Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society最新文献

{"title":"Large-Scale Coordinated Prevention of Pressure Injuries in Public Hospitals: Review of a Statewide Hospital-Acquired Pressure Injury Prevention Program Over 15 Years in Australia.","authors":"Yohani Dalugoda, Stephanie Gettens, Kate Smith, Jodie Gordon, Ruby Shillito, Emma Finch, Amy Nevin","doi":"10.1097/WON.0000000000001274","DOIUrl":"https://doi.org/10.1097/WON.0000000000001274","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this retrospective study was to evaluate the effect of an organization-level, hospital-acquired pressure injury (HAPI) prevention program over a 15-year period. A secondary aim was to summarize the program priority areas, and the resources used to inform and support its delivery.</p><p><strong>Design: </strong>Retrospective statewide audit.</p><p><strong>Subjects and setting: </strong>Sixteen hospital and health services in Queensland, Australia, provided HAPI-related indicator data between 2013 and 2018, involving up to 4245 hospital inpatients each year.</p><p><strong>Methods: </strong>A retrospective evaluation was undertaken using statewide audit data from up to 121 hospitals collected annually between 2003 and 2018. Outcomes of interest were HAPI prevalence and related indicators (n = 6). Priority focus areas of the program and supporting resources were extracted from annual reports, strategic plans, meeting minutes, and an internal publishing database.</p><p><strong>Results: </strong>Following commencement of the program in 2006, HAPI prevalence decreased from 14% to 3% in 2018, with corresponding improvements in all 6 related indicators. Program focus areas and supporting resources were multifaceted and evidence based, targeting organizational policy, guidelines, equipment use, procurement, clinical tools, and education. A range of data sources informed the annual program focus including audit, evaluation, and pressure injury clinical incident data.</p><p><strong>Conclusion: </strong>The formation of a statewide HAPI prevention program coincided with a sizeable reduction in HAPI prevalence. This evaluation demonstrates that large-scale quality improvement programs to reduce HAPIs can be effective and sustainable.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147346224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Explainable Artificial Intelligence in a Systematic Literature Review of Pressure Injury Prevention: Lessons Learned.","authors":"Joshua Morriss, Laura E Edsberg, Jill Cox, Virginia Capasso","doi":"10.1097/WON.0000000000001259","DOIUrl":"10.1097/WON.0000000000001259","url":null,"abstract":"<p><p>Artificial intelligence (AI) is rapidly transforming health care by augmenting clinical decision-making and enabling clinicians and researchers to perform literature searches, including systematic literature reviews (SLR). This article describes the methods used to develop an AI-generated SLR, and the lessons learned by the research team (comprised of PI content and AI experts) while completing this project. To generate the SLR, a proprietary explainable AI (XAI) platform was used incorporating generative-discriminative algorithms and reinforcement learning with human feedback. The following research question was posed: \"What are best practices for pressure injury prevention in hospitalized patients?\" Content experts defined and iteratively refined search parameters and exclusion criteria. The XAI screened 1414 records, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 guidelines. After study selection, content experts reviewed the draft SLR for citation accuracy, synthesis quality, and clinical validity. This process yielded 110 studies. Among these, 33 studies were originally excluded but were re-incorporated after content expert input. The AI-generated SLR paper contained multiple citation errors and misinterpretations. Narrative quality was mechanical, with unsupported generalizations and factual inaccuracies. We found that content experts are critical to determine the correct search terms and interpret AI-generated results. Similarly, collaboration with AI experts is necessary to improve understanding of AI applications. The need for a detailed review of any AI-generated SLR is essential to ensure evidence fidelity.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 2","pages":"94-101"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Skin Team Approach to Decrease Pressure Injuries in a Cardiothoracic Intensive Care Unit: A Quality Improvement Initiative.","authors":"","doi":"10.1097/WON.0000000000001271","DOIUrl":"https://doi.org/10.1097/WON.0000000000001271","url":null,"abstract":"","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 2","pages":"E2"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Invest in Yourself, Invest in Your Patients.","authors":"Christine Chris Berke","doi":"10.1097/WON.0000000000001273","DOIUrl":"https://doi.org/10.1097/WON.0000000000001273","url":null,"abstract":"","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 2","pages":"93"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Getting Ready for Certification: Manage Bowel Dysfunction and Fecal Incontinence.","authors":"Holly Hovan, Clay Collins","doi":"10.1097/WON.0000000000001267","DOIUrl":"https://doi.org/10.1097/WON.0000000000001267","url":null,"abstract":"","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 2","pages":"149-152"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of a Moisture-Wicking, Silver-Impregnated Textile in Hospitalized Patients With Intertriginous Dermatitis (ITD): A Single-Case Experiment.","authors":"Margaret Hiler, Justina Siedschlag, Leslie Woodward, Audra L Gollenberg, John Lawrence, Bernice D Mowery","doi":"10.1097/WON.0000000000001260","DOIUrl":"10.1097/WON.0000000000001260","url":null,"abstract":"<p><strong>Purpose: </strong>The aims of this study were to evaluate the efficacy of a moisture-wicking textile impregnated with ionic silver to treat intertriginous dermatitis (ITD) in hospitalized patients using within-participant comparisons of ITD signs and symptoms, and to describe nurses' evaluations of the textile.</p><p><strong>Design: </strong>Single-case experimental.</p><p><strong>Participants and setting: </strong>In this case, the single case comprised a group of adults with ITD hospitalized in a 237-bed, mixed acute care/acute rehabilitation, Magnet-designated hospital in the mid-Atlantic region of the US.</p><p><strong>Methods: </strong>An assessment tool was developed for data collection, and inter-rater reliability was established. Following baseline assessment, including photographs of the affected skin area, the textile was placed. Each participant was evaluated daily for up to 5 days to assess signs and symptoms of ITD, and photographs were taken of each affected area. Nurses caring for study participants were subsequently asked to evaluate the textile.</p><p><strong>Results: </strong>Nine of the 10 participants had usable data; evaluation is based on these participants. All 9 showed significant improvements in skin damage (P = .0011), satellite lesions (P = .02), exudate (P = .0037), odor (P = .012), moisture (P = .0006), and erythema (P = .0002). No significant improvement in pain intensity was reported (P = .17). The textile was reported as \"easy or very easy to use\" by 29/30 (97%) of nurses who provided evaluations.</p><p><strong>Conclusions: </strong>The outcomes of this study suggest that the textile is effective for the management of ITD in hospitalized patients. Nurses evaluated the textile as easy to use. Among the lessons learned is the need for continued education to promote consistent and appropriate textile use to maintain beneficial outcomes.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 2","pages":"108-114"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stepping Into Wellness: An Observational Study of Foot and Nail Care Needs of Older Adults in Senior Housing.","authors":"Yvette Conyers, Barbara Resnick, Ozioma Erondu, Sarah Holmes, Jen Klinedinst, Nicole Brandt","doi":"10.1097/WON.0000000000001270","DOIUrl":"10.1097/WON.0000000000001270","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to describe foot care services requested and received during interdisciplinary wellness visits in low-income senior housing and to identify factors associated with the likelihood of requesting foot care services.</p><p><strong>Design: </strong>Observational, descriptive study.</p><p><strong>Subjects and setting: </strong>The sample comprised 439 residents; their mean age was 79 years (SD = 8), and more than three-quarters (n = 337, 77%) were female. The study setting was 4 senior housing communities in Maryland, located in the MidAtlantic region of the USA. These communities have monthly clinics that provide foot care and other health services.</p><p><strong>Methods: </strong>Residents completed intake assessments capturing demographics, comorbid conditions, and pertinent health behaviors. Foot care services included assessment, moisturization, nail clipping, and education. Data were collected over a period of 30 months. Data were analyzed using descriptive statistics and binary logistic regression to identify predictors of foot care utilization.</p><p><strong>Results: </strong>Of the 439 residents, 147 (34%) requested foot and nail care; slightly less than half 44% (n = 65) had diabetes mellitus. Common issues included xerosis, hyperkeratosis, and onychomycosis. Logistic regression revealed that age (P = .002) and number of comorbidities (P = .003) were significantly associated with receiving foot care. Each additional year of age increased the odds of seeking and/or receiving foot care services by 1.04 (95% CI: 1.01-1.06), and each additional comorbidity increased the odds by 1.14 (95% CI: 1.04-1.24).</p><p><strong>Conclusion: </strong>Foot and nail care is a prevalent need among older adults in senior housing, and particularly among those with diabetes mellitus and multiple comorbid conditions. The interdisciplinary clinic model was effective in delivering care. Future research should explore the impact of foot care services on self-care behaviors, functional outcomes, and health care costs.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 2","pages":"141-144"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Quality of Life in Women With and Without Urinary Incontinence: A Cross-Sectional Study.","authors":"Ayten Senturk Erenel, Sevil Cicek Ozdemir","doi":"10.1097/WON.0000000000001258","DOIUrl":"10.1097/WON.0000000000001258","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to compare the sexual quality of life in women with and without urinary incontinence (UI) and the association between sexual quality of life and select sociodemographic and UI characteristics.</p><p><strong>Design: </strong>Cross-sectional/observational.</p><p><strong>Subjects and settings: </strong>A total of 167 women, 84 with UI and 83 without UI, were included in the study.</p><p><strong>Methods: </strong>Data were collected through an online survey system between November 2020 and April 2021. The online questionnaire included a \"Personal Information Form,\" the \"International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF),\" and the \"Sexual Quality of Life Scale-Female (SQL).\" Scores form the SQL were compared using the independent sample t test for 2 groups and 1-way ANOVA for more than 2 groups.</p><p><strong>Results: </strong>The mean SQL score of the women in the UI group (27.8, SD = 22.9) was significantly lower than that of the women reporting no UI (78.7, SD = 21.0; P < .001). The mean SQL scores of the women reporting typically leaking small amounts of urine during incontinent episodes (39.8, SD = 27.9) were significantly higher than those of women who typically leaked a moderate amount of urine (25.2, SD = 21.0; P = .02). The mean SQL score of the women who did not report coital incontinence (46.6, SD = 19.5) was significantly higher than that of women with coital incontinence (25.8, SD = 22.5; P = .01). There was no significant relationship between UI types and mean SQL scores of the women (P = .16).</p><p><strong>Conclusions: </strong>Urinary incontinence had a negative effect on the quality of women's sexual life. Typically, leaking larger volumes of UI and experiencing incontinence during coitus were associated with worse sexual quality of life.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 2","pages":"131-135"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Measurement of Convexity Characteristics: A Transdisciplinary Consensus Conference.","authors":"Janice M Beitz, Jan Colwell, Dorothy Doughty, Laurie McNichol, Mikel Gray","doi":"10.1097/WON.0000000000001168","DOIUrl":"https://doi.org/10.1097/WON.0000000000001168","url":null,"abstract":"","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 2","pages":"157"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Context for Practice: Balancing Holism and Specialty Care Needs of Patients With Chronic Wounds, Ostomies, Incontinence, and Foot & Nail Care Conditions.","authors":"Mikel Gray","doi":"10.1097/WON.0000000000001272","DOIUrl":"https://doi.org/10.1097/WON.0000000000001272","url":null,"abstract":"","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 2","pages":"91-92"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}