{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T18:52:24Z","timestamp":1775155944547,"version":"3.50.1"},"reference-count":22,"publisher":"Mark Allen Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2026,4,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Ultrasonography (U\/S) is a non-invasive and cost-effective tool for detecting soft tissue and bone abnormalities. However, its use among wound care nurses in Indonesia remains unexplored. This quasi-experimental study aimed to assess the effectiveness of the ULTRA-CARE training programme in enhancing the knowledge, skills and attitude of nurses in using U\/S in wound care practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A pre- and post-test study (without control) was conducted with wound care nurses attending the ULTRA-CARE training programme. The curriculum consisted of a two-day training exercise: theoretical sessions (day 1) and practical sessions using two portable U\/S devices (day 2). The Kirkpatrick model was used to assess training effectiveness across four levels: (1) satisfaction; (2) knowledge\/skills; (3) behaviour; and (4) self-perceived clinical outcomes. Pre- and post-training assessments were analysed using the Wilcoxon signed-rank test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of nine wound care nurses were included. Significant improvement in post-test knowledge scores was observed (p=0.012). Participants reported \u226580% satisfaction (Level 1) and positive self-perceived behavioural changes (Level 3). For Levels 2 and 4, two participants reported confidence levels &lt;80%, though overall improvements in perceived diagnostic capabilities were noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The findings of this study showed that the ULTRA-CARE programme significantly enhanced participants' knowledge and attitudes toward U\/S use in wound care. Scaling up similar programmes or future studies could enhance early osteomyelitis detection, reduce the number of amputations, and improve patient outcomes in resource-limited settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/jowc.2025.0052","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T17:50:12Z","timestamp":1775152212000},"page":"326-331","source":"Crossref","is-referenced-by-count":0,"title":["ULTRA-CARE: a pilot study on Indonesia's first ultrasonography training programme for wound care nurses"],"prefix":"10.12968","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3582-7556","authenticated-orcid":false,"given":"Adam","family":"Astrada","sequence":"first","affiliation":[{"name":"Department of Medical-Surgical, Emergency, and Critical Care Nursing, Faculty of Health Sciences, Esa Unggul University, Indonesia"},{"name":"Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eka Putri","family":"Yulianti","sequence":"additional","affiliation":[{"name":"Department of Mental Health Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Budi","family":"Mulyana","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical, Emergency, and Critical Care Nursing, Faculty of Health Sciences, Esa Unggul University, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ratna","family":"Dewi","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical, Emergency, and Critical Care Nursing, Faculty of Health Sciences, Esa Unggul University, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rian Adi","family":"Pamungkas","sequence":"additional","affiliation":[{"name":"Department of Community and Mental Health Nursing, Faculty of Health Sciences, Esa Unggul University, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harsah","family":"Bachtiar","sequence":"additional","affiliation":[{"name":"Rawat Luka Indonesia Co., Ltd., Indonesia"},{"name":"Graduate School of Nursing, Faculty of Nursing, Jember University, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duta Andriyan","family":"Wibowo","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Health Sciences, Esa Unggul University, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lailatu","family":"Zahro","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Health Sciences, Esa Unggul University, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunarti YM","family":"Manec","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Health Sciences, Esa Unggul University, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"e_1_3_3_1_2","doi-asserted-by":"publisher","DOI":"10.2337\/db20182-1"},{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00259-024-06693-y"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofab184"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijantimicag.2019.01.007"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/jac\/dkg186"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12750"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2020.109215"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3250"},{"key":"e_1_3_3_9_2","doi-asserted-by":"crossref","unstructured":"Schaper NC van Netten JJ Apelqvist J et al. 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