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Referencing criteria for specialised consultation in complex wound care

2025-11-26Artigo de investigação Acesso aberto
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dc.contributor.authorMiranda, Liliana Grilo
dc.contributor.authorLourenço, Óscar
dc.contributor.authorNeves-Amado, João
dc.contributor.authorAlves, Paulo
dc.date.accessioned2025-12-09T11:09:50Z
dc.date.available2025-12-09T11:09:50Z
dc.date.issued2025-11-26
dc.description.abstractObjective: This study aims to validate a referral model for specialised nursing consultation in the treatment of patients with complex wounds. Methods: A sequential mixed-methods design was used. First, a focus group with national wound care experts was conducted to identify and discuss potential referral indicators based on current clinical practice and the existing literature. The preliminary criteria were then evaluated and refined through a two-round Delphi survey involving a multidisciplinary panel of specialists. Consensus was defined as ?70% agreement among participants. Results: Fourteen referral criteria achieved expert consensus, with several, such as the need for advanced therapies, multidisciplinary management, and the presence of peripheral vascular disease, reaching over 90% agreement. The most frequently prioritised indicators for referral included wound complexity (exposure of fascia or surgical material, presence of non-viable tissue, or associated vascular pathology) and the need for innovative advanced therapies (e.g., negative-pressure wound therapy, topical oxygen therapy). Conclusions: This validated set of referral criteria offers a structured, evidence-informed tool to support timely and appropriate referral to specialised nursing consultation, enhancing consistency, quality, and efficiency in wound management. Beyond clinical utility, these criteria may serve as a foundation for national referral policies, interprofessional collaboration, and future digital decision-support systems aimed at optimising complex wound care.eng
dc.identifier.citationMiranda, L. G., Lourenço, Ó., Neves-Amado, J., & Alves, P. (2025). Referencing criteria for specialised consultation in complex wound care. Nursing Reports, 15(12), Article 417. https://doi.org/10.3390/nursrep15120417
dc.identifier.doi10.3390/nursrep15120417
dc.identifier.eid105025751149
dc.identifier.issn2039-439X
dc.identifier.other2a5eba87-f69b-4ae4-bbc5-1148a2e77cf8
dc.identifier.pmcPMC12736089
dc.identifier.pmid41441347
dc.identifier.urihttp://hdl.handle.net/10400.14/55875
dc.identifier.wos001647105200001
dc.language.isoeng
dc.peerreviewedyes
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectComplex wounds
dc.subjectDelphi study
dc.subjectReferral criteria
dc.subjectSpecialist nursing
dc.subjectWound care pathways
dc.titleReferencing criteria for specialised consultation in complex wound careeng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.issue12
oaire.citation.titleNursing Reports
oaire.citation.volume15
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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