Hospital clinicians' perspectives of using compression therapy on venous leg ulcers: a systematic qualitative review. (23rd February 2023)

• Record Type: Journal Article
• Authors: Lian, Yaping; Birt, Linda; Wright, David
• Is Part Of: British journal of nursing. Volume 32:Number 4(2023)
• Page Start: S30
• Page End: S42
• Publication Date: 2023-02-23
• Subjects: Compression therapy -- Venous leg ulcers -- Secondary care -- Staff training; Nursing -- Periodicals; 610.73
• DOI: 10.12968/bjon.2023.32.4.S30
• Languages: English
• ISSNs: 0966-0461

Abstract

Abstract : Venous leg ulcer treatment is frequently discontinued in hospitals in contravention of national guidance, significantly affecting patient outcomes and increasing NHS costs. Aim: To identify, from the published literature, reasons for variable implementation. Method: Systematic review with narrative synthesis, including full papers in English with empirical qualitative data. Synonyms for venous leg ulcer, compression therapy and secondary care were searched across a range of health-related databases. The Critical Appraisal Skills Programme (CASP) checklist determined study quality, and meta-ethnography was used for data synthesis. Results: 7040 titles and abstracts and 41 full-text papers were screened with four papers selected. Three key themes were generated: educational needs surrounding implementation of compression therapy, patient factors regarding adherence and organisational resources including availability of appropriate equipment and trained staff. Conclusion: Barriers at the ward level were identified. There is a need to better understand why hospitals are not addressing them.