How evidence-based is XXXX care? A survey in community settings.

@entity1 @entity1066 @entity158 @entity3179
AIM: This paper is a report of a study to describe @entity3179 care regarding compression, @entity158 management and lifestyle advice in community settings and to identify factors that predict the provision of lifestyle advice by nurses. BACKGROUND: Incongruence between evidence and practice in leg @entity1066 care has been reported. Little is known about predictive factors related to the provision of lifestyle advice. METHOD: Two focus interviews and a Delphi procedure were used to develop a self-administered questionnaire based on the Graham questionnaire. Nurses employed by community healthcare organizations and independent nurses in private practices participated (n = 789). The data were collected in 2006. FINDINGS: Compression was applied in 58.7% of @entity1 with @entity3179 . @entity158 was present in 82.9%. A third of @entity1 with @entity158 received analgesics, but half of these @entity1 (52.1%) took analgesics as prescribed. Half of the nurses (50.8%) gave lifestyle advice related to the leg @entity1066 . It was mainly instructions about leg elevation (68.3%), promoting physical activity (39.8%) and optimizing nutrition (16.7%) that were provided. Nurses who perceived themselves to have adequate leg @entity1066 knowledge and skills were 3.75 times more likely to provide lifestyle advice compared with those lacking such knowledge and skills. Nurses who found leg @entity1066 care not rewarding, rarely successful or difficult gave statistically significantly less lifestyle advice than those who found it rather rewarding, successful and not difficult. CONCLUSION: @entity1 with leg @entity1066 receive less than optimum care and @entity1 education. A particular challenge lies in leg @entity1066 education programmes and @entity158 management.
