year":"2012","journal-title":"Wounds International"},{"issue":"8","key":"B42","doi-asserted-by":"crossref","first-page":"428","DOI":"10.12968\/jowc.2016.25.8.428","volume":"25","author":"Mennini N","year":"2016","journal-title":"J Wound Care"},{"issue":"22","key":"B43","first-page":"381","volume":"108","author":"Peinemann F","year":"2011","journal-title":"Dtsch Arztebl Int"},{"issue":"11","key":"B44","doi-asserted-by":"crossref","first-page":"617","DOI":"10.12968\/jowc.2016.25.11.617","volume":"25","author":"Nie B","year":"2016","journal-title":"J Wound Care"},{"key":"B45","first-page":"CD000265","volume":"11","author":"O'Meara S","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"B46","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.12968\/jowc.2013.22.Sup1.S1","volume":"22","author":"Strohal R","year":"2013","journal-title":"J Wound Care"},{"issue":"5","key":"B47","first-page":"11","volume":"5","author":"Duffy JE","year":"2011","journal-title":"Today's Wound Clinic. [Internet]."},{"issue":"9","key":"B48","first-page":"18","volume":"9","author":"Rehm KB","year":"2015","journal-title":"Internet"},{"key":"B49","doi-asserted-by":"crossref","first-page":"S6","DOI":"10.12968\/bjcn.2015.20.Sup6.S6","volume":"20","author":"Nazarko L.","year":"2015","journal-title":"Br J Community Nurs"},{"key":"B50","unstructured":"Internation consensus: the role of proteases in wound diagnostics. An expert working group review. Wounds International, 2011"},{"issue":"5","key":"B51","doi-asserted-by":"crossref","first-page":"202","DOI":"10.12968\/jowc.2010.19.5.48048","volume":"19","author":"Ruangsetakit C","year":"2010","journal-title":"J Wound Care"},{"issue":"6","key":"B52","doi-asserted-by":"crossref","first-page":"1682","DOI":"10.1016\/j.jvs.2016.04.056","volume":"64","author":"Barshes NR","year":"2016","journal-title":"J Vasc Surg"},{"issue":"4","key":"B53","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1177\/1534734615596906","volume":"14","author":"\u00c1lvaro-Afonso FJ","year":"2015","journal-title":"Int J Low Extrem Wounds"},{"issue":"563","key":"B54","doi-asserted-by":"crossref","first-page":"422","DOI":"10.3399\/bjgp09X420932","volume":"59","author":"Nicola\u00ef SP","year":"2009","journal-title":"Br J Gen Pract"},{"issue":"9","key":"B55","first-page":"CD010680","volume":"9","author":"Crawford F","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"B56","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1111\/j.1742-481X.2012.01051.x","volume":"11","author":"Richard JL","year":"2014","journal-title":"Int Wound J"},{"issue":"1","key":"B57","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.diabres.2005.02.013","volume":"70","author":"Miranda-Palma B","year":"2005","journal-title":"Diabetes Res Clin Pract"},{"issue":"1","key":"B58","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1177\/1534734610362738","volume":"9","author":"Gottrup F.","year":"2010","journal-title":"Int J Low Extrem Wounds"},{"issue":"9","key":"B59","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1002\/bjs.8810","volume":"99","author":"Br\u00f6lmann FE","year":"2012","journal-title":"Br J Surg"},{"issue":"1","key":"B60","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1111\/jnu.12106","volume":"47","author":"Romero-Collado A","year":"2015","journal-title":"J Nurs Scholarsh"},{"issue":"7","key":"B61","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1001\/archsurg.136.7.765","volume":"136","author":"Gottrup F","year":"2001","journal-title":"Arch Surg"},{"issue":"6","key":"B62","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1046\/j.1524-475X.2003.11609.x","volume":"11","author":"Gottrup F.","year":"2003","journal-title":"Wound Repair Regen"},{"key":"B63","first-page":"S1","volume":"23","author":"Probst S","year":"2014","journal-title":"J Wound Care"},{"issue":"4","key":"B64","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1159\/000328139","volume":"222","author":"Augustin M","year":"2011","journal-title":"Dermatology"},{"issue":"9","key":"B65","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/S2213-8587(16)30012-2","volume":"4","author":"Jeffcoate WJ","year":"2016","journal-title":"Lancet Diabetes Endocrinol"},{"issue":"2","key":"B66","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1111\/j.1742-481X.2009.00593.x","volume":"6","author":"Baharestani MM","year":"2009","journal-title":"Int Wound J"},{"issue":"3","key":"B67","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.jtv.2012.05.001","volume":"21","author":"Dealey C","year":"2012","journal-title":"J Tissue Viability"},{"issue":"1","key":"B68","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1177\/1534734614521234","volume":"13","author":"Rubio JA","year":"2014","journal-title":"Int J Low Extrem Wounds"},{"key":"B69","unstructured":"International consensus. Making the case for cost-effective wound management. Wounds International, 2013"},{"issue":"44","key":"B70","doi-asserted-by":"crossref","first-page":"e1962","DOI":"10.1097\/MD.0000000000001962","volume":"94","author":"Chen YT","year":"2015","journal-title":"Medicine (Baltimore)"},{"key":"B71","doi-asserted-by":"crossref","first-page":"S39","DOI":"10.12968\/bjcn.2014.19.Sup3.S39","author":"Dutton M","year":"2014","journal-title":"Br J Community Nurs"},{"key":"B72","doi-asserted-by":"crossref","first-page":"S21","DOI":"10.12968\/bjcn.2015.20.Sup3.S21","volume":"20","author":"Logan G.","year":"2015","journal-title":"Br J Community Nurs"},{"issue":"6","key":"B73","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/01.NUMA.0000413641.52774.2c","volume":"43","author":"Bell-Kotwall L","year":"2012","journal-title":"Nursing Management (Springhouse)"},{"issue":"4","key":"B74","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1111\/wrr.12067","volume":"21","author":"Masturzo A","year":"2013","journal-title":"Wound Repair Regen"},{"issue":"5","key":"B75","doi-asserted-by":"crossref","first-page":"288","DOI":"10.12968\/jowc.2018.27.5.288","volume":"27","author":"Gottrup F","year":"2018","journal-title":"J Wound Care"},{"key":"B76","doi-asserted-by":"crossref","first-page":"241S","DOI":"10.1097\/PRS.0000000000002648","volume":"138","author":"Kim PJ","year":"2016","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"B77","doi-asserted-by":"crossref","first-page":"1703","DOI":"10.1016\/j.jvs.2012.11.112","volume":"57","author":"Kim PJ","year":"2013","journal-title":"J Vasc Surg"},{"issue":"1","key":"B78","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1177\/0884533609358997","volume":"25","author":"Stechmiller JK.","year":"2010","journal-title":"Nutr Clin Pract"},{"issue":"2","key":"B80","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.endonu.2013.07.002","volume":"61","author":"Rubio JA","year":"2014","journal-title":"Endocrinol Nutr"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2020.29.12.764","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T19:16:42Z","timestamp":1608059802000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2020.29.12.764"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,2]]},"references-count":75,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12,2]]}},"alternative-id":["10.12968\/jowc.2020.29.12.764"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2020.29.12.764","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,2]]}}}