A case study to explore the perspectives of Tissue Viability Nurse Specialists working in a community healthcare setting in the Southeast of England, regarding the effect that psychological stress has on wound healing

Background: It is widely documented that delays in wound healing are costly to the<br/>health service but more importantly detrimental to patients and their wellbeing. Aim:<br/>This study explores: (1) factors that tissue viability nurse specialists (TVNS) think affect<br/>psychological stress in delayed wound healing; and (2) to better understand whether<br/>any changes to current practice is required. Methods: A qualitative study methodology<br/>via semi-structured face-to-face, audio-recorded interviews with six TVNS working<br/>within an NHS Trust within the southeast of England. Results: TVNS although have some<br/>knowledge and understanding regarding psychological stress and its impact. There is<br/>a lack of standardised education and training, assessment tools for the psychological<br/>elements of wound assessment and access to mental health support. Conclusion: This<br/>study highlights the importance of holistic assessment to include the psychological<br/>impact in wound care patients. Standardisation of education on this topic, improved<br/>multidisciplinary working to include mental health professionals, access for patients to<br/>mental health support and use of support groups for individuals living with wounds.