Wound Assessment and Management in Nursing Practice and Education

A special issue of Nursing Reports (ISSN 2039-4403).

Deadline for manuscript submissions: 30 September 2025 | Viewed by 2620

Special Issue Editors


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Guest Editor
Center for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, School of Nursing, Universidade Católica Portuguesa, 4169-005 Porto, Portugal
Interests: wound care; wound assessment techniques; wound management strategies; patient-centered care; technological innovations; artificial intelligence; nursing education; healthcare policy; professional development

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Co-Guest Editor
Center for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, School of Nursing, Universidade Católica Portuguesa, 4169-005 Porto, Portugal
Interests: wound care; technological innovations; simulation; ethics; public health; epidemiology

Special Issue Information

Dear Colleagues,

I am honored to serve as the Guest Editor for this Special Issue that aims to bring together cutting-edge research and practical insights into the assessment and management of wounds, a critical area in nursing practice and education. Wound care is a complex and multifaceted field that requires an in-depth understanding of various wound types, healing processes, and advanced management techniques.

This Special Issue will explore innovative approaches to wound assessment, including the use of technology and new methodologies, and will highlight evidence-based practices for effective wound management. We aim to provide a comprehensive overview of educational strategies that can enhance nursing competencies in wound care. By addressing the latest developments and challenges, this Special Issue seeks to improve patient outcomes and advance nursing education.

We invite researchers, clinicians, and educators to contribute original research articles, reviews, and case studies that cover a wide range of topics related to wound care. Your contributions will be instrumental in shaping the future of wound management in nursing practice and education.

Dr. Paulo Jorge Pereira Alves
Dr. João Daniel Neves-Amado
Guest Editors

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Keywords

  • nursing practice
  • nursing education
  • innovative approaches
  • evidence-based practices
  • technology in wound care
  • pressure injuries
  • pressure ulcers

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Published Papers (2 papers)

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Research

13 pages, 594 KiB  
Article
Influence of Nursing Time and Staffing on Medication Errors: A Cross-Sectional Analysis of Administrative Data
by Mutsuko Moriwaki, Michiko Tanaka, Masayuki Kakehashi, Masato Koizumi, Hiromasa Horiguchi and Kenshi Hayashida
Nurs. Rep. 2025, 15(1), 12; https://doi.org/10.3390/nursrep15010012 - 5 Jan 2025
Viewed by 601
Abstract
Background: Medication errors cause adverse events; however, studies have yet to examine medication errors related to nursing hours while considering ward characteristics in Japan. Purpose: This study investigated medication errors caused by nurses to quantitatively assess ward activity as busyness in nursing [...] Read more.
Background: Medication errors cause adverse events; however, studies have yet to examine medication errors related to nursing hours while considering ward characteristics in Japan. Purpose: This study investigated medication errors caused by nurses to quantitatively assess ward activity as busyness in nursing duties. Methods: This study considered patients hospitalized in the general wards of 10 National Hospital Organization institutions between April 2019 and March 2020. The study data were obtained from the Diagnosis Procedure Combination system, incident report system, and reports on nurse staffing and work hours. Data for 27,629 ward days with 88,475 patients were analyzed. Multivariate analysis was performed to determine the impact of factors on medication errors. Results: The mean patient age was 71.43 years (SD = 15.08). The medication error rate in nursing wards was 13.71%. The mean nursing time per patient during day shift was 1.95 h (SD = 0.58) in the non-medication error group and 2.06 h (SD = 0.58) in the medication error group (p < 0.01). The nursing time per patient in the medication error group compared to that in the non-medication error group had an odds ratio of 1.31 (p < 0.01) during day shifts. Conclusions/Implications for practice: Contrary to evidence, the results showed that medication errors caused by nurses related to increased nurse time with patients during day shifts. Further investigation is needed on the relationship of busyness with nursing duties to ensure an adequate nurse–patient ratio, nursing time, and improved patient safety. Full article
(This article belongs to the Special Issue Wound Assessment and Management in Nursing Practice and Education)
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19 pages, 1300 KiB  
Article
Unveiling the Burden: A Six-Year Retrospective Analysis of Pressure Ulcer Epidemiology in a ICU
by Sofia Vieira, António Mostardinha and Paulo Alves
Nurs. Rep. 2024, 14(4), 3291-3309; https://doi.org/10.3390/nursrep14040239 - 1 Nov 2024
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Abstract
Objective: This study describes the epidemiological changes in pressure ulcers (PUs) in a Portuguese intensive care unit (ICU) from January 2017 to June 2023, characterizes critically ill patients with PUs, identifies specific risk factors, and assesses the effectiveness of implemented preventive measures. Materials [...] Read more.
Objective: This study describes the epidemiological changes in pressure ulcers (PUs) in a Portuguese intensive care unit (ICU) from January 2017 to June 2023, characterizes critically ill patients with PUs, identifies specific risk factors, and assesses the effectiveness of implemented preventive measures. Materials and Methods: A retrospective observational cohort study was conducted, analyzing records of ICU patients with PUs during the specified period. Data were extracted from the institution’s Global Risk Management application and the ICU’s electronic PU registry. The study included patients with ICU stays longer than 24 h and excluded those with ineligible clinical records or incomplete characterization data. Results: Among 3816 evaluated patients, 257 developed a total of 345 PUs, averaging 1.4 PUs per patient. The average PU prevalence rate was 6.81%, with the highest prevalence in 2020 (11.0%) and the lowest in 2022 (3.48%). The average incidence rate was 3.76%, peaking at 5.71% in 2020 and declining to 2.54% in 2023. The sacrum and heels were the most commonly affected areas, with Category 2 PUs being the most frequent. Key intrinsic risk factors included systemic diseases and sensory deficits, with pressure identified as a significant extrinsic factor. Preventive measures focused on risk assessment and pressure control. Conclusions: The study reveals a PU prevalence of 6.81% and an average incidence of 3.76%, underscoring the need for enhanced preventive strategies, especially in anatomical areas like the sacrum and heels. It emphasizes the importance of personalized assessments, continuous education for nursing staff, and a multidisciplinary approach to improve patient outcomes and care quality in the ICU. Full article
(This article belongs to the Special Issue Wound Assessment and Management in Nursing Practice and Education)
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