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Aim: Electrical stimulation (ES) is one of the most evidence-based technologies in wound management and is proven to be effective in accelerating healing in multiple wound types and reducing wound pain. It is safe to use and has minimal side effects. The aim of this evaluation was to assess the frequency of a positive response for pain and healing, on a non-healing chronic venous ulcer. Methods: This case report discusses the use of a portable automatic, continuously active, disposable low-voltage pulsed microcurrent ES device in a patient with a 19-month chronic venous ulcer stalled in healing despite months of multilayer compression bandaging and venous surgery. The ES device was applied under compression bandaging. Patient was taught to change the portable ES device every 4 hrs. Compression was changed weekly as per normal. Results: After 12-day electrical stimulation under compression bandaging, within two weeks, there was reduction of fibrinous slough and pain and nil eczematous plaques flare over periwound. Ulcer size reduced 50% within 3 weeks with compression bandaging post electrical stimulation. Conclusion: The quick turnaround in clinical signs towards healing suggest ES was responsible for changing the physiology of the wound and that reparative processes were in motion. Furthermore, with the ability to allow patients to receive electrical stimulation therapy at home, in combination with any type of dressing, this device will be able to greatly expand the access of patients to this ES therapy. [ABSTRACT FROM AUTHOR]

Objectives: Extensive preparatory work is undertaken by Guideline Governance Groups (GGGs) before critical appraisal of literature for an evidence-based guideline. The aim of this paper is to provide overview of preparation for the next edition of Clinical Practice Guideline for the Prevention and Management of Venous Leg Ulcers (working title) being developed by Hong Kong Enterostomal Therapists Association, New Zealand Wound Care Society, Wounds Australia and the Wound Healing Society of Singapore. Methods: Scoping of venous leg ulcer (VLU) literature published 2016-2022 was undertaken to identify quantity and level of new evidence. A stakeholder survey is being undertaken (currently under consideration by ethics committees in Australia and NZ). The survey will open for patients, caregivers, health professionals and other stakeholders in July 2022. The survey measures priority stakeholders place on clinical topics from previous guideline editions, as well as importance stakeholders place on clinical outcomes from VLU interventions. Results: Using the guideline search strategy, 12,711 potentially relevant publications were identified, with screening identifying 3,132 of these publications as eligible for further consideration. These publications are being screened against the inclusion criteria and Results: will be presented. The stakeholder survey results, which will inform development of clinical questions explored in the guideline, are anticipated by September 2022. Conclusions: Contemporary guideline development processes require extensive background preparation. Scoping the literature allows GGGs to develop a strong understanding of the volume and quality of relevant new literature. Collecting stakeholder feedback allows GGGs to develop clinical questions, content and resources of relevance to stakeholders. [ABSTRACT FROM AUTHOR]

Aims Design Methods Results Conclusion Implications for the Profession Impact (Addressing) Patient or Public Contribution 1. To explore the perceptions of physicians, registered nurses (RN) and allied health professionals (AHP) towards the role of ward‐based advanced practice nurse (APN). 2. To examine healthcare professionals' perception of APN role expansion in inpatient care.Cross‐sectional study.A 43‐item survey comprising of five domains was conducted on healthcare professionals' perceptions towards ward‐based APNs in five medical wards of a tertiary hospital from November 2022 to February 2023. The participants were recruited using convenience sampling via email and cross‐platform messaging service.A total of 181 completed respondents including 26 physicians, 102 nurses and 45 AHPs. Statistical analysis was performed with IBM SPSS Version 28.0. APNs were perceived to be spending a great extent of time across all five domains, namely, ‘direct comprehensive care’, ‘support of systems’, ‘research’, ‘education’ and ‘publication and professional leadership’. Significant differences were noted in perceptions based on prior experience with APNs and between different healthcare professions. The majority recognized APNs' positive impact on patient safety, efficiency and patient‐centeredness.This study offers valuable insights into ward‐based APNs' practice patterns, roles and impact, revealing a positive shift in their acceptance and expanding roles within inpatient general wards. It also highlights the valuable roles and impact of ward‐based APNs in direct patient care, system support, research, education and leadership, despite ongoing challenges in role clarity, particularly in treatment planning and ward rounds.APNs are highly regarded as competent and a consistent personnel in the wards. However, there are divided views on clinical activities that APNs undertake. What problem did the study address? ○Role ambiguity for ward‐based APNs. ○Healthcare professionals' readiness and acceptance of APNs. What were the main findings? ○APNs are perceived to have a strong involvement in direct patient care, support of system, research, education and leadership. ○APNs are recognized for their significant impact on patient safety, efficiency and patient‐centredness, but there were varied perceptions on the extent of time they spend in different practice domains. ○The critical roles of APNs participating in daily ward rounds and initiating discharge plans were highlighted, emphasizing their importance in timeliness and continuity of care. Where and on whom will the research have an impact? ○It will affect healthcare professionals including physicians, nurses, allied health professionals and healthcare administrators by providing insights into the roles and contributions of ward‐based APNs. ○The findings will guide policymakers and nurse leaders in making informed decisions about the implementation and development of APN roles, ultimately improving patient care and outcomes. What problem did the study address? ○Role ambiguity for ward‐based APNs. ○Healthcare professionals' readiness and acceptance of APNs. Role ambiguity for ward‐based APNs.Healthcare professionals' readiness and acceptance of APNs.What were the main findings? ○APNs are perceived to have a strong involvement in direct patient care, support of system, research, education and leadership. ○APNs are recognized for their significant impact on patient safety, efficiency and patient‐centredness, but there were varied perceptions on the extent of time they spend in different practice domains. ○The critical roles of APNs participating in daily ward rounds and initiating discharge plans were highlighted, emphasizing their importance in timeliness and continuity of care. APNs are perceived to have a strong involvement in direct patient care, support of system, research, education and leadership.APNs are recognized for their significant impact on patient safety, efficiency and patient‐centredness, but there were varied perceptions on the extent of time they spend in different practice domains.The critical roles of APNs participating in daily ward rounds and initiating discharge plans were highlighted, emphasizing their importance in timeliness and continuity of care.Where and on whom will the research have an impact? ○It will affect healthcare professionals including physicians, nurses, allied health professionals and healthcare administrators by providing insights into the roles and contributions of ward‐based APNs. ○The findings will guide policymakers and nurse leaders in making informed decisions about the implementation and development of APN roles, ultimately improving patient care and outcomes. It will affect healthcare professionals including physicians, nurses, allied health professionals and healthcare administrators by providing insights into the roles and contributions of ward‐based APNs.The findings will guide policymakers and nurse leaders in making informed decisions about the implementation and development of APN roles, ultimately improving patient care and outcomes.No Patient or Public Contribution. [ABSTRACT FROM AUTHOR]

The article presents a study examining a flexible multiplexed immunosensor for point-of-care in situ wound monitoring. It mentions chronic wounds arise from interruption of normal healing due to many potential pathophysiological factors. It e demonstrates in situ multiplexed monitoring in a mouse wound model and also profile wound exudates from patients with venous leg ulcers.