Background: Chronic wounds pose a significant global health challenge, profoundly impacting patients' quality of life. While traditional care focuses on biological healing, there is growing emphasis on patient-centered outcomes (PROs). Non-pharmacological interventions are increasingly recognized as essential components of comprehensive care, yet a comprehensive synthesis of their effects on PROs is needed. Objective: This narrative review aims to identify and synthesize the evidence on the effects of various non-pharmacological interventions on PROs in adults with chronic wounds. Methods: A systematic search was conducted in PubMed, Embase, CINAHL, Web of Science, Cochrane Library, and CNKI from inception until October 18, 2025. Studies involving adults with chronic wounds that evaluated non-pharmacological, non-surgical interventions and measured at least one PRO were included. Results: The review included 14 studies. The interventions were categorized into four types: 1) Physical and Energy-Based Therapies, which showed benefits in reducing procedural pain and improving comfort; 2) Psychological and Behavioral Interventions, which demonstrated positive effects on emotional distress and disease-specific quality of life; 3) Advanced Wound Dressings, associated with reduced pain and accelerated healing; and 4) Innovative Care Models, which consistently improved multiple PROs, including pain, self-efficacy, and general quality of life. Conclusion: A diverse range of non-pharmacological interventions can significantly improve PROs in chronic wound management, addressing critical aspects of patient well-being such as pain, psychological state, and self-efficacy. Integrating these interventions into a multifaceted, patient-centered care approach is recommended. Future research should focus on larger, high-quality trials with standardized outcome measures to strengthen the evidence base.
Objective : To develop a nursing skills assessment scoring standard using the Attribute Hierarchy Model (AHM) and evaluate its effectiveness in daily teaching and practice. Methods : Based on the scoring standards for intravenous indwelling needle infusion in the national vocational college nursing skills competition, assessment indicators were identified. AHM was employed to determine the relative weights of these indicators. The developed AHM-based scoring standard was applied to assess the intravenous indwelling needle infusion skills of 290 higher vocational nursing students. Student performance and the effectiveness of the evaluation were analyzed. Results : The average student score was 77.59 ± 8.86. 9 cases (3.1%) scored ≥ 90, 96 cases (33.1%) scored between 80 and 90, 146 cases (50.3%) scored between 70 and 80, and 39 cases (13.5%) scored below 70. Analysis revealed deficiencies in several secondary assessment indicators, including non-standard disinfection (63%), inaccurate drip rate adjustment (43%), and failure to perform necessary checks during the procedure. Conclusion : The AHM-based scoring standard provides a robust theoretical foundation for evaluating nursing skills. The evaluation results demonstrate its scientific validity and practicality. By accurately identifying areas of weakness in student performance, this approach facilitates "process-result" based evaluation and offers a valuable reference for assessing the practical abilities of nursing students.
Nursing and Practice Journals and Best Scientific Publishers of USA - Assessment of Quality Health Care Delivery from the Perspectives of Nurses at the Trust Hospital Company Limited in the Greater Accra Region of Ghana
Introduction: The transgender non-conforming (TGNC) clients experience provider bias, erasure, refusal to treat and, violence. Aim: The purpose of this article is to identify barriers to health care for TGNC Individuals and discuss recommendations for Nurse Practitioner practice treating this population. Method: Literature review of prime research was conducted. Results: Evidence suggests barriers to TGNC health care, include lack of provider transgender knowledge and transgender sensitivity, lack of provider communication, lack of emotional and physical safe health care environments. Discussion: TGNC clients face barriers to accessing health care and specific recommendations to improve NP practice will decrease these barriers. Implications for practice: Lack of provider education affects transgender individuals accessing quality health care. Recommendations to improve NP practice are essential to improve care.
