1. STATUS OF WOUND CARE UNITS IN SPAIN
Dr J. Verdú Soriano
Dr J. Soldevilla Ágreda
PhD Candidate H. González de la Torre

2. Disclosure (Potential) conflict of interest None/see below
Potentially relevant company relations in connection with event
Company names
Sponsorship or research funding
Fee or other (financial) payment
Shareholder
Other relationship, i.e.
None
Potential conflicting interests

3. STATUS OF WOUND CARE UNITS IN SPAIN
Aim: To develop a census of Wound Units/clinics located in Spanish territory and to study its organizational structure and functioning
1st phase of a PhD Thesis: Develop a questionnaire. (Presented at EWMA 2015)
2nd phase of a PhD Thesis: Study on Wound Care Units located in Spain.
Design: Cross-sectional, descriptive-analytical, observational study.
Population under study: Specialized units for chronic wound care / Wound clinics located in Spanish territory.

4. Exponential and discriminant snowball sampling
Convenience sample
Non probabilistic sampling method based in 3 Stages.
Recruitment:
telephone contact
and/or
and/or telephone research with the facility where the unit is located.
Recruitment Period:
chronologically divided in three periods derived from the sampling steps.
75 likely units were detected
31 units were excluded
44 units were recruited
2 units retired
Exponential and discriminant snowball sampling
Convenience sample:
Companies

5. Census of wound care units in Spain
The Period where more units were created was between
35.7% were located in hospitals and 40.5% in Health structures that covered a whole population over an area (integrated health organization).

6. Summary Descriptive analysis
Target population: 95.2% "People with wounds and health professionals”
The most frequent area of influence was Regional (42.9%)
The most frequently treated lesions: Diabetic foot (90.5%), Venous Ulcers (85.7%), Arterial Ulcer (85.7%) and Pressure Ulcer (81.0%)
Therapies commonly used: MWH (100%), Compression Therapy (80.5%), offloading (75.6%) and NPWT (73.2%)
Debridement systems: Enzymatic, Sharp and Autolytic debridement.
Leaders of the units are mostly Nurses (78.6%). 38.1% of those leaders had national accreditation
Average number of members: 2.81 ± Only 14.3% have professionals with 3 or more different qualifications in their staff, with 59.5% being uni-disciplinary teams
52.4% of the units have Consultant and Support Teams.

7. Special interest in knowing barriers of implementation
Beginning Barriers
Current Barriers
Financial Barriers
Logistic Barriers
Other Barriers
Barriers by Suspicion-opposition
Legal Barriers

8. It was determined if there was an association between Existence of Barriers by Suspicion-opposition in the beginning and other variables…
Chi-Square Test shown a significative statistical difference with “Type of Team (uni or multi)” (p=0.049)
McNemar Test shown a statistical significance with “Nursing profession as responsible” (p = 0.007).

9. Conclusions
The Number of wound units in our country is low, with a high heterogeneity and mainly based in small units.
Great disparity with regards to its geographical distribution
The model of wound clinic is a dynamic phenomenon (no laws), which leads to the disappearance and appearance of clinics relatively quickly
There are Organizational systems with upward trend in Spain
Barriers by Suspicion-opposition are highly frequent and prevent the implantation of that model

10. Next steps… PhD dissertation next 19th May.
Census and Outcomes publication in an impact Journal
Adapt the questionnaire to other Spanish-speaking countries. Trying to do a census in Latin-America
To analyse in regards to Barriers by Suspicion-opposition (Qualitative Approach)
We would like to contact people from European countries who want to carry out similar research
THANK YOU VERY MUCH!!