Nursing
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/24
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Item Initial treatment of burns(Bailliere Tindall, 1989-08) Coull, AlisonItem Free tissue transfer(British Association of Plastic Surgery Nurses, 1990-03-31) Coull, Alison; Wylie, K.Item Regular monitoring: The way to ensure flap healing. Nursing priorities following flap repair and reconstruction surgery(Austen Cornish, 1990-10) Coull, Alison; Wylie, K.Surgical flap techniques are no longer confined to specialist plastic surgery units, and more nurses are being asked to manage patients following reconstructive surgery. Nursing management involves ensuring the flap's survival and healing.Item Making sense of ... split skin grafts(EMAP, 1991-07-03) Coull, AlisonItem Making sense of ... split skin graft donor sites(EMAP, 1991-10-02) Coull, AlisonItem Making sense of surgical flaps(EMAP, 1992-01-01) Coull, AlisonItem Making sense of pulse oximetry(EMAP, 1992-08-05) Coull, AlisonItem Using leeches for venous drainage after surgery(Mark Allen Group, 1993-09-02) Coull, AlisonA review of the properties of medicinal leeches and of their application following microsurgery to assist in the relief of venous congestion.Item The Scottish Leg Ulcer Project(Strathayr Publishing, 1998) Coull, AlisonItem The Scottish Leg Ulcer Project(Tissue Viability Society, 1999-07) Coull, AlisonNational and international guidelines on many topics have been introduced in recent years. It is unlikely that the implementation of few, or any, has been evaluated by randomized trial, nor have the impacts of guidelines when combined with training been evaluated. A national guideline produced by the Scottish Intercollegiate Guideline Network (SIGN) entitled `Management of Chronic Leg Ulcer' was published in July 1998 and this may have influence on care and ultimately healing rates of leg ulcers. The purpose of this paper is to describe the design of a Scottish multi-centre trial and to present baseline data. The Scottish Leg Ulcer Project is a randomized controlled trial which commenced in July 1997 and is designed to compare the impact of the SIGN guideline with the impact of the SIGN guideline reinforced by a formal training programme, on healing rates of leg ulcers. Participants include 16 Scottish community healthcare trusts or health boards, with a population of approximately 2.7 million. Localities have been randomized into control (SIGN guidelines alone) and intervention (SIGN guideline plus a formal training programme). In the intervention localities, link nurses, after intensive training, cascaded similar training to all community staff involved in leg ulcer care. Data are provided by district nurse caseload managers in censuses every three months throughout a six-month baseline and 24-month trial period. The principal endpoint is an ulcer-free leg. The data collection is due to be completed in December 1999, and the project analysed and reported by June 2000.