Wound programmes in residential aged care: a systematic review.

BACKGROUND: Older people residing in residential aged care (RAC) facilities are becoming more dependent, have higher rates of chronic disease and are at risk for skin injuries and developing chronic wounds. The importance of evidence-based and sustainable wound programmes in RAC facilities to prevent and manage wounds is essential. AIM: To establish the composition and effect of wound-related programmes, implementation strategies, resident and clinical staff outcomes and programme sustainability in RAC facilities. METHOD: Fifty-one studies met the inclusion and exclusion criteria and were then appraised according to the grading criteria; this resulted in 11 observational or descriptive studies included in the review. Heterogeneity across the studies meant pooling of data could not be performed; hence this systematic review is presented in narrative form. RESULTS: Three syntheses emerged: educational outcomes; implementation strategies; and organisational culture. Results indicated pressure injury programmes could improve knowledge and care processes to reduce pressure injury rates. Recommendations to help implement programmes into RAC facilities are provided. CONCLUSION: Pressure injury programmes can reduce pressure injury rates and improve management for residents residing in RAC. Data is limited to provide conclusions for wound programmes other than for pressure injuries and is an area for future research.