Administrators/Policy Makers

Key message: Wound prevention and management require commitment from all sectors of the healthcare system…From the patient to the government policy maker, and everyone in between.

Canadian Institute for Health Information. Compromised Wounds in Canada. 2013. Click here to view

Explores the prevalence of wounds in 2011–2012 in Canada, using administrative data from hospitals, home care, hospital-based continuing care and long-term care facilities.

Carter N, Martin-Meisner R. et al. The role of nursing leadership in integrating clinical nurse specialists and nurse practitioners in healthcare delivery in Canada. Nursing  Leadership. 2010;23. Click here to view. 

Dans AL, Dans LF. Appraising a tool for guideline appraisal (the AGREE II instrument). Journal of Clinical Epidemiology. 2010;63:1281-1282. The AGREE Collaboration. Appraisal of guidelines for research and evaluation. Available from: www.agreetrust.org.

Gander L, Delaney C. Saskatchewan Health Quality Council test drives new pressure ulcer guidelines. Wound Care Canada. 2006;4(2):26–27. Click here to view.

Gottrup F. Optimizing wound treatment through health-care structuring and professional education. Wound Repair Regen. 2004;12(2):129–133.

Graham ID, Harrison MB, Brouwers M, Davies BL, Dunn S. Facilitating the use of evidence in practice: evaluating and adapting clinical practice guidelines for local use by health care organizations. J Obstet Gynecol Neonatal Nurs. 2002;31(5):599–611.

Graham, ID, Logan J, Harrison MB, Straus SE, Tetroe J, Caswell W, Robinson N. Lost in knowledge translation: Time for a map. Journal of Continuing Education in the Health Professions. 2006;26(1):13–24. Click here to view

Article provides a discussion and clarification of terms as well as introducing a conceptual map to support knowledge translation activities. 

Harrison MB, Légaré F, Graham ID, Fervers B.  Adapting clinical practice guidelines to local context and assessing barriers to their use. 2010;182(2):E78-E84. Click here to view. 

An action cycle is introduced to address the adaptation of the knowledge to the local context and assessment of barriers to and facilitators of the use of knowledge.  

Kitson A, Harvey G, McCormack B. Enabling the implementation of evidenced based practice: a conceptual framework. Qual Health Care. 1998;7(3):149–158. Centre for Evidence Based Medicine. Click here to view.

A key paper that explores the impact of the evidence, the context and facilitation on enabling evidence based practice to occur

Orsted HL, Woodbury G, Stevenson K. The Wound CARE Instrument. International Wound Journal. 2012; 9(3):231–348. Wound Care Instrument accessible at this link: click here to view. 

A set of standards developed by the Canadian Association of Wound Care and the Canadian Association for Enterostomal Therapy to support healthcare providers, wound management leaders, educators, purchasing managers, administrators, organizations, and health authorities to undertake a comprehensive and collaborative evidence-informed appraisal process before developing or introducing a wound management educational event or program.  

 Registered Nurses’ Association of Ontario. Nursing Best Practice Guidelines. Click here to view

The purpose of this multi-year program is to support Ontario nurses by providing them with best practice guidelines for client care. There are currently over 50 published guidelines as well as a toolkit and educator’s resource to support implementation. Many are available in French.

 Registered Nurses’ Association of Ontario. Toolkit: implementation of clinical practice guidelines. Click here to view.

Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence-Based Medicine: How to Practice and Teach EBM. 2nd ed. New York, NY: Churchill Livingstone; 2000:1.

Wimpenny P, van Zelm R, Appraising and Comparing Pressure Ulcer Guidelines. Worldviews on Evidence-Based Nursing. 2007;4(1):40–50. Guidelines evaluated against a quality indicators, the AGREE Instrument. 

Health-care Professionals

Leaders and Change Makers