Palliative care nurses' knowledge of the assessment and management of malignant fungating wounds: a scoping review.

IF 1.7 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2026-05-02 Epub Date: 2026-04-30 DOI:10.12968/jowc.2023.0124

Eimer Noone, Michael Connolly

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引用次数: 0

Abstract

Objective: The aim of the review was to develop a greater understanding of nurses' knowledge of wound assessment and management, paying particular attention to malignant fungating wounds (MFWs), and to identify and explore the evidence on these wounds and their treatment.

Method: A scoping review was conducted to search for and select potential studies. A search was undertaken using CINAHL, PubMed, Cochrane, Scopus and Google Scholar. The scoping review was guided by the framework of Arskey and O'Malley.

Results: Following review, three studies met the inclusion criteria and were ultimately selected for data extraction. The four main themes developed from analysis included: prevalence of MFWs; impact on the individual/caregiver/nurse; symptom management in MFWs; and lack of knowledge and skills.

Conclusion: The findings of this review highlighted that there is a clear lack of evidence, despite the plethora of published literature on general wound assessment and management, to adequately determine nurses' knowledge of the assessment and management of MFWs. This indicates that a greater focus needs to be placed on attaining knowledge if holistic care is to be provided. There is a need for specific knowledge in nursing, and so, greater attention is needed to improve nurses' knowledge in carrying out MFW assessment and management, and in developing and advancing nursing research practice in the field of palliative wound care.

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姑息护理护士对恶性真菌伤口评估和管理的知识：范围审查。

目的：回顾的目的是为了更好地了解护士对伤口评估和管理的知识，特别是对恶性真菌性伤口（MFWs）的关注，并识别和探讨这些伤口及其治疗的证据。方法：进行范围综述，以搜索和选择潜在的研究。使用CINAHL、PubMed、Cochrane、Scopus和b谷歌Scholar进行检索。范围审查以Arskey和O'Malley的框架为指导。结果：经过审查，有3项研究符合纳入标准，最终入选进行数据提取。从分析中得出的四个主题包括：低收入家庭的流行情况；对个人/照顾者/护士的影响；MFWs的症状管理；以及缺乏知识和技能。结论：本综述的研究结果强调，尽管有大量关于一般伤口评估和管理的已发表文献，但明显缺乏证据来充分确定护士对MFWs评估和管理的知识。这表明，如果要提供全面护理，就必须更加注重获取知识。护理学需要专门的知识，因此，需要更加重视提高护士在进行MFW评估和管理方面的知识，以及在缓和伤口护理领域开展和推进护理研究实践。

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.