Wound Care Knowledge and Practice

This assignment focuses on evaluating the knowledge and practices surrounding wound care within the healthcare field. It requires an in-depth analysis of research articles that examine the skills, attitudes, and potential gaps in understanding related to wound care among various healthcare professionals. Additionally, the assignment encourages exploration of implementation frameworks used to promote evidence-based wound care practices.

Knowledge Translation Plan 1
Knowledge Translation Plan
Name
Institution
The knowledge translation plan is a strategy set up by either a physician, more so the one in
charge of a health facility, to ensure secure and improved services in a deteriorating area in the
health facility. These areas are usually sensitive since they need focus. When a knowledge
translation plan is introduced in a facility, it means that there is a gap that needs to be filled
immediately. Examples of knowledge translation plans include: intravenous devices, fail and
wound care. For instance, in a situation whereby wound care is the issue of concern, a systemic
way of increasing the convenience of wound care will be started and established effectively. This
does not mean that in that heath facility where wound care will be improved did not have that
facility. It means that the health facility had that particular facility, but it was not effective. This
could have been caused by limited nurses with knowledge on wound care, or less concern on
such issues concerning wounds. In most times, a health facility could be providing some
facilities, but relax at some point, after being influenced by some factors. These factors may
include: irregular visits by patients with wound issues, or the issues of concern, and lack of
sufficient knowledge by the nurses or concerned specialists. All these gaps can therefore be
translated to knowledge translation plans which can make a facility operate effectively in the
future.
Wound care
Would care is a knowledge transformation plan which takes care of the wellness of patients. It
calls for high standards of hygiene, since germs are easily introduced to open wounds. Therefore

Knowledge Translation Plan 2
to ensure that all is well with the patient and the wound, it is advisable that the physicians be
trained on how to handle such cases. Hygiene should be the first issue of concern, then dressing
(Bridgelal Ram, 2008, pg 70). Safety measures such as the use of gloves while handling, and not
just gloves but sterilized gloves should be addressed. In addition, the use of disinfectants must be
introduced in the topic of study, since other specialists are either ignorant or forgetful. Therefore,
the importance of introducing an improved wound cleaning service in my clinic is clearly
explained before. This plan includes the stake holders, recipients of the change, motivation to
change, ability to change, assessment of the knowledge translation plan, the facilitation team, the
previous facilitation experience, level of study and knowledge and the methods used to make the
plan a success.
The previous facilitation experience
The previous wound cleaning plan was introduced in my clinic immediately after it commenced.
The facility worked well since I had three nurses, who were specialized in patient handling and
three doctors too. The staff was efficient since I had no many patients at the beginning. The
facility therefore grew and I decided to add more staff. I therefore added two more physicians,
who were specialized in different fields. These included the surgery sector, wound and dressing
sector, and the circumcision sector. I also added a dentist who worked efficiently. However, it
took a short while to recognize that wounds were not healing as soon as possible, that is
according to the required time. Wounds were taking too long and the patients had to keep on
taking pain killers to relieve pain as they patiently waited for healing. They therefore had hard
time dealing with the wounds, since they found it difficult to remain in the clinic until the
wounds healed. Circumcision wounds also had burning issues since the victims also complained
of intense pain and suffering in addition to being suffering. The wounds seemed to produce pus,

Knowledge Translation Plan 3
which indicated that they had infections. The patients had to be treated until the end of the
infection, and that is when the wounds healed. These are some of the challenges which patients
and I faced after the introduction of treatment services in my clinic.
Stakeholders
After realizing that I was making a mistake, or rather something was not right, I decided to
investigate further on the ways of solving such issues in clinics. My efforts led me into calling
some would dressers, who are experts, and had enough experience on wound cleaning. They
were great physicians who had deep knowledge, and hoped for the best after the training. I hired
three of them and invited all my seven physicians. We had to include about five non-staff
members who were to represent the society, since maintaining a wound is a two way issue. The
physician had duties to perform, as well as the patients, so as to create positive results. It was a
successful attendance, and everybody was ready to listen to the trainers.
Motivation to change
It is important to maintain the name of a facility. I therefore had to show concern on my
suffering patients, who had already started to quit my facility as a result of poor attendance and
services. Other facilities were doing well, and therefore all the patients had shifted to those better
facilities. This issue made me to take an immediate action, which involved the summoning of the
nurses and the wound cleaners in the clinic. I had to talk to them concerning the burning issue,
since it had spread to the society. Interviewed them at first, and gave them some questionnaires,
which they had to fill. I later gathered the information and waited patiently (Chaboyer, 2014, pg
3420). I took another step of distributing the questionnaires to some of the patients, who gave
negative feedback. I did not stop at that point, and so I took a further step of dropping slips in a

Knowledge Translation Plan 4
suggestion box. I made it compulsory for each patient, since I had to get enough information.
The slips contained a question which required them to give ways of dealing with the burning
wound dressing issue, which had become a problem in my clinic. The patients adhered to my call
and gave information generously. The information gathered called for quick attendance, since I
could not wait for more trouble, I decided to take the action of calling the physicians, as
suggested by one of the patients, who was a retired nurse, but a specialist in wound cleaning and
dressing.
How has this been assessed?
The society has responded positive towards the change. It has been a positive response generally,
since patients have started to return to the clinic (Mody, 2010, pg 1530). However, I also
distributed some suggestion slips in the reception where each patient had to give views on the
progress of the improved service which had change .the patients responded positively, and in
large numbers. Thereafter, patients resumed, and operations resumed normally, but at a higher
rate compared to the previous operation. The surgery rooms were renovated, and hygiene was
developed. The surgeons were increased to two; where else the tools used were renewed. All the
patients started to recommend the services provided by the clinic, and those who had shifted
returned and informed others about the effectiveness of the facility.
Methods
New forms of handling patients were improvised. I printed clinic cards which contained a gap.
The gap was supposed to be filled by the patient, according to the requirements (Gagnon, 2009,
pg 54). I had asked the patients to rate our services, and provide feedback as to how they were
attended. This method became effective and the patients improved tremendously.

Knowledge Translation Plan 5
Secondly, I distributed questionnaires to the patients who also filled them effectively. They gave
positive feedback, and others also gave resolutions and other innovative ways of handling
wounds.
Third, I interviewed some of the patients orally, in free health camps which I designed for
feedback purposes. Through these camps, I took advantage of the large numbers of people who
attended, and interviewed them. The camps also changed the picture of the clinic, which had
been abandoned due to poor services
I introduced free cesarean section programs in my clinic, to ease the high cost suffered by most
expectant mothers in the society (Ilott, 2013, pg 920). This facility made my clinic popular, thus
tarnishing the bad name. Mothers came in large numbers, but I ensured that the best services
were rendered to them. I made sure that the CS wounds were handled carefully, and frequent
checkups were followed up to the recovery moment. That is when I stated to realize that the
wounds of those patients were getting better and better every day, and many more patents were
visiting the hospital.
Third, I paid a three –month training for all physicians in my clinic who were concerned with
wound handling. They were to attend the training in shifts as I replaced them during the three
month training. The training was aimed to remind and update the physicians on the ways of
handling bad wounds, and sensitive wounds in sensitive areas (Tweed, 2008, pg 340). The
training also taught on high standards of hygiene. That was stated as the number one issue to
consider during a wound handling. The trainees would then come back and practice what they
studied in the training, and therefore affect the services. This helped a lot in the study, since it
was the dawn of a successful beginning.

Knowledge Translation Plan 6
Technology is also another way of advanced knowledge. With the internet, inventions are
updated, as well as making work easy (Claudia, 2010, pg 185). It is only by the click of a button
and all the new changes in each sector are found. The physicians enjoyed the facilities since I
will provided them with computers, so that they kept being updated.
How will you know if your KT strategies work?
Patients are the only people whom can give feedback concerning the change. This is because
they deal with the physicians on daily basis, thus close to them compared to me (Given, 2008,
page 120). The strategy of the slips in the suggestion box, the questionnaires, and the interviews
will be repeated after five months, in a year, to see whether things are on the right truck. It is
therefore a routine that will be taking place every year, since different patients visit the clinic. I
therefore expect variety of feedbacks, which will provide hard evidence concerning the
effectiveness of the change.
Secondly I will repeat the strategy in free open health camps, which will give me the opportunity
to get enough feedback. This free health camps will be aimed at reaching large numbers of
people, and popularizing the clinic as well (Pope, 2012, pg 910). In addition, I will invite wound
specialists for seminars, who would give them more information concerning wound handling.
The advisors in the seminars would also come along with their trainees, who would interact with
my physicians, during the three days of the seminar. The interaction will involve handling wound
cases together in the clinic, and attending to other patients. My physicians will therefore have
enough time to ask questions on their areas of doubt, or in case of introduction to new ideas in
the seminar.

Knowledge Translation Plan 7
I will observe the work done by the physicians by checking their attendance, and each and every
duty that they perform (Källman, 2009, pg 335). Sometimes, I will leave them alone in the clinic
and take a trip. This will be a form of testing their responsibility. After returning to the clinic I
will observe their movements closely, and try to see whether they are getting on well.
Communication plan
There will be a plan of communication, which will be attended by all the stake holders in the
clinic. The communication plan will not however be held in the clinic. I will organize for the
event to take place outside the country, where we will hold it. I will personally advise the
physicians on good ways of communication, especially with patients. This will earn them some
respect, and the patients will be attracted into visiting the clinic. I will also train them on the
ways of soothing the pain of a wound, when a surgery is taking place, or when the patient seems
to be in a lot of pain, or in fear of being cleaned a wound. This will increase their skills, which
will make patients comfortable when dealing with the physicians. General communication is also
important, and this will also be part and parcel of the teachings on that day (Baumbusch, 2008,
pg 135). Communication needs discipline, and patients are not people who should be handled
roughly. It is because of the patients that the physicians are in the clinic. The opportunity of
getting patients should therefore be ceased, since it is rare to get patients, who willingly attend to
the clinic. In addition, communication amongst the senior and junior doctors should be in order.
Physicians should not humiliate one another as a result of post in the clinic. Cooperation goes
hand in hand with good communication. When workers respect one another they work together,
and cooperate. It is therefore important that you work together as one, and see the development
of the clinic.

Knowledge Translation Plan 8
Ways of solving issues
Patients with issues concerning bad services or rather poor services should be guided, and
prevented from spreading the bad news in the society (McWilliam, 2007, pg 75). This is because,
the bad news reflect negative results thus less patients in the future. It is therefore important for
the physicians to direct the patients with complains to the manager, or the councilor, who would
advise them on what to do. The importance of advices is to bring the patients to a sober mood,
which cools them down from bad anger. The concerned physician should also apologize to the
patient, before the case gets further. Patient-doctor interaction is a very serious part of
communication, which needs care and sober moods. Every time a physician receives a patient, he
should first asses the mood of the patient, for him to determine where to begin. The accession is
important since some patients; especially wound patients are usually gloomy. Pregnant and
expectant women are usually in pain and therefore need a cool environment, followed by quick
attendance. The doctors should therefore be polite enough to manage the anger of the patients, as
well as to calm them down (Krasner, 2012, n p). Though some find it difficult to cool, it is
advisable that they are left alone to decide whether to cooperate or not, however the doctors
should remain calm until the patient makes a final decision. However, some cases are urgent, a
cesarean section case should be taken serious and given the first priority since it is a matter of
time, and securing two lives. The patient should be attended, and forced to cooperate, since death
cases are not handled lightly. Physicians should therefore remain focused, and prepared for
anything, since human life is precious

Knowledge Translation Plan 9
Effectiveness of the knowledge translation plan
The knowledge translation plan took effect immediately and bore positive fruits since the clinic
is now at peace. When compared to the past, it is clear that the services rendered in the past were
poor as a result of inadequate knowledge. Things have however changed tremendously, since my
clinic is one of the best clinic in offering health services, and the leading clinic in wound
cleaning and dressing. It offers the best surgical and maternity services. This is because of
advanced knowledge which was given to the physicians, and the step I took towards the
important change.

Knowledge Translation Plan
10
References
Baumbusch, J.L., Kirkham, S.R., Khan, K.B., McDonald, H., Semeniuk, P., Tan, E. and
Anderson, J.M., 2008. Pursuing common agendas: a collaborative model for knowledge
translation between research and practice in clinical settings. Research in nursing & health, 31(),
pp.130-140.
Bridgelal Ram, M., Grocott, P.R. and Weir, H., 2008. Issues and challenges of involving users in
medical device development. Health Expectations, 11(1), pp.63-71.
Carpenito-Moyet, L.J., 2009. Nursing care plans & documentation: nursing diagnoses and
collaborative problems. Lippincott Williams & Wilkins.
Chaboyer, W. and Gillespie, B.M., 2014. Understanding nurses' views on a pressure ulcer
prevention care bundle: a first step towards successful implementation. Journal of clinical
nursing, 23(23-24), pp.3415-3423.
Claudia, G., Diane, M., Daphney, S.G. and Danièle, D., 2010. Prevention and treatment of
pressure ulcers in a university hospital centre: a correlational study examining nurses' knowledge
and best practice. International journal of nursing practice, 16(2), pp.183-187.
Dogherty, E.J., Harrison, M.B., Graham, I.D., Vandyk, A.D. and Keeping‐Burke, L., 2013.
Turning Knowledge Into Action at the Point‐of‐Care: The Collective Experience of Nurses
Facilitating the Implementation of Evidence‐Based Practice. Worldviews on Evidence
‐Based
Nursing, 10(3), pp.129-139.
Eming, S.A., Martin, P. and Tomic-Canic, M., 2014. Wound repair and regeneration:
mechanisms, signaling, and translation. Science translational medicine, 6(265), pp.265sr6-
265sr6.

Knowledge Translation Plan
11
Gagnon, M.P., Lepage-Savary, D., Gagnon, J., St-Pierre, M., Simard, C., Rhainds, M., Lemieux,
R., Gauvin, F.P., Desmartis, M. and Légaré, F., 2009. Introducing patient perspective in health
technology assessment at the local level. BMC health services research, 9(1), p.54.
Given, B., Sherwood, P.R. and Given, C.W., 2008. What knowledge and skills do caregivers
need?. Journal of Social Work Education, 44(sup3), pp.115-123.
Ilott, I., Gerrish, K., Booth, A. and Field, B., 2013. Testing the Consolidated Framework for
Implementation Research on health care innovations from South Yorkshire. Journal of
evaluation in clinical practice, 19(5), pp.915-924.
Janes, N., Sidani, S., Cott, C. and Rappolt, S., 2008. Figuring it out in the moment: A theory of
unregulated care providers' knowledge utilization in dementia care settings. Worldviews on
Evidence
‐Based Nursing, 5(1), pp.13-24.
Källman, U. and Suserud, B.O., 2009. Knowledge, attitudes and practice among nursing staff
concerning pressure ulcer prevention and treatment–a survey in a Swedish healthcare setting.
Scandinavian journal of caring sciences, 23(2), pp.334-341.
Krasner, D., Rodeheaver, G., Woo, K. and Sibbald, G., 2012. Chronic Wound Care 5.
BookBaby.
Lake, S., Moss, C. and Duke, J., 2009. Nursing prioritization of the patient need for care: A tacit
knowledge embedded in the clinical decision‐making literature. International Journal of Nursing
Practice, 15(5), pp.376-388.
McWilliam, C.L., 2007. Continuing education at the cutting edge: Promoting transformative
knowledge translation. Journal of Continuing Education in the Health Professions, 27(2), pp.72-
79.

Knowledge Translation Plan
12
Mody, L., Saint, S., Galecki, A., Chen, S. and Krein, S.L., 2010. Knowledge of evidence‐based
urinary catheter care practice recommendations among healthcare workers in nursing homes.
Journal of the American Geriatrics Society, 58(8), pp.1532-1537.
Panagiotopoulou, K. and Kerr, S.M., 2002. Pressure area care: an exploration of Greek nurses'
knowledge and practice. Journal of Advanced Nursing, 40(3), pp.285-296.
Pieper, B. and Zulkowski, K., 2014. The Pieper-Zulkowski pressure ulcer knowledge test.
Advances in skin & wound care, 27(9), pp.413-420.
Pope, E., Lara-Corrales, I., Mellerio, J., Martinez, A., Schultz, G., Burrell, R., Goodman, L.,
Coutts, P., Wagner, J., Allen, U. and Sibbald, G., 2012. A consensus approach to wound care in
epidermolysis bullosa. Journal of the American Academy of Dermatology, 67(5), pp.904-917.
Tweed, C. and Tweed, M., 2008. Intensive care nurses’ knowledge of pressure ulcers:
development of an assessment tool and effect of an educational program. American Journal of
Critical Care, 17(4), pp.338-346.