Shared Care, DANISH WOUND HEALING SOCIETY Annette Norden, Susan Bermark, Bente Ramskover, Jens l. Sørensen, Eskild W. Henneberg, Bente Ramskover

1. DANISH WOUND HEALING SOCIETY
DSFS 2013
2013
EWMA Copenhagen 2013
“Shared Care”
National Project:
Bente Ramskover
RN. Wound Care Specialist
University Center of Wound Healing
Odense University Hospital
Jens l. Sørensen
Consultant, Ph.D.
Dept. of Plastic and Reconstructive Surgery
Roskilde University Hospital
Eskild W. Henneberg
M.D., FRCSEd, FEBVS
Wound Healing Center
Dept. of Vascular Surgery
Viborg Regional Hospital
Susan Bermark
RN, DH, Wound Care Specialist
Copenhagen Wound Healing Center
Bispebjerg University Hospital
Annette Norden
Projectmanager, RN
Herlev Hospital

2. 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?
EWMA Copenhagen 2013

3. The Aim of this study was to elucidate:
How patients percieve shared care
between specialized hospital units and
home-care nurses.
How each caregiver system percieves the
information provided by the other system.

4. Questionnaries were administered to
patients, home-care nurses and staff
at wound clinics.
Method:
EWMA Copenhagen 2013

5. Basic data:
30 of 37 wound clinics participated – from all parts of
Denmark.
Questionaires were administered to 251 patients:
235 were returned from wound clinics
133 were returned from home-care nurses
151 were returned from patients (82 male and 69 female)
106 complete sets of questionnaires were returned.
Age ranged from 38 to 97 years old – mean 70 years old.
52,7 % of the patients had a wound for the first time.

6. Evaluation:
Information from GP to the wound clinic at the patients first
consultation is only given for 51,7% of the patients.
70 % of the home-care nurses report to the wound clinics.
Information from wound clinic to home-care nurse is given for
94 % of the patients.
Quality of information
Evaluation from Wound Clinics Quality of information
Really good/ good 47 %
40 %
13 %
Neither good/ nor bad
Really bad/ bad
Information evaluated by
home-care nurse
Do you feel well
informed?
Very much so 66,9 %
28,6 %
4,5 %
To some extend
No/ not at all
EWMA Copenhagen 2013

7. Evaluation:
Patients are very satisfied with the treatment in the wound clinics.
Patients perception
of wound clinic
Quality
treatment
Quality
information
Patient feeling
confident with the
treatment
94,6 %
2,7 %
0,7 %
2,0 % 2,0 %
93,3 %
4,0 %
0,7 %
82,6 %
12,7 %
2,0 %
0,7 %
2,0 %
Really good/ good
Don’t know
Neither good/ nor bad
Very much so
Really bad
To some extend
To less extend
Not at all
Don’t know
EWMA Copenhagen 2013

8. Patients are less confident with the treatment in home-care, but
experience high quality.
Quality
treatment
Patient feeling
confident with the
treatment
86,8 %
9,2 %
3,2 %
0,8 % 4,7 %
86,8 %
3,8 %
4,7 %
65,9 %
24,8 %
7,0 %
1,6 %
0,8 %
Really good/ good
Don’t know
Neither good/ nor bad
Very much so
Really bad
To some extend
To less extend
Not at all
Don’t know
Patients perception of
treatment by home
care nurse
Nurses
know-ledge
of the wound
Evaluation:
EWMA Copenhagen 2013

9. Evaluation:
Patients are in general satisfied with the woundcare from home-care, but their assump-
tion of quality is negatively affected by the number of nurses taken care of the wound.
Patients assumption of quality
1
=
Really
good
Number of home-care nurses

10. Conclusion:
Communication and cooperation are big challenges in shared
care between sectors during wound treatment.
Patients in our study were generally satisfied with the wound
care they received.
Higher number of home-care nurses increased patient
dissatisfaction with the treatment process.
Our results suggest that the flow of information from
home-care nurses and general practitioners to wound clinics
could be improved.
EWMA Copenhagen 2013

11. Perspective:
Implementing new electronic communication tools might
improve the communication between sectors and improve
treatment and patients perception of quality and being
confident with the wound care.

12. UDARBEJDET FOR
DANISH WOUND HEALING SOCIETY
DSFS 2013
EWMA Copenhagen 2013
I SAMARBEJDE MED:
2013
NATIONAL PROJECT
SHARED CARE
Bente Ramskover
RN. Wound Care Specialist
University Center of Wound Healing
Odense University Hospital
Jens l. Sørensen
Consultant, Ph.D.
Dept. of Plastic and Reconstructive Surgery
Roskilde University Hospital
Eskild W. Henneberg
M.D., FRCSEd, FEBVS
Wound Healing Center
Dept. of Vascular Surgery
Viborg Regional Hospital
Susan Bermark
RN, DH, Wound Care Specialist
Copenhagen Wound Healing Center
Bispebjerg University Hospital
Annette Norden
Projectmanager, RN
Herlev Hospital
GRAFIK: GRAFIKKLINIKKEN