This project was a non-experimental retrospective study to evaluate the impact of advanced wound care among patients with chronic wounds in home health. The Bates-Jensen Wound Assessment Tool (BWAT) was selected to measure the healing rate. The collection of the wound status continuum scores using the BWAT were utilized throughout the study using convenience sampling of the participants. Demographical information, baseline outcome measure and secondary outcome measures were extracted from chart review. A baseline outcome measure (pre-intervention wound status continuum scores) were collected before initiation of advanced wound care. A second outcome measure (post-intervention wound status continuum scores) were collected after the advanced wound nurse practitioner (AWNP) initiated advanced wound care. Healing rate as indicated in the wound status continuum scores were collected before and after initiation of advanced wound care treatment. The differences in wound status continuum score before and after the introduction of advanced wound care were documented. The study showed statistically significant differences, at the .05 significance level, in pre-intervention to post-intervention scores for healing rate using BWAT (wound status continuum score). Results show on average, the score on BWAT (wound status continuum) was 9.52 points lower after initiation of advanced wound care. The implementation of evidence-based guidelines, such as advanced wound care program results in increased wound healing, decreased complications and recurrence rates, efficient use of health services and cost-effectiveness of care. Keywords: chronic wounds, advanced wound care, cost-effectiveness, wound healing, Jennifer Ty
|Advisor:||Minaie, Sheela S.|
|Commitee:||Hanisch, Tyke, Webb, Bryan|
|Department:||Nursing and Health Professions|
|School Location:||United States -- California|
|Source:||DAI-B 79/02(E), Dissertation Abstracts International|
|Keywords:||Advanced wound care, Chronic wounds, Cost-effectiveness, Wound healing|
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