Evidence map›Paper›PMID 30932342›Full record

SynthesisInternational wound journal2019

Acute surgical wound-dressing procedure: Description of the steps involved in the development and validation of an observational metric.

Josephine Hegarty, Victoria Howson, Teresa Wills, Sile A Creedon, Pat Mc Cluskey, Aoife Lane, Aine Connolly, Nuala Walshe, Brendan Noonan, Fiona Guidera and 2 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in International wound journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Josephine HegartyCatherine McAuley School of Nursing and Midwifery, University College Cork, Ireland.ORCID https://orcid.org/0000-0002-1663-4820
Victoria HowsonCatherine McAuley School of Nursing and Midwifery, University College Cork, Ireland.
Teresa WillsCatherine McAuley School of Nursing and Midwifery, University College Cork, Ireland.
Sile A CreedonCatherine McAuley School of Nursing and Midwifery, University College Cork, Ireland.
Pat Mc CluskeyNursing Division, Cork University Hospital Group, Ireland.
Aoife LaneCatherine McAuley School of Nursing and Midwifery, University College Cork, Ireland.
Aine ConnollyNursing Division, Cork University Hospital Group, Ireland.
Nuala WalsheCatherine McAuley School of Nursing and Midwifery, University College Cork, Ireland.
Brendan NoonanCatherine McAuley School of Nursing and Midwifery, University College Cork, Ireland.
Fiona GuideraNursing Division, Mercy University Hospital, Cork, Ireland.
Anthony G GallagherApplication of Science to Simulation based Education and Research on Training Centre, College of Medicine and Health, University College Cork, Cork, Ireland & Faculty of Life and Health Sciences, Ulster University, Magee Campus, Northland Rd, Londonderry BT48 7JL, United Kingdom.
Siobhan MurphyCatherine McAuley School of Nursing and Midwifery, University College Cork, Ireland.
University College Cork · IECork University Hospital · IEMercy University Hospital · IEUniversity of Ulster · GB

Funding

School of Nursing and Midwifery, University College Cork, Ireland SON&M/ASSERT- ANTT pilot projectUniversity College Cork
6 · The paper itself

Abstract

The aim of this study was to develop an observational metric that could be used to assess the performance of a practitioner in completing an acute surgical wound-dressing procedure using aseptic non-touch technique (ANTT). A team of clinicians, academics, and researchers came together to develop an observational metric using an iterative six-stage process, culminating in a Delphi panel meeting. A scoping review of the literature provided a background empirical perspective relating to wound-dressing procedure performance. Video recordings of acute surgical wound-dressing procedures performed by nurses in clinical (n = 11) and simulated (n = 3) settings were viewed repeatedly and were iteratively deconstructed by the metric development group. This facilitated the identification of the discrete component steps, potential errors, and sentinel (serious) errors, which characterise a wound dressing procedure and formed part of the observational metric. The ANTT wound-dressing observational metric was stress tested for clarity, the ability to be scored, and interrater reliability, calculated during a further phase of video analysis. The metric was then subjected to a process of cyclical evaluation by a Delphi panel (n = 21) to obtain face and content validity of the metric. The Delphi panel deliberation verified the face and content validity of the metric. The final metric has three phases, 31 individual steps, 18 errors, and 27 sentinel errors. The metric is a tool that identifies the standard to be attained in the performance of acute surgical wound dressings. It can be used as both an adjunct to an educational programme and as a tool to assess a practitioner's performance of a wound-dressing procedure in both simulated and clinical practice contexts.

Indexed as

AsepsisBandagesClinical CompetenceIatrogenic DiseasePractice Guidelines as TopicReproducibility of ResultsSurgical WoundSurgical Wound Infectionaseptic non-touch technique (ANTT)metric developmentproficiency-based progression trainingsurgical wound-dressing procedure

Identifiers

PMID30932342
PMCPMC6850176
OpenAlexW2926284399

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.