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Aims and objectives: To review the literature related to the outcomes and experience of people receiving nurse-led care for chronic wounds in the community. Background: Chronic wounds lead to a poor quality of life and are an economic burden to the Australian healthcare system. A lack of awareness into the significance of chronic wounds leads to limited resources being available to facilitate the provision of evidence-based care. The majority of chronic wounds are managed by nurses in the community, and a better understanding into current models of care is required to inform future practice. Design: A systematic quantitative literature review. Methods: A systematic search was conducted in four electronic databases, and the inclusion criteria were as follows: English language, peer-reviewed, published from 2009–2019 and primary research. The data were compiled into an Excel database for reporting as per the Pickering and Byrne (Higher Education Research & Development, 33, 534.) method of systematic quantitative literature review. This review used the PRISMA checklist. The Mixed Methods Appraisal Tool was used for quality appraisal. Results: Twelve studies were included in the review. Home nursing care, social community care and nursing within a wound clinic were identified as three types of nurse-led care in the literature. The findings demonstrate that nurse-led care was cost-effective, reported high levels of client satisfaction and contributed to improved wound healing and reduced levels of pain. Conclusions: Nurse-led care is a positive experience for people with chronic wounds and leads to better outcomes. The findings suggested a need for further client education and specialised training for healthcare practitioners managing chronic wounds. RELEVANCE TO CLINICAL PRACTICE: This review demonstrates that nurse-led care for people with chronic wounds in the community is cost-effective and improves client outcomes. Raising awareness into the significance of chronic wounds aims to promote the resources required to facilitate evidence-based care.

AIMS To evaluate the implementation of the Champions for Skin Integrity Model on facilitating uptake of evidence-based wound management and improving skin integrity in residents of aged care facilities BACKGROUND: The incidence of skin tears, pressure injuries and leg ulcers increases with age and such wounds can be a serious issue in aged care facilities. Older adults are not only at higher risk for wounds related to chronic disease, but also injuries related to falls and manual handling requirements. DESIGN A LONGITUDINAL, PRE-POST DESIGN: METHODS: The Champions for Skin Integrity model was developed utilizing evidence-based strategies for transfer of evidence into practice. Data were collected before, and six months after implementation of the model. Data on wound management and skin integrity were obtained from two random samples of residents (n=200 pre; n=201 post) from seven aged care facilities. A staff survey was also undertaken (n=126 pre; n=143 post) of experience, knowledge and evidence-based wound management. Descriptive statistics were calculated for all variables. Where relevant, Chi square for independence or t-tests were used to identify differences between the pre/post data. RESULTS There was a significant decrease in the number of residents with a wound of any type (54% pre vs 43% post, χ2 4.2, p = 0.041), as well as a significant reduction in specific wound types, e.g. pressure injuries (24% pre vs 10% post, χ2 14.1, p