Journal of Wound Ostomy and Continence Nursing 

About: Journal of Wound Ostomy and Continence Nursing is an academic journal published by Lippincott Williams & Wilkins. The journal publishes majorly in the area(s): Medicine & Urinary incontinence. It has an ISSN identifier of 1071-5754. Over the lifetime, 2286 publications have been published receiving 39132 citations. The journal is also known as: J Wound Ostomy Continence Nurs & Journal of WOCN.

Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System.

Abstract: Our understanding of pressure injury etiology and development has grown in recent years through research, clinical expertise, and global interdisciplinary expert collaboration. Therefore, the National Pressure Ulcer Advisory Panel (NPUAP) has revised the definition and stages of pressure injury. The revision was undertaken to incorporate the current understanding of the etiology of pressure injuries, as well as to clarify the anatomical features present or absent in each stage of injury. An NPUAP-appointed Task Force reviewed the literature and created drafts of definitions, which were then reviewed by stakeholders and the public, including clinicians, educators, and researchers around the world. Using a consensus-building methodology, these revised definitions were the focus of a multidisciplinary consensus conference held in April 2016. As a result of stakeholder and public input, along with the consensus conference, important changes were made and incorporated into the new staging definitions. The revised staging system uses the term injury instead of ulcer and denotes stages using Arabic numerals rather than Roman numerals. The revised definition of a pressure injury now describes the injuries as usually occurring over a bony prominence or under a medical or other device. The revised definition of a Stage 2 pressure injury seeks to clarify the difference between moisture-associated skin damage and injury caused by pressure and/or shear. The term suspected has been removed from the Deep Tissue Pressure Injury diagnostic label. Each definition now describes the extent of tissue loss present and the anatomical features that may or may not be present in the stage of injury. These important revisions reflect the methodical and collaborative approach used to examine the available evidence and incorporate current interdisciplinary clinical expertise into better defining the important phenomenon of pressure injury etiology and development.

Enhancing rigor in qualitative description: a case study.

Abstract: Qualitative description has generally been viewed as the "poor cousin" to more developed qualitative methods, such as grounded theory. As such, little has been written about rigor in qualitative description, and researchers lack a navigational map to guide them and facilitate decision making. The novice, in particular, can be faced with numerous challenges and uncertainties. Using an incontinence project as a case study, the authors describe the issues that arose within a qualitative descriptive study and approaches used to maintain rigor. The overall credibility of the study depended on the researcher's ability to capture an insider (emic) perspective and to represent that perspective accurately. Strategies to enhance rigor included flexible yet systematic sampling, ensuring participants had the freedom to speak, ensuring accurate transcription and data-driven coding, and on-going attention to context.

Honey: a potent agent for wound healing?

Abstract: Although honey has been used as a traditional remedy for burns and wounds, the potential for its inclusion in mainstream medical care is not well recognized. Many studies have demonstrated that honey has antibacterial activity in vitro, and a small number of clinical case studies have shown that application of honey to severely infected cutaneous wounds is capable of clearing infection from the wound and improving tissue healing. The physicochemical properties (eg, osmotic effects and pH) of honey also aid in its antibacterial actions. Research has also indicated that honey may possess antiinflammatory activity and stimulate immune responses within a wound. The overall effect is to reduce infection and to enhance wound healing in burns, ulcers, and other cutaneous wounds. It is also known that honeys derived from particular floral sources in Australia and New Zealand (Leptospermum spp) have enhanced antibacterial activity, and these honeys have been approved for marketing as therapeutic honeys (Medihoney and Active Manuka honey). This review outlines what is known about the medical properties of honey and indicates the potential for honey to be incorporated into the management of a large number of wound types.