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Detecting Early-Stage Pressure Injury in Patients With Dark Skin Tones Using an Enhanced Physical Assessment Technique and Halogen Lighting. 利用增强型物理评估技术和卤素灯检测深肤色患者的早期压伤
IF 2.6 3区 医学 Q2 NURSING Pub Date : 2024-01-01 DOI: 10.1097/WON.0000000000001048
Monica Waidley, Nikki Taylor, Leah L Shever-Doletzky

Purpose: The purpose of this quality improvement project was to identify stage 1 pressure injuries (PIs) in patients with darker skin tones using an enhanced skin assessment (Skin Assessment for Dark Skin, SADS) and halogen lighting.

Participants and setting: This quality improvement project was conducted on 3 units at a large university teaching hospital in Southeast Michigan. The project was originally designed so that participating patients were identified by bedside nurses as having sufficient melanin to obscure blanching on the hand/forearm using regular lighting, but this goal was not met. Data analysis is based on patients who self-identified as African American or Black, Native Hawaiian or Pacific Islander, Asian, American Indian, and Native Alaskan. Bedside nurses participating in this project were also asked to complete a questionnaire describing their knowledge and experiences with this project and assessment of early-stage PI in patients with darker skin tones.

Approach: The Iowa Model of Evidence-Based Practice was used to guide this quality improvement initiative. Following a trigger event, we reviewed pertinent literature and developed an enhanced technique for assessing patients with darker skin tones that involved use of halogen lighting (SADS) and documentation of findings. We selected units from our facility and taught nurses to apply the SADS approach. Data from the electronic medical record and a survey of participating nurses were used to compare findings before and after project implementation. Comparisons were based on descriptive data analysis.

Outcomes: Following implementation of the enhanced physical assessment, the participating units experienced a 6% decrease in the total number of facility-acquired PIs during the implementation period.

Implications for practice: The enhanced physical assessment, when paired with halogen lighting, enhanced identification of stage 1 PI in persons with dark skin. The assessment method was easy to teach, learn, and can be performed at the bedside as part of a shift assessment which routinely includes inspection of skin.

目的:本质量改进项目的目的是利用增强型皮肤评估(黑皮肤皮肤评估,SADS)和卤素灯照明来识别肤色较深患者的第一阶段压力损伤(PI):该质量改进项目在密歇根州东南部一所大型大学教学医院的 3 个病房开展。该项目的最初设计是为了让床旁护士识别出参与项目的患者有足够的黑色素,以便在常规照明下掩盖手部/前臂的肤色褪色,但这一目标并未实现。数据分析基于自我认同为非裔美国人或黑人、夏威夷原住民或太平洋岛民、亚裔、美国印第安人和阿拉斯加原住民的患者。参与该项目的床边护士还被要求填写一份调查问卷,描述他们对该项目的了解和经验,以及对肤色较深患者早期 PI 的评估:方法:爱荷华循证实践模式被用来指导这项质量改进计划。在一次触发事件后,我们查阅了相关文献,并开发了一种用于评估肤色较深患者的增强型技术,其中包括使用卤素灯(SADS)和记录评估结果。我们选择了本机构的一些科室,教护士们应用 SADS 方法。我们利用电子病历中的数据和对参与护士的调查,对项目实施前后的结果进行了比较。比较基于描述性数据分析:结果:实施增强型体格评估后,参与单位在实施期间的设施获得性 PI 总数下降了 6%:实践启示:增强型体格评估与卤素灯照明相结合,可提高对深色皮肤者第一阶段 PI 的识别率。该评估方法易教、易学,可在床边进行,作为例行皮肤检查的轮班评估的一部分。
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引用次数: 0
Management of a Peristomal Abscess in a Patient With an Ileostomy: A Case Study. 回肠造口术患者肛周脓肿的处理:病例研究。
IF 2.6 3区 医学 Q2 NURSING Pub Date : 2024-01-01 DOI: 10.1097/WON.0000000000001047
Huiyan Wei, Jin Qiu, Aini Li, Hongyang Hu

Background: Peristomal abscess (PA) is an uncommon but challenging peristomal skin complication. The initial treatment of the PA usually includes incision and drainage of the abscess, resulting in a peristomal wound. The presence of the wound makes it difficult to maintain a seal between the ostomy skin barrier and the peristomal skin resulting in frequent removal and application of the skin barrier to prevent leakage and allow for daily wound care.

Case: Ms T was a 52-year-old woman with an ileostomy resulting from a prior left hemicolectomy for colon cancer who developed a PA. Treatment of the PA was implemented, along with a modified 2-piece skin barrier that allowed access to the peristomal wound for daily dressing changes while maintaining a seal around the ostomy.

Conclusion: The modified 2-piece skin barrier technique proved a successful treatment for the management of the PA without frequent changes of the ostomy pouching system.

背景:肛周脓肿(PA)是一种不常见但具有挑战性的肛周皮肤并发症。肛周脓肿的初始治疗通常包括切开和引流脓肿,从而造成肛周伤口。由于伤口的存在,造口皮肤屏障和肛周皮肤之间难以保持密封,因此需要经常去除和使用皮肤屏障,以防止渗漏并进行日常伤口护理:T 女士是一名 52 岁的女性,因结肠癌接受过左半结肠切除术而进行了回肠造口术,并出现了 PA。在对 PA 进行治疗的同时,还使用了改良的两片式皮肤屏障,该屏障允许进入肛周伤口进行日常换药,同时保持造口周围的密封:结论:经改良的两片式皮肤屏障技术证明是治疗 PA 的成功方法,无需频繁更换造口袋系统。
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引用次数: 0
A Time to Rejuvenate: The New Norm. 恢复活力的时刻:新常态。
IF 2.6 3区 医学 Q2 NURSING Pub Date : 2024-01-01 DOI: 10.1097/WON.0000000000001049
Vittoria Vicky Pontieri-Lewis
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引用次数: 0
Caring for Patients With Malignant Fungating Wounds: A Scoping Literature Review. 护理恶性化脓性伤口患者:范围界定文献综述。
IF 2.6 3区 医学 Q2 NURSING Pub Date : 2024-01-01 DOI: 10.1097/WON.0000000000001055
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引用次数: 0
Back to the Future in Wound Care: A View From Here. 回到伤口护理的未来:从这里看世界。
IF 2.6 3区 医学 Q2 NURSING Pub Date : 2024-01-01 DOI: 10.1097/WON.0000000000001050
Lia van Rijswijk
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引用次数: 0
Comparison of Adjustment or Adaptation to the Formation of a Temporary Versus a Permanent Ostomy: A Systematic Review. 临时造口与永久性造口形成的调整或适应比较:系统综述。
IF 2.6 3区 医学 Q2 NURSING Pub Date : 2024-01-01 Epub Date: 2023-11-14 DOI: 10.1097/WON.0000000000001031
Ian Whiteley, Sue Randall, Fiona F Stanaway

Purpose: The aim of this systematic review was to review evidence on adjustment or adaptation to an ostomy in persons with a temporary versus permanent ostomy.

Method: Systematic review.

Search strategy: We comprehensively searched the following bibliographic databases: MEDLINE (Ovid SP), EMBASE (Ovid SP), PsycINFO, CINAHL, Joanna Briggs, Scopus, and EThOS and ProQuest dissertations from inception to July 21, 2021. We located 570 studies. Data were extracted into Covidence, and the risk of bias was assessed using the Newcastle-Ottawa Scale and the Joanna Briggs tool.

Findings: Thirty-one studies met inclusion criteria and were included; only 2 assessed adjustment using a validated adjustment tool (Ostomy Adjustment Inventory, OAI-23). One found better adjustment in those with a permanent ostomy at 6 months; the second did not formally test for statistically significant differences between groups. Other included studies assessed aspects of adjustment such as health-related quality of life and psychological symptoms. Findings differed between studies; the majority of studies were deemed at a high risk of bias.

Conclusions: The quality of evidence among studies evaluating adjustment to an ostomy in permanent versus temporary stomas was poor; the majority did not measure adjustment using a validated adjustment instrument. Therefore, differences in the ways those with a temporary ostomy or permanent ostomy adjust or adapt remain largely unknown.

Implications: Further high-quality studies are needed that compare adjustment to a temporary or permanent ostomy using a validated instrument. An understanding of differences in adjustment in those with a temporary and permanent ostomy is important for planning how health care services can be better tailored to meet the needs of ostomy patients beyond the initial postoperative period of recovery.

目的:本系统综述的目的是回顾临时造口与永久性造口患者对造口调整或适应的证据。方法:系统评价。检索策略:我们综合检索了以下书目数据库:MEDLINE (Ovid SP), EMBASE (Ovid SP), PsycINFO, CINAHL, Joanna Briggs, Scopus, EThOS and ProQuest从成立到2021年7月21日的论文。我们找到了570项研究。将数据提取到covid中,并使用纽卡斯尔-渥太华量表和乔安娜布里格斯工具评估偏倚风险。结果:31项研究符合纳入标准并被纳入;只有2例使用经过验证的调整工具评估调整(造口调整量表,OAI-23)。其中一项研究发现,永久性造口术后6个月的患者适应能力更好;第二项研究没有正式检验各组之间的统计显著差异。其他包括评估适应方面的研究,如与健康有关的生活质量和心理症状。研究结果不同;大多数研究被认为存在高偏倚风险。结论:评估永久性造口与临时造口调整的研究证据质量较差;大多数没有使用经过验证的调节仪器测量调节。因此,临时造口术和永久性造口术的调整或适应方式的差异在很大程度上仍然未知。意义:需要进一步的高质量研究来比较使用经过验证的器械进行临时或永久性造口的调整。了解临时造口术和永久性造口术患者在适应方面的差异,对于规划如何更好地定制卫生保健服务以满足造口术患者术后最初恢复期后的需求非常重要。
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引用次数: 0
Association Between Maternal Depression and Lower Urinary Tract Symptoms in Their Primary School-Age Daughters: A Birth Cohort Study. 母亲抑郁与小学学龄女儿下尿路症状之间的关系:出生队列研究
IF 2.6 3区 医学 Q2 NURSING Pub Date : 2024-01-01 DOI: 10.1097/WON.0000000000001039
Shayna D Cunningham, Sarah Lindberg, Carol Joinson, David Shoham, Haitao Chu, Diane Newman, Neill Epperson, Linda Brubaker, Lisa Kane Low, Deepa R Camenga, D Yvette LaCoursiere, Melanie Meister, Kimberly Kenton, Siobhan Sutcliffe, Alayne D Markland, Sheila Gahagan, Tamera Coyne-Beasley, Amanda Berry

Purpose: Although maternal depression is associated with adverse outcomes in women and children, its relationship with lower urinary tract symptoms (LUTS) in offspring is less well-characterized. We examined the association between prenatal and postpartum maternal depression and LUTS in primary school-age daughters.

Design: Observational cohort study.

Subjects and setting: The sample comprised 7148 mother-daughter dyads from the Avon Longitudinal Study of Parents and Children.

Method: Mothers completed questionnaires about depressive symptoms at 18 and 32 weeks' gestation and 21 months postpartum and their children's LUTS (urinary urgency, nocturia, and daytime and nighttime wetting) at 6, 7, and 9 years of age. Multivariable logistic regression models were used to estimate the association between maternal depression and LUTS in daughters.

Results: Compared to daughters of mothers without depression, those born to mothers with prenatal and postpartum depression had higher odds of LUTS, including urinary urgency (adjusted odds ratio [aOR] range = 1.99-2.50) and nocturia (aOR range = 1.67-1.97) at 6, 7, and 9 years of age. Additionally, daughters born to mothers with prenatal and postpartum depression had higher odds of daytime wetting (aOR range = 1.81-1.99) and nighttime wetting (aOR range = 1.63-1.95) at 6 and 7 years of age. Less consistent associations were observed for depression limited to the prenatal or postpartum periods only.

Conclusions: Exposure to maternal depression in the prenatal and postpartum periods was associated with an increased likelihood of LUTS in daughters. This association may be an important opportunity for childhood LUTS prevention. Prevention strategies should reflect an understanding of potential biological and environmental mechanisms through which maternal depression may influence childhood LUTS.

目的:尽管产妇抑郁与妇女和儿童的不良结局有关,但其与后代下尿路症状(LUTS)的关系却没有得到很好的描述。我们研究了产前和产后母亲抑郁与小学学龄女儿下尿路症状之间的关系:设计:观察性队列研究:样本包括雅芳父母与子女纵向研究中的 7148 对母女:母亲在妊娠18周和32周以及产后21个月时填写了有关抑郁症状的问卷,并填写了其子女在6岁、7岁和9岁时的LUTS(尿急、夜尿、白天和夜间尿湿)问卷。我们使用多变量逻辑回归模型来估计母亲抑郁与女儿尿路感染之间的关系:结果:与母亲没有抑郁的女儿相比,母亲产前和产后抑郁的女儿在 6、7 和 9 岁时出现 LUTS(包括尿急(调整后的几率比 [aOR] 范围 = 1.99-2.50)和夜尿(aOR 范围 = 1.67-1.97))的几率更高。此外,患有产前和产后抑郁症的母亲所生的女儿在 6 岁和 7 岁时出现白天尿湿(aOR 范围 = 1.81-1.99)和夜间尿湿(aOR 范围 = 1.63-1.95)的几率更高。仅在产前或产后的抑郁情况下观察到的相关性不太一致:结论:在产前和产后暴露于母亲抑郁与女儿患 LUTS 的可能性增加有关。这种关联可能是预防儿童 LUTS 的一个重要机会。预防策略应反映出对母亲抑郁可能影响儿童 LUTS 的潜在生物和环境机制的了解。
{"title":"Association Between Maternal Depression and Lower Urinary Tract Symptoms in Their Primary School-Age Daughters: A Birth Cohort Study.","authors":"Shayna D Cunningham, Sarah Lindberg, Carol Joinson, David Shoham, Haitao Chu, Diane Newman, Neill Epperson, Linda Brubaker, Lisa Kane Low, Deepa R Camenga, D Yvette LaCoursiere, Melanie Meister, Kimberly Kenton, Siobhan Sutcliffe, Alayne D Markland, Sheila Gahagan, Tamera Coyne-Beasley, Amanda Berry","doi":"10.1097/WON.0000000000001039","DOIUrl":"10.1097/WON.0000000000001039","url":null,"abstract":"<p><strong>Purpose: </strong>Although maternal depression is associated with adverse outcomes in women and children, its relationship with lower urinary tract symptoms (LUTS) in offspring is less well-characterized. We examined the association between prenatal and postpartum maternal depression and LUTS in primary school-age daughters.</p><p><strong>Design: </strong>Observational cohort study.</p><p><strong>Subjects and setting: </strong>The sample comprised 7148 mother-daughter dyads from the Avon Longitudinal Study of Parents and Children.</p><p><strong>Method: </strong>Mothers completed questionnaires about depressive symptoms at 18 and 32 weeks' gestation and 21 months postpartum and their children's LUTS (urinary urgency, nocturia, and daytime and nighttime wetting) at 6, 7, and 9 years of age. Multivariable logistic regression models were used to estimate the association between maternal depression and LUTS in daughters.</p><p><strong>Results: </strong>Compared to daughters of mothers without depression, those born to mothers with prenatal and postpartum depression had higher odds of LUTS, including urinary urgency (adjusted odds ratio [aOR] range = 1.99-2.50) and nocturia (aOR range = 1.67-1.97) at 6, 7, and 9 years of age. Additionally, daughters born to mothers with prenatal and postpartum depression had higher odds of daytime wetting (aOR range = 1.81-1.99) and nighttime wetting (aOR range = 1.63-1.95) at 6 and 7 years of age. Less consistent associations were observed for depression limited to the prenatal or postpartum periods only.</p><p><strong>Conclusions: </strong>Exposure to maternal depression in the prenatal and postpartum periods was associated with an increased likelihood of LUTS in daughters. This association may be an important opportunity for childhood LUTS prevention. Prevention strategies should reflect an understanding of potential biological and environmental mechanisms through which maternal depression may influence childhood LUTS.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"51 1","pages":"53-60"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10794027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of a Skin Barrier Ring With Assisted Flow: A Prospective Cohort Study. 辅助流皮肤屏障环的评估:一项前瞻性队列研究。
IF 2.6 3区 医学 Q2 NURSING Pub Date : 2024-01-01 DOI: 10.1097/WON.0000000000001045
Janice C Colwell, Joyce Pittman, Paul Rider, Helen Purtill, Taylor Duckworth

Purpose: The purpose of this study was to assess the effect of a skin barrier ring with assisted flow in preventing peristomal skin complications (PSCs) in patients with an ileostomy and to evaluate the participants' perceptions of the device.

Design: Single-group, prospective cohort study.

Subjects and setting: Both inpatients and outpatients with newly created (n = 14) or established (n = 1) ileostomies were recruited from 2 clinical sites in the United States: one was an academic teaching hospital system in the Midwestern United States and the second was a teaching hospital located in the Southeastern United States.

Methods: Participants used the skin barrier ring with assisted flow after receiving education on its use. The pouching system was changed on a routine basis as determined by the ostomy nurse specialist. The Ostomy Skin Tool (OST) was used to assess each participant's peristomal discoloration (D), erosion (E), and tissue overgrowth (T) on admission to the study (baseline) and at final assessment (60 ± 33 days). Secondary outcomes (device handling, comfort, and discretion) were assessed through a questionnaire administered during the final data collection visit.

Results: The mean baseline DET score among the 14 participants with a new ileostomy was 2 or less, indicating no PSCs. The incidence of PSCs in this study was 40% (n = 6). Thirteen of 15 participants (86.7%) agreed that the skin barrier ring with assisted flow was easy to apply. Fourteen (93.4%) agreed that the device was comfortable and easy to remove. All 15 participants (100%) agreed it was discreet under clothing.

Conclusions: Sixty percent of participants (n = 9) using the investigational device experienced a PSC. More than 90% of participants agreed that the device was comfortable and easy to remove, and all participants (100%) agreed it was discreet when worn under clothing.

目的:本研究旨在评估回肠造口术患者使用带辅助血流的皮肤屏障环预防肛周皮肤并发症(PSCs)的效果,并评估参与者对该装置的看法:设计:单组前瞻性队列研究:从美国的两个临床研究机构招募了新造(14 人)或已造(1 人)回肠造口的住院和门诊患者:一个是位于美国中西部的学术教学医院系统,另一个是位于美国东南部的教学医院:方法:参与者在接受使用教育后,使用皮肤屏障环辅助流动。造口袋系统由造口术专科护士决定定期更换。造口皮肤工具 (OST) 用于评估每位参与者入院时(基线)和最终评估时(60 ± 33 天)的肛周变色 (D)、糜烂 (E) 和组织过度生长 (T)。次要结果(设备操作、舒适度和自由裁量权)通过最后数据收集访问期间的问卷进行评估:结果:在 14 名新做回肠造口术的参与者中,DET 的平均基线分数为 2 分或更低,表明没有发生 PSC。本研究中 PSC 的发生率为 40%(n = 6)。15 位参与者中有 13 位(86.7%)认为辅助导流皮肤屏障环易于使用。14位参与者(93.4%)认为该装置舒适且易于取下。所有 15 位参与者(100%)都认为该装置在衣服内很隐蔽:60%的参与者(n = 9)在使用研究设备时出现了 PSC。超过 90% 的参与者认为该装置佩戴舒适且易于取下,所有参与者(100%)都认为该装置在衣服内佩戴时非常隐蔽。
{"title":"Evaluation of a Skin Barrier Ring With Assisted Flow: A Prospective Cohort Study.","authors":"Janice C Colwell, Joyce Pittman, Paul Rider, Helen Purtill, Taylor Duckworth","doi":"10.1097/WON.0000000000001045","DOIUrl":"10.1097/WON.0000000000001045","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to assess the effect of a skin barrier ring with assisted flow in preventing peristomal skin complications (PSCs) in patients with an ileostomy and to evaluate the participants' perceptions of the device.</p><p><strong>Design: </strong>Single-group, prospective cohort study.</p><p><strong>Subjects and setting: </strong>Both inpatients and outpatients with newly created (n = 14) or established (n = 1) ileostomies were recruited from 2 clinical sites in the United States: one was an academic teaching hospital system in the Midwestern United States and the second was a teaching hospital located in the Southeastern United States.</p><p><strong>Methods: </strong>Participants used the skin barrier ring with assisted flow after receiving education on its use. The pouching system was changed on a routine basis as determined by the ostomy nurse specialist. The Ostomy Skin Tool (OST) was used to assess each participant's peristomal discoloration (D), erosion (E), and tissue overgrowth (T) on admission to the study (baseline) and at final assessment (60 ± 33 days). Secondary outcomes (device handling, comfort, and discretion) were assessed through a questionnaire administered during the final data collection visit.</p><p><strong>Results: </strong>The mean baseline DET score among the 14 participants with a new ileostomy was 2 or less, indicating no PSCs. The incidence of PSCs in this study was 40% (n = 6). Thirteen of 15 participants (86.7%) agreed that the skin barrier ring with assisted flow was easy to apply. Fourteen (93.4%) agreed that the device was comfortable and easy to remove. All 15 participants (100%) agreed it was discreet under clothing.</p><p><strong>Conclusions: </strong>Sixty percent of participants (n = 9) using the investigational device experienced a PSC. More than 90% of participants agreed that the device was comfortable and easy to remove, and all participants (100%) agreed it was discreet when worn under clothing.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"51 1","pages":"46-50"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Letter to Editor: "The Shieh Score as a Risk Assessment Instrument for Reducing Hospital-Acquired Pressure Injuries a Prospective Cohort Study". 致编辑的信:"将谢氏评分作为减少医院获得性压伤的风险评估工具的前瞻性队列研究"。
IF 2.6 3区 医学 Q2 NURSING Pub Date : 2024-01-01 DOI: 10.1097/WON.0000000000001051
Kenneth Olshansky
{"title":"Letter to Editor: \"The Shieh Score as a Risk Assessment Instrument for Reducing Hospital-Acquired Pressure Injuries a Prospective Cohort Study\".","authors":"Kenneth Olshansky","doi":"10.1097/WON.0000000000001051","DOIUrl":"10.1097/WON.0000000000001051","url":null,"abstract":"","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"51 1","pages":"15"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
WOCN®-Accredited Professional Education Programs. 经 WOCN® 认证的专业教育课程。
IF 2.6 3区 医学 Q2 NURSING Pub Date : 2024-01-01 DOI: 10.1097/WON.0000000000001056
{"title":"WOCN®-Accredited Professional Education Programs.","authors":"","doi":"10.1097/WON.0000000000001056","DOIUrl":"10.1097/WON.0000000000001056","url":null,"abstract":"","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"51 1","pages":"78"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139433130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Wound Ostomy and Continence Nursing
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