Evidence map›Paper›PMID 42108954›Full record

ArticleJournal of clinical nursing2026

Health Outcomes Led by Advanced Practice Nurses in Patients With Chronic Wounds: A Scoping Review.

Leonardo D'Andrea, Valentina Vanzi, Rosaria Alvaro, Alessia De Angelis, Serenella Savini, Ercole Vellone, Francesco Zaghini, Dario Monaco

Abstract readScoping Review
In one paragraph

Article in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Leonardo D'AndreaDepartment of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.ORCID https://orcid.org/0009-0008-4308-4204
Valentina VanziResearch Interdepartmental Center for Research and Training (CIFAPPS), University of Rome Tor Vergata; Centre of Excellence for Nursing Scholarship (CECRI), Board of Nursing (OPI) of Rome, Rome, Italy.
Rosaria AlvaroDepartment of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.
Alessia De AngelisNursing Department ASL Roma 4, Rome, Italy.
Serenella SaviniNursing Department ASL Roma 4, Rome, Italy.
Ercole VelloneDepartment of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.ORCID https://orcid.org/0000-0003-4673-7473
Francesco ZaghiniDepartment of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.
Dario MonacoDepartment of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.ORCID https://orcid.org/0000-0001-9970-0100

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo examine and map the available literature on outcomes associated with interventions carried out by advanced practice nurses in chronic wound care.

backgroundThe role of the advanced practice nurses in wound care is identified as a key element in the management of patients with chronic wounds. However, the literature offers fragmented knowledge of the outcomes associated with their practice.

designScoping review.

methodsThis scoping review was conducted following the methodological framework proposed by Arskey and O'Malley, following the Preferred Reporting Item for Systematic Review and Meta-analysis for Scoping Review. PRISMA-ScR Checklist is included in the manuscript. Observational or experimental studies related to patients affected by chronic wounds and cared for by advanced practice nurses in wound care were included. DATA SOURCES: The following databases were queried: PubMed, CINAHL, Cochrane Library, and Scopus from 01 May 2025 to 31 October 2025.

resultsThe search strategy in the consulted databases identified 1956 studies; 31 met the inclusion criteria. Different types of chronic wounds were investigated: diabetic foot ulcers, venous leg ulcers, and pressure injuries. The most frequently measured outcomes were clinical responses (healing, recurrence, complications), organizational efficiency (referrals, resource utilization), and patient-reported outcomes.

conclusionEvidence from the included studies suggests that Advanced practice nurses led wound care models may be associated with faster healing, lower recurrence and complication rates, and more efficient care pathways, across different settings. This review highlights the global applicability of APN-led models, showing consistent improvements in clinical, organizational, and patient-reported outcomes through core interventions. REPORTING

methodThis scoping review follows Arskey and O'Malley's methodological framework and the Preferred Reporting Item for Systematic Review and Meta-analysis for Scoping Review. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution. PROTOCOL REGISTRATION: The revision protocol was registered on the OSF (https://doi.org/10.17605/OSF.IO/P9TA4).

Indexed as

Advanced Practice NursingDiabetic FootPressure UlcerVaricose UlcerWounds and InjuriesAdultAgedAged, 80 and overChronic DiseaseFemaleHumansMaleMiddle AgedWound Healingadvanced practice nurseschronic woundsdiabetic foot ulcershealth outcomesliterature reviewpressure injuriesvenous leg ulcerswound care

Identifiers

PMID42108954
PMCPMC13432182

What OpenQuestion holds

Textmetadata
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.