Volume 42 Number 3

Re-connecting and reinvigorating enthusiasm for advancing practice and consumer outcomes

Jenny Prentice

For referencing Prentice J. Re-connecting and reinvigorating enthusiasm for advancing practice and consumer outcomes. WCET® Journal 2022;42(3):7

DOI https://doi.org/10.33235/wcet.42.3. 7

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As COVID-19 and variants inhibit less of the world’s populace from congregating, many members of the WCET® fraternity have grasped opportunities to gather in person (or virtually) at recent international and national forums to share and acquire new knowledge, reinvigorate their professional passions and re-connect with old and/or make new acquaintances.

Such events have included WCET®/WCON Joint Congress in Texas June 2022; the Joint European Wound Management Association WMA and Journées Cicatrisations Conference in Paris May 2022; the virtual Inaugural Global ‘A World Without Skin Tears’ Day in April 2022 hosted by the International Skin Tear Advisory Panel; Wound Awareness Week in Australia in July 2022 and many more.

These gatherings assist in raising political and community awareness of the burden of disease or trauma that result in ostomies, wounds, or skin disorders. In addition, the associated ramifications for affected individuals, their caregivers, health service providers and governments are highlighted. Further, the importance of and need for specialist nursing services in prevention and management is emphasised.

With this understanding also comes a level of responsibility to ensure that as health professionals or clinicians we keep abreast of current trends in research, education and practice and, where possible, share our knowledge and experience to improve communities of practice within our respective specialties.

Unfortunately, I was unable to attend the Congress in Texas. However, within the WCET® BullETin there are some wonderful exposes of the Congress. Within this issue we are delighted to share several abstracts from the Congress. Ideally, we would like all authors of posters and presenters of papers to consider going one step further and reflect on Dr Elizabeth Ayello’s comments as outgoing President of WCET® on the importance of shared expertise to improved patients’ outcomes. Elizabeth stated “W: WRITE: Words matter! Get the work that you have done PUBLISHED, regardless, if you have developed new approaches into bed side enablers, tested or made creative clinical solutions or did fully fledged research work. If it is not written, it is not done”.

Although infection rates from COVID-19 may be decreasing, there is still much to learn from the lived experiences of clinical staff who managed or are still managing consumers who are critically ill with COVID-19, often under difficult circumstances. Eveline et al from Indonesia present two case studies of critically ill consumers with COVID-19 who required intensive care and who developed pressure injuries. The intensive care unit was within a makeshift hospital and compounded by a scarcity of resources.

Comprehension of terminology used in the assessment of stomas and wounds is fundamental to collective clinical understanding, correct treatment options and positive consumer outcomes. Professor Keryln Carville is the second of our WCET® recipients of the 2022 Life Achievement Award bestowed by the World Union of Wound Healing Societies to share her expertise with us. Along with her fellow colleagues, Prof Carville describes how an online Delphi model was used to seek Australian wound, ostomy and continence nurse and colorectal surgeons understanding and consensus of frequently used terms such as stomal, parastomal and peristomal complications. Other terms clarified related to allergic dermatitis, mucocutaneous granuloma and tension blisters.

Dr John Stephenson, in his third expose on statistics, guides us through the application of descriptive statistical analysis to summarise data collected and which tests are best used to extract information and/or present the results found. Common terms used in descriptive analysis such as categorical and numerical, mean, median, standard deviation and interquartile range are explained. Examples of when best to use tables or graphs to précis volumes of data with reference to actual wound management studies are provided.

It always interesting to read of treatments for wounds that have often been used for hundreds of years that are experiencing a re-emergence or undergoing further scientific validation. Haesler, within the WHAM Evidence Summaries, reviews the use of turmeric and associations with wound healing. While it appears there is insufficient evidence to support the use of topical turmeric preparations to facilitate wound healing, evidence suggests the use of oral turmeric as an adjunct therapy in selected patients receiving radiotherapy may be beneficial in reducing the severity of radiation dermatitis. Being able to re-assess and comprehend the evidence for alternative non-western therapies is important for those providing wound skin ostomy care in less well-resourced countries.

Best Wishes to you all.

Jenny


重建联系并重振推进实践和患者结局的热情

Jenny Prentice

DOI: https://doi.org/10.33235/wcet.42.3. 7

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随着COVID-19及其变体对世界人口聚集的抑制作用减弱,WCET®联谊会的许多成员抓住机会在线下(或线上)参加最近的国际和国家论坛,分享和获得新的知识,重振他们的专业激情,重新联系老朋友和/或结交新朋友。

此类活动包括2022年6月在徳克萨斯州举行的WCET®/WCON联合大会;2022年5月在巴黎举行的欧洲伤口管理协会(WMA)与法国伤口愈合协会联合大会;2022年4月由国际皮肤撕裂伤专家咨询组主办的线上虚拟首届全球“世界无皮肤撕裂”日;2022年7月在澳大利亚举办的Åg提高伤口认识周Åh及更多活动。

对于引发造口、伤口或皮肤病的疾病或创伤,这些集会有助于提高对其负担的政治认识和社区认识。另外还强调了对受影响个人、其护理者、医疗服务机构和政府的相关影响。此外,专科护理服务在预防和管理中的重要性和必要性也得到了强调。

有了这种认识,作为专业医护人员或临床医生,我们也有责任确保紧跟研究、教育和实践的当前趋势,并在可能的情况下,分享我们的知识和经验,以改善我们各自专业内的社区实践。

很遗憾,我没能参加在徳克萨斯州举行的大会。但是,在WCET® BullETin中,有一些大会的精彩内容。在本期杂志中,我们很高兴与大家分享大会的几篇摘要。理想情况下,我们希望所有海报作者和论文发表者进行进一步思考,并反思WCET®即将离任的主席Elizabeth Ayello博士关于共享专业知识对改善患者结局的重要性的看法。Elizabeth表示,“W:书写(WRITE):文字至关重要!请将你们所做的工作发表出来,无论你们是将新方法开发成了床边辅助工具、测试或制定了创造性的临床解决方案,亦或是进行了全面的研究工作。如果没有写出来,就等于没有完成”。

虽然COVID-19的感染率可能正在下降,但临床工作人员的生活经验中仍有很多值得学习的地方,他们通常在困难的情况下,管理或仍在管理患有COVID-19的危重患者。来自印度尼西亚的Eveline等人对两名COVID-19重症患者进行了病例研究,这些患者需要重症监护,并出现了压力性损伤。重症监护室处于临时医院内,由于资源匮乏,情况更加复杂。

理解造口和伤口评估中使用的术语是集体临床理解、正确的治疗方案和积极的患者结局的基础。Keryln Carville教授是我们WCET® 2022年终生成就奖的第二位获得者,该奖项由世界伤口愈合学会联盟授予,她与我们分享了她的专业知识。Carville教授与同事一起描述了,如何使用在线Delphi模型寻求澳大利亚伤口、造口、失禁专科护士和结直肠外科医生对常用术语(如造口、造口旁和造口周围并发症)的理解和共识。阐明的其他术语涉及过敏性皮炎、皮肤黏膜肉芽肿和张力性水疱。

John Stephenson博士在其关于统计学的第三篇文章中,指导我们应用描述性统计分析来总结收集的数据,以及最适合用于提取信息和/或呈现发现结果的检验。他解释了描述性分析中使用的常用术语,如分类和数值、平均值、中位数、标准差和四分位距。根据实际伤口管理研究,提供了关于何时最好地使用表格或图表简述大量数据的示例。

看到通常已经使用了数百年的伤口治疗方法正在经历复兴或接受进一步的科学验证,这总是很有趣。在WHAM证据总结中,Haesler回顾了姜黄的使用及其与伤口愈合的相关性。虽然似乎没有足够的证据支持使用外用姜黄制剂可以促进伤口愈合,但有证据表明,在接受放疗的特定患者中,使用口服姜黄作为辅助治疗可能有利于降低放射性皮炎的严重程度。对于在资源匮乏的国家提供伤口皮肤造口护理的人员而言,能够重新评估并了解非西方替代疗法的证据非常重要。

谨致问候

Jenny


Author(s)

Jenny Prentice
PhD, BN, RN, STN, FAWMA