The (dis)organization of leg ulcer care: A realist synthesis

Abstract

AbstractBackgroundVenous leg ulcers affect 1.5% of the UK adult population. Leg ulcers are painful, can be malodourous and are associated with poor quality of life. Leg ulcers are predominantly cared for by nurses in the community. Frequently, patients receive suboptimal treatment through unwanted variations in care and simple ulcers deteriorate to become hard‐to‐heal wounds. It is important to understand the current UK system of care and how nurses and patients navigate through it.AimThe aim of this paper was to understand how, when, for whom and in what context leg ulcers are cared for in the United Kingdom and specifically, the current system of care, the nurses' role and the patients' experience in this system of care.DesignA realist synthesis of the literature was undertaken, reported following the RAMESES publication standards: Realist syntheses.Data SourcesAn iterative literature search was conducted across three recognized health collections from January 2010 to January 2022 that included descriptive studies as well as primary research.Results73 papers were included.ConclusionIn the absence of UK national guidance that recommends how leg ulcer care is organized and delivered, care is commissioned locally, with variable outcomes. Patients with venous leg ulcers would like to be looked after by knowledgeable, skilled and confident nurses, in well‐equipped and staffed clinics; nurses who have the ability to make clinical judgements to alter their treatment when necessary and are empowered to refer to specialist centres when further support is required.Implications for the Profession and/or Patient CareThis synthesis offers guidance to commissioners and providers to change how leg ulcer care is organized.Patient or Public ContributionThe views of a patient and public group was sought at each stage of the synthesis.