Innovations in Wound Care: The Critical Role of Nurses in Advanced Dressing Management

Abstract

Background: Chronic wounds profoundly affect individuals' quality of life and pose significant economic burdens, particularly in high-income countries. The increasing prevalence of such wounds is linked to an aging population and rising rates of obesity, diabetes, and cardiovascular diseases. Effective wound management requires comprehensive knowledge of wound etiology and appropriate dressing selection.

Methods: This review synthesizes recent literature on advanced wound dressings, focusing on interactive and bioactive dressing types, including hydrocolloids and hydrogels. We evaluated the physical properties, benefits, limitations, indications, and contraindications of these dressings, alongside existing evidence regarding their efficacy.

Results: Findings indicate that while advanced dressings provide substantial benefits, including moisture retention and enhanced healing, gaps in knowledge persist among healthcare professionals regarding their selection and application. Hydrocolloid dressings were noted for their moisture-retaining properties and pain-free removal but are less effective in high exudate scenarios. Hydrogels demonstrated superior hydration capabilities but lacked adequate bacterial barriers. Evidence on the comparative effectiveness of these dressings remains limited, highlighting the need for more robust clinical studies.

Conclusion: The review underscores the importance of enhancing nurses' knowledge and skills in wound assessment and dressing selection. By improving evidence-based practices, healthcare professionals can better manage chronic wounds, ultimately improving patient outcomes. Ongoing education and research are essential to address existing gaps in wound care knowledge.