{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T21:21:04Z","timestamp":1783632064840,"version":"3.55.0"},"reference-count":36,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,1,26]],"date-time":"2025-01-26T00:00:00Z","timestamp":1737849600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background\/Objectives: Hidradenitis suppurativa (HS) is an under-treated chronic inflammatory disease that affects approximately 0.40\u20132% of the population. Despite the competences nurses have in wound care, little is known about their management of HS lesions. The objectives of this study were to determine the knowledge and skills of primary care nurses regarding HS as well as to analyse the aspects in which these nurses need to strengthen their competences. Methods: A multicentre exploratory cross-sectional study was carried out in all seven healthcare areas of the Galician Health Service (N-W Spain) during 2021\u20132022. A questionnaire was developed for the project and subsequently piloted; from it, four dimensions were established. Additionally, sociodemographic data were collected. A total of 211 primary care nurses participated. Results: Both total and dimension scores were lower than 5 out of 10 points. The participants showed more knowledge in the Diagnosis and Clinical Course dimension (M = 4.59 out of 10). An older age correlated with greater knowledge regarding Diagnosis and Clinical Course (rho = 0.196; p = 0.006). Conclusions: These findings highlight the importance of developing evidence-based continuous training in the management and detection of the disease, while reducing the consequences of HS on patients\u2019 quality of life.<\/jats:p>","DOI":"10.3390\/nursrep15020040","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T07:46:29Z","timestamp":1737963989000},"page":"40","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Nursing Knowledge and Skills in Hidradenitis Suppurativa: A Multi-Centre Exploratory Study"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3029-3233","authenticated-orcid":false,"given":"Luc\u00eda","family":"Vilanova-Trillo","sequence":"first","affiliation":[{"name":"Dermatology Department, Pontevedra University Hospital, SERGAS, 36003 Pontevedra, Spain"},{"name":"Inflammatory, Pediatric and Oncological Dermatology (DIPO) Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, 36312 Vigo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alba-Elena","family":"Mart\u00ednez-Santos","sequence":"additional","affiliation":[{"name":"Inflammatory, Pediatric and Oncological Dermatology (DIPO) Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, 36312 Vigo, Spain"},{"name":"Faculty of Nursing and Podiatry, Health Sciences Department, University of A Coru\u00f1a, 15403 Ferrol, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8320-7239","authenticated-orcid":false,"given":"Josefa-del-Carmen","family":"Fern\u00e1ndez-De-La-Iglesia","sequence":"additional","affiliation":[{"name":"Faculty of Education Sciences, Department of Pedagogy and Didactics, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Salgado-Boquete","sequence":"additional","affiliation":[{"name":"Dermatology Department, Pontevedra University Hospital, SERGAS, 36003 Pontevedra, Spain"},{"name":"Inflammatory, Pediatric and Oncological Dermatology (DIPO) Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, 36312 Vigo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9373-7826","authenticated-orcid":false,"given":"\u00c1ngeles","family":"Fl\u00f3rez","sequence":"additional","affiliation":[{"name":"Dermatology Department, Pontevedra University Hospital, SERGAS, 36003 Pontevedra, Spain"},{"name":"Inflammatory, Pediatric and Oncological Dermatology (DIPO) Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, 36312 Vigo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1111\/jdv.16677","article-title":"Hidradenitis suppurativa: An update on epidemiology, phenotypes, diagnosis, pathogenesis, comorbidities and quality of life","volume":"35","author":"Nguyen","year":"2021","journal-title":"J. Eur. Acad. Dermatol. Venereol."},{"key":"ref_2","first-page":"449","article-title":"Hidradenitis suppurativa: Pathogenesis, clinical presentation, epidemiology, and comorbid associations","volume":"60","author":"Ahmed","year":"2021","journal-title":"Int. J. Dermatol."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Scala, E., Cacciapuoti, S., Garzorz-Stark, N., Megna, M., Marasca, C., Seiringer, P., Volz, T., Eyerich, K., and Fabbrocini, G. (2021). Hidradenitis Suppurativa: Where We Are and Where We Are Going. Cells, 10.","DOI":"10.3390\/cells10082094"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1001\/jamadermatol.2021.1677","article-title":"Prevalence of Hidradenitis Suppurativa: A Systematic Review and Meta-regression Analysis","volume":"157","author":"Jfri","year":"2021","journal-title":"JAMA Dermatol."},{"key":"ref_5","first-page":"68","article-title":"Towards a multidisciplinary management of hidradenitis suppurativa. Hercules Project","volume":"34","year":"2021","journal-title":"Monogr. Dermatol."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Montero-Vilchez, T., Diaz-Calvillo, P., Rodriguez-Pozo, J.-A., Cuenca-Barrales, C., Martinez-Lopez, A., Arias-Santiago, S., and Molina-Leyva, A. (2021). The Burden of Hidradenitis Suppurativa Signs and Symptoms in Quality of Life: Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18136709"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1111\/ijd.16115","article-title":"Hidradenitis suppurativa: A review of current treatment options","volume":"61","author":"Lewandowski","year":"2022","journal-title":"Int. J. Dermatol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1016\/j.ad.2015.06.005","article-title":"Update on Hidradenitis Suppurative (Part II): Treatment","volume":"106","author":"Martorell","year":"2015","journal-title":"Actas Dermo-Sifiliogr. Engl. Ed."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1001\/jamadermatol.2023.0486","article-title":"Patient Perspectives of Health System Barriers to Accessing Care for Hidradenitis Suppurativa: A Qualitative Study","volume":"159","author":"Barnes","year":"2023","journal-title":"JAMA Dermatol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.jtv.2023.06.002","article-title":"Patients \u2018acceptance\u2019 of chronic wound-associated pain\u2014A qualitative descriptive study","volume":"32","author":"Probst","year":"2023","journal-title":"J. Tissue Viability"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1965","DOI":"10.1111\/jdv.13687","article-title":"The Hidradenitis suppurativa patient journey in Italy: Current status, unmet needs and opportunities","volume":"30","author":"Bettoli","year":"2016","journal-title":"J. Eur. Acad. Dermatol. Venereol."},{"key":"ref_12","unstructured":"ASENDHI (2024, October 01). II Barometer of Hidradenitis Suppurativa, Survey on the Problems of Patients with Hidradenitis Suppurativa in Spain [Internet]. Available online: https:\/\/asendhi.org\/wp-content\/uploads\/2019\/04\/II-BAROMETRO-mar-2019-1.pdf."},{"key":"ref_13","unstructured":"Vilanova-Trillo, L., Martinez-Santos, A.-E., P\u00e9rez-Mari\u00f1o, A., Salgado-Boquete, L., Ram\u00edrez-Santos, A., D\u00e1vila-Seijo, P., and Fl\u00f3rez, \u00c1. What do primary care nurses in Galicia know about Hidradenitis Suppurativa? In Proceedings of the AEDV National Conference, Malaga, Spain, 1\u20134 June 2022."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1001\/jamadermatol.2020.5857","article-title":"Expert Knowledge, Attitudes, and Practices in Management of Hidradenitis Suppurativa Pain","volume":"157","author":"Jedrzejczak","year":"2021","journal-title":"JAMA Dermatol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1111\/bjd.20523","article-title":"Thematic synthesis of the experiences of people with hidradenitis suppurativa: A systematic review","volume":"185","author":"Howells","year":"2021","journal-title":"Br. J. Dermatol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1002\/jvc2.99","article-title":"Sustainable patient education in hidradenitis suppurativa","volume":"2","author":"Christensen","year":"2023","journal-title":"JEADV Clin. Pract."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"m1590","DOI":"10.1136\/bmj.m1590","article-title":"Global Psoriasis Atlas. National, regional, and worldwide epidemiology of psoriasis: Systematic analysis and modelling study","volume":"369","author":"Parisi","year":"2020","journal-title":"BMJ"},{"key":"ref_18","first-page":"213","article-title":"Is Collaboration with Nursing Staff Necessary for the Management of Patients With Psoriasis?","volume":"105","year":"2014","journal-title":"Actas Dermosifiliogr."},{"key":"ref_19","first-page":"14","article-title":"Providing Guidance for Patients with Moderate-to-Severe Psoriasis Who Are Candidates for Biologic Therapy: Role of the Nurse Practitioner and Physician Assistant","volume":"8","author":"Aldredge","year":"2016","journal-title":"J. Dermatol. Nurses Assoc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"370","author":"Altman","year":"2007","journal-title":"Lancet"},{"key":"ref_21","unstructured":"Calleja Hern\u00e1ndez, M.A., Cantarero Prieto, D., Carrasco Rodr\u00edguez, J., Carreras Vi\u00f1as, M., Ce\u00f1al Gonz\u00e1lez-Fierro, M.J., D\u00edaz D\u00edaz, R.M., Gonz\u00e1lez Armengol, J., Gorchs Vega, L., Hidalgo Vicario, M.I., and Land\u00edn Jarillo, L. (2017). Strategic Health Initiative to Define the Optimal Standard of Care for Patients with Hidradenitis Suppurativa, Draft Eds. Available online: https:\/\/asendhi.org\/proyecto-hercules-iniciativa-estrategica-para-la-hidradenitis-supurativa\/."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1111\/exd.14609","article-title":"New treatments and new assessment instruments for Hidradenitis suppurativa","volume":"31","author":"Ingram","year":"2022","journal-title":"Exp. Dermatol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"674","DOI":"10.3390\/nursrep12030067","article-title":"Wound Care Self-Efficacy Assessment of Italian Registered Nurses and Wound Care Education in Italian Nursing Education System: A Cross-Sectional Study","volume":"12","author":"Ielapi","year":"2022","journal-title":"Nurs. Rep."},{"key":"ref_24","first-page":"5","article-title":"The family and community nurse: Health agent and model for the chronic patient within the community","volume":"24","year":"2014","journal-title":"Enferm. Clin."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"S\u00e1nchez-G\u00f3mez, M., Ramos-Santana, S., G\u00f3mez-Salgado, J., S\u00e1nchez-Nicol\u00e1s, F., Moreno-Garriga, C., and Duarte-Cl\u00edments, G. (2019). Benefits of Advanced Practice Nursing for Its Expansion in the Spanish Context. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16050680"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/s40257-021-00667-8","article-title":"Medical Management of Hidradenitis Suppurativa with Non-Biologic Therapy: What\u2019s New?","volume":"23","author":"Ghanian","year":"2022","journal-title":"Am. J. Clin. Dermatol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1111\/bjd.13067","article-title":"Providing lifestyle behaviour change support for patients with psoriasis: An assessment of the existing training competencies across medical and nursing health professionals","volume":"171","author":"Keyworth","year":"2014","journal-title":"Br. J. Dermatol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.colegn.2021.04.003","article-title":"Areas of nursing competence in acute wound care: A focus group study","volume":"29","author":"Suhonen","year":"2022","journal-title":"Collegian"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Van Os-Medendorp, H., Deprez, E., Maes, N., Ryan, S., Jackson, K., Winders, T., De Raeve, L., De Cuyper, C., and Ersser, S. (2020). The role of the nurse in the care and management of patients with atopic dermatitis. BMC Nurs., 19.","DOI":"10.1186\/s12912-020-00494-y"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"58","DOI":"10.12788\/j.sder.2017.020","article-title":"Topical management and wound care approaches for hidradenitis suppurativa","volume":"36","author":"Antia","year":"2017","journal-title":"Semin. Cutan. Med. Surg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1111\/jdv.15850","article-title":"The patient journey: A voyage from diagnosis to hidradenitis suppurativa multidisciplinary unit","volume":"33","author":"Chiricozzi","year":"2019","journal-title":"J. Eur. Acad. Dermatol. Venereol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1111\/ijd.14870","article-title":"Comprehensive approach to managing hidradenitis suppurativa patients","volume":"59","author":"Collier","year":"2020","journal-title":"Int. J. Dermatol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1016\/j.ad.2015.06.004","article-title":"An Update on Hidradenitis Suppurativa (Part I): Epidemiology, Clinical Aspects, and Definition of Disease Severity","volume":"106","author":"Martorell","year":"2015","journal-title":"Actas Dermo-Sifiliogr. Engl. Ed."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1007\/s11916-017-0647-3","article-title":"Pain, Psychological Comorbidities, Disability, and Impaired Qualify of Life in Hidradenitis Suppurativa","volume":"21","author":"Patel","year":"2017","journal-title":"Curr. Pain Headache Rep."},{"key":"ref_35","unstructured":"Vilanova-Trillo, L., Mart\u00ednez-Santos, A.-E., P\u00e9rez Mari\u00f1o, A., Varela Buceta, A., Castro Otero, L., Oro-Ayude, M., Salgado Boquete, L., and Fl\u00f3rez Menendez, A. (2023, January 15\u201317). Perception of patients with hidradenitis suppurativa in Galicia on care and information needs. Proceedings of the 27th International Nursing Research Conference and 10th Iberoamerican Congress on Qualitative Health Research, Valladolid, Spain."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Madrazo-P\u00e9rez, M., Par\u00e1s-Bravo, P., Ray\u00f3n-Valpuesta, E., Blanco-Fraile, C., and Palacios-Ce\u00f1a, D. (2019). The Impact of Health Human Resources Policies in Primary Care Nursing: A Qualitative Study. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16193653"}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/15\/2\/40\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T10:36:24Z","timestamp":1759919784000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/15\/2\/40"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,26]]},"references-count":36,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["nursrep15020040"],"URL":"https:\/\/doi.org\/10.3390\/nursrep15020040","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,26]]}}}