Here - EWMA 2013

E-POSTER PRESENTATIONS
EP 528
E-Poster: Other
AN EVALUATION OF SHARED CARE IN A CROSS-NATIONAL STUDY IN
Denmark: IS THERE CONFORMITY IN THE PERCEPTION OF THE QUALITY OF
COMMUNICATION AND WOUND CARE BETWEEN PATIENTS AND CAREGIVERS?
Annette V. Norden 1 , Jens Lykke Sørensen 2 , Susan Bermark 3 , Bente Ramskover 4 ,
Eskild W. Henneberg 5
1 Department of Plastic Surgery, Herlev Hospital (Copenhagen, Denmark);
2 Department of Plastic Surgery, Roskilde Hospital (Roskilde, Denmark);
3
Copenhagen Wound Healing Center Department of Dermatology Bispebjerg Hospital
(Copenhagen, Denmark);
4 Wound Center, Odense University Hospital (Odense, Denmark);
5 Department of Vascular Surgery, Viborg Hospital (Viborg, Denmark).
Aim: The aims of this study were to elucidate (1) how patients perceive shared care
between specialized hospital units and home-care nurses, and (2) how each caregiver
system perceives the information provided by the other system.
Method: Questionnaires were administered to patients, home-care nurses, and staff at
wound clinics.
Results: Thirty-seven wound clinics were invited to participate, and questionnaires were
administered to 251 patients from 30 clinics. A total of 235 questionnaires from wound
clinics, 133 questionnaires from home-care nurses, and 151 questionnaires from
patients (82 male and 69 female; average age, 70.1 ± 12.1 years, range 38-97 years)
were returned. A complete set of questionnaires were returned for 106 patients. All of the
patients received information about their wound treatment from professionals at the
wound clinic. 94.3% of the patients reported a positive/very positive experience. The
information provided by the home-care nurses was reported as good/really good by
86.6% of the patients. All of the home-care nurses received information about the
diagnosis and treatment of each patient from the wound clinics, and 89 home-care
nurses (96%) evaluated this information as very good/good. In contrast, the wound
clinics received information about the patient from only 70% of the home-care nurses. In
home-care only 9.2% of the patients received care from the same nurse, 19.1% had two
nurses, 23.7% had three nurses, and 52.2% had four or more different nurses. The
patients’ evaluation of – and the confidence in treatment was significantly negatively
correlated with the number of different home-care nurses (p