Karen Ousey

Karen Ousey
University of Huddersfield · School of Human and Health Sciences

PhD

About

231
Publications
65,285
Reads
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2,073
Citations
Additional affiliations
January 2007 - December 2011
University of Huddersfield
January 2004 - December 2011
University of Salford
Education
September 2000 - April 2006
University of Salford
Field of study
  • Research

Publications

Publications (231)
Article
An overview of chronic wounds, including their physiology, causes and management options.
Article
Objective: This systematic review assesses the effects of care bundles on the incidence of surgical site infections (SSIs). Data sources: The search was conducted between February and May 2021, using PubMed, CINAHL, SCOPUS, Cochrane, and EMBASE databases. Study selection: Studies were included if they used systematic review methodology, were i...
Preprint
Background Lower limb venous disease can cause significant pain, loss of mobility, and can be detrimental to an individual’s quality of life. Manifestations of venous disease often pose a substantially negative impact on patients and place a high demand on finite healthcare resources. Whilst this problem is internationally recognised, the majority...
Article
Background The long term impacts of experiencing a ‘long lie’ following a fall in the older person are poorly understood. This systematic review explored the impact of a long lie fall on physical and clinical outcomes in older people requiring an ambulance. Methods PRISMA guidelines were followed. Results 70 studies were identified. Nine studies...
Article
Objective This study assesses anonymous patient-level data on the use of sub-epidermal moisture (SEM) assessment technology as a tool in the prevention of pressure ulceration in at-risk hospital patients. Method The relationship between technology-generated prompts for clinical action (patient turning, application of pressure redistributing equipm...
Article
Objective: To assess the effectiveness of sub-epidermal moisture (SEM) assessment technology as an adjunct to visual assessment to reduce pressure ulcer (PU) incidence alongside standard PU care pathways. Method: Data were obtained from wards located within 28 institutions in the UK, Canada, Belgium, Spain and Ireland. At each ward, the proporti...
Article
p>Although great strides have been made to tackle hospital-acquired pressure ulcers (HAPUs), there is a need for greater recognition of device-related pressure ulcers (DRPUs), including their causes, management and prevention. This consensus statement, an updated second edition, aims to continue raising awareness of these largely preventable injuri...
Article
Objective Antimicrobial resistance (AMR) occurs (as a result of misuse, such as over-prescribing) when certain pathogens fail to respond to treatment with antimicrobials. Consequently, patients can become severely ill and possibly die. A strategy referred to as antimicrobial stewardship (AMS) has been introduced which reduces the impact of this ant...
Article
This paper presents an overview of a Journal of Wound Care (JWC) webinar ‘Antimicrobial Stewardship Masterclass’ which took place on 17 June 2021, bringing together international experts in the field of wound care. The webinar was undertaken to provide an educational platform elucidating the basis of an effective antimicrobial strategy in wound car...
Article
A break in skin integrity must be repaired as quickly as possible to avoid excess blood and fluid loss, and to minimise the onset of infection. Hard-to-heal wounds, in which the progression of the wound healing response is compromised, present several challenges to healing (for example, the presence of devitalised tissue acting as a physical barrie...
Article
Objective: To assess the incidence, risk, and associated factors that contribute to an acquired surgical site infection (SSI) after emergency cesarean section (CS). Methods: This retrospective case-control study was conducted in an acute district general hospital in England with 206 patients (101 SSI patients and 105 non-SSI patients) who had an...
Article
Background: Antimicrobial resistance (AMR) is one of the most serious health threats globally. The development of new antimicrobials is not keeping pace with the evolution of resistant microorganisms, and novel ways of tackling this problem are required. One of such initiatives has been the development of antimicrobial stewardship programmes (AMS)...
Article
Objective Episodes of inpatient care-related pressure ulcers (PU) lead to deleterious effects on patient quality of life, and additional costs associated with wound dressings, staff visits and hospitalisation. Accurate prediction of future incidence may be helpful in defining strategies for benchmarking and resource management. Observations of cate...
Article
Background: Surgical site infection (SSI) is a common postoperative concern. Purpose: To provide an in-depth understanding of the lived experience and quality of life (QoL) of individuals with SSI. Methods: A systematic search for published studies that explored the impact of SSI on QoL among adult patients (older than 18 years) who had underg...
Article
Background Traditionally, infections are treated with antimicrobials (for example, antibiotics, antiseptics, etc), but antimicrobial resistance (AMR) has become one of the most serious health threats of the 21st century (before the emergence of COVID-19). Wounds can be a source of infection by allowing unconstrained entry of microorganisms into the...
Article
The 2019 novel coronavirus disease (COVID-19) pandemic has brought the effects of device-related pressure ulcers (DRPU) into sharp focus. With the increased use of personal protective equipment (PPE), including face masks, continuous positive airway pressure (CAPP) masks and other devices, the incidence of DRPUs among health professionals and patie...
Technical Report
It is estimated that surgical wound complications (SWCs) are one of the leading global causes of morbidity following surgery, with mortality affecting 1–4% of patients, in a study focusing on gastrointestinal surgery (Pearse et al, 2012; Collaborative GS, 2017). The Lancet Commission on Global Surgery estimates over half of the 4.2 million post-ope...
Article
Objective The aim of this systematic review was to examine the associations and relationship between commonly cited risk factors and the pathology of pressure ulcer (PU) development. Method Using systematic review methodology, original research studies, prospective design and human studies written in English were included. The search was conducted...
Technical Report
Surgical site infection (SSI) is an unfortunate postoperative complication that affects many surgical patients worldwide and treatment of this type of wound is most likely to occur following discharge from the acute care setting. While there are several guidelines for preventing and managing SSIs in hospitals, there is an absence of guidelines for...
Article
Full-text available
Introduction: Intermittent claudication (IC) is the most common symptom of peripheral arterial disease. Previous research has suggested that cycloidal vibration therapy (CVT) may induce angiogenesis and improvements in circulation. The objective of this feasibility study was to explore trial design and acceptability of the protocol to provide data...
Article
Full-text available
Background: Skin tears are acute wounds that are frequently misdiagnosed and underreported. A standardised and globally adopted skin tear classification system with supporting evidence for diagnostic validity and reliability is required to allow assessment and reporting in a consistent way. Objectives: To measure the validity and reliability of...
Article
Background: Wound assessment and treatment are essential aspects of nursing care. Dressing-associated complications can delay wound healing, causing unnecessary patient distress. Despite evidence suggesting that dressings should be changed infrequently, there still remains a tendency for healthcare professionals to remove dressings regularly, incr...
Article
Full-text available
Doctoral-level study is increasingly popular for clinicians who wish to advance their clinical, research and academic career pathways. A range of alternatives to the traditional PhD are now well-established. This article aims to outline the different approaches and discuss some advantages and drawbacks of doctoral-level postgraduate study. By compa...
Article
The aim of this review was to present the clinical data on the use of the family of bacterial-binding dressings (Sorbact; dialkylcarbamoyl chloride-coated) in the treatment of a variety of acute and chronic wounds. The findings are discussed in terms of the effectiveness of the bacterial-binding dressings on bacterial bioburden reduction, infection...
Article
Pressure ulcers are a common occurrence of damage to skin. Severity ranges from slightly discoloured skin to full thickness tissue damage which can be fatal in some cases. Engineering effort, typically developing computational models had made significant progress in the understanding and demonstration of the formation mechanism of pressure ulcers w...
Article
Full-text available
Objective: To achieve international consensus relating to clinical indicators for a chronic wound, wound infection and biofilm presence to inform the development of international clinical guidance for assessing and managing wound infection. Method: An online Delphi consensus process of international key opinion leaders in infection was undertake...
Article
Full-text available
Background Prophylactic antibiotics are commonly prescribed intra-operatively after caesarean section birth, often at high doses. Even so, wound infections are not uncommon and obesity increases the risk. Currently, no independent wound assessment technology is available to stratify women to low or high risk of surgical site infection (SSI). Study...
Article
This article discusses how an integrated physical, psychological and social approach to wound care can help improve the quality of life for people who self-injure. The health professional should demonstrate compassion while teaching the person who self-injures how to provide their own wound care. Compassionate care may help the patient improve thei...
Article
Chronic wounds are associated with a significant patient, healthcare and financial burden and can have extensive implications for healthcare. Age is a significant risk factor for developing chronic wounds, due to physical changes in skin integrity and several age-related complex comorbidities, including poor nutrition and mobility. Pressure ulcers...
Article
Full-text available
The use of atmospheric low‐temperature plasma (AP) on chronic wounds and its effect on microbial bioburden in open wounds has not been explored with a systematic review and meta‐analysis. PRISMA guidelines were followed and PubMed, Embase, CENTRAL, and CINAHL databases searched for randomised controlled trials (RCTs), which compared AP with no AP f...
Article
Full-text available
Background The risk of SSI increases in the presence of foreign materials and may be caused by organisms with low pathogenicity, such as skin flora derived from hands of surgical team members in the event of a glove breach. Previously, we were able to demonstrate that a novel antimicrobial surgical glove coated chlorhexidine-digluconate as the acti...
Article
Background: Effective communication between healthcare providers and patients represents an important caveat in healthcare, both nationally and internationally. Providing information to patients about their care and condition can be challenging, particularly in demanding, time-pressured environments such as the Emergency Department (ED). Understan...
Article
Objective: Venous leg ulcers (VLUs) cause significant pain and suffering for patients. Additionally, they place considerable financial and service burden on the National Health Service (NHS). A large proportion of VLUs do not heal within the standard time frame of 16-24 weeks, resulting in static wounds which commonly have issues with increasing e...
Article
Disinfection of gloved hands is increasingly advocated in situations where visibly not soiled gloves are used during multiple clinical activities on the same patient. Since there is no data demonstrating that such practice attributes to lower bacterial transfer during clinical care, a standardised experimental study was conducted. Gloved hands touc...
Article
Objective: Surgical site infection (SSI) is a common cause of postoperative morbidity. Perioperative hypothermia may contribute to surgical complications including increased risk of SSI. In this systematic review and meta-analysis, the effectiveness of active and passive perioperative warming interventions to prevent SSI was compared with standard...
Article
This article is based on a focus group meeting that was held in London on 29th June 2017 and sponsored by 3M. The focus group was convened so that an expert multidisciplinary panel could discuss the underreported issue of MARSI. The aims and objectives of the meeting were to: gain an understanding of MARSI in practice, identify gaps in knowledge ba...
Article
Malodorous wounds can be distressing for patients and their families, negatively impacting on quality-of-life outcomes. For health professionals malodorous wounds can also cause distress manifesting in feelings of disgust when faced with a wound emitting an unpleasant or repulsive odour. There has been investigation into the management of controlli...
Article
Objective: To assess the relationship in healthy adults and critically ill patients between: patient position, body mass index (BMI), patient body temperature, interface pressure (IP) and tissue reperfusion (TR). Also to determine the relationship in critically ill patients between: Sequential Organ Failure Assessment (SOFA) score, Braden Scale sco...
Article
Full-text available
Pressure ulcers are a common injury of the skin which leads to pain and potential infection for patients and financial burden to the healthcare providers across the global due to treatment costs, litigation and extended hospital stays. The current study focuses on one of the causes of pressure ulcer formation, ischemia. Blood vessels are deemed to...
Article
Individuals living with an ostomy may suffer from a variety of peri-stomal skin complications related to the use of their stoma appliance or accessories. These conditions can be serious enough to significantly impact on a patient's quality of life and may result in severe clinical complications (such as infection). This article is a review of the l...
Article
The aim of this integrative systematic review was to systematically search, critically appraise, and summarise reported research related to readiness to practice and types of clinical support offered to newly registered nurses and preregistration nurses (such as, mentoring, preceptorship, or clinical facilitation). The review was undertaken in Febr...
Article
Background: There is a continued focus in health care that NHS Trusts must make cost savings while ensuring quality and productivity is not adversely affected. It is essential that healthcare professionals have access to pressure reduction/redistributing equipment that is evidence based and can promote skin integrity via adequate reduction of exces...
Chapter
The use of silver as an antibacterial has been known for centuries, but its topical use in antimicrobial dressings to prevent or treat infection in a wide range of acute and chronic wounds is relatively new. Extensive laboratory and clinical evaluations have shown the antibacterial value of silver dressings, although efficacy may be dependent on th...
Article
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To evaluate the effects and safety of active and passive perioperative warming interventions for the prevention of SSI, when compared with standard care and other interventions. © 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Article
The development of wound management protocols and guidelines such as the T.I.M.E. acronym are useful tools to aid wound care practitioners deliver effective wound care. The tissue, infection/inflammation, moisture balance and edge of wound (T.I.M.E.) framework provides a systematic approach for the assessment and management of the majority of acute...
Article
Wounds that fail to heal quickly are often encountered by community nursing staff. An important step in assisting these chronic or stalled wounds progress through healing is debridement to remove devitalised tissue, including slough and eschar, that can prevent the wound from healing. A unique wound treatment called HydroTherapy aims to provide an...
Article
Background: Surgical site infection (SSI) is a serious potential complication of spinal surgery. SSI may impact significantly on inpatient hospitalization and the costs associated with extra care. Aim: To investigate the management of patients experiencing SSI following surgery for spinal metastatic tumours, and to estimate the costs associated...
Article
This paper presents analysis from a 6-week prospective product evaluation of the Trezzo range of mattresses, compared to standard foam mattresses, in use on two clinical areas within Pennine Acute NHS Trust. Data were collected via distribution of three questionnaires. A patient experience questionnaire was completed by patients after using their m...
Article
This paper presents the results of an online survey that investigated healthcare professionals' knowledge of wound debridement and the techniques used. The survey, using purposive sampling, was distributed to healthcare professionals working within tissue viability services (n=252) via Survey Monkey across the UK to investigate healthcare professio...
Article
Full-text available
Medical adhesive-related skin injury (MARSI) is a prevalent, under-recognised and preventable complication that occurs across all care settings, age groups and patient types. Use of medical adhesives may affect skin integrity, cause pain, increase risk of infection, potentially increase wound size and delay healing, all of which reduce patient qual...
Article
Incontinence-associated dermatitis (IAD) is a common problem in patients with faecal and/or urinary incontinence. Urine alters the normal skin flora and increases permeability of the stratum corneum and faecal enzymes on the skin contribute to skin damage. Faecal bacteria can then penetrate the skin, increasing the risk of secondary infection. Howe...
Article
The aim of this commentary is to discuss potential clinical implications of introducing resilience-building interventions into care for veterans who are living with a war wound. Some war veterans are expected to live with a wound upon discharge from an active military role and also to fit into civilian life. These lifestyle adjustments can tax the...
Article
Earlier this year the University of Huddersfield's Institute of Skin Integrity and Infection Prevention in association with the Journal of Wound Care (JWC) held the first International Skin Integrity and Infection Prevention Conference. The 2-day event consisted of a mix of keynotes, symposia and short presentations from key opinion leaders and pos...
Article
Objective: This study aimed to determine the rate of surgical site infection (SSI) in patients undergoing surgery for spinal metastases, and identify key risk factors for SSI among this patient group. Method: A retrospective case note review was undertaken in adult patients being treated at a single specialist centre for spinal surgery. Results:...
Article
Background: Few studies have explored the microbial contamination of glove boxes in clinical settings. The objective of this observational study was to investigate whether a new glove packaging system in which single gloves are dispensed vertically, cuff end first, has lower levels of contamination on the gloves and on the surface around the box a...
Article
This article provides an explanation and visual demonstration of the differences between the pathology and presentation of hydration versus maceration in wounds. This is described in order that the clinician can distinguish between the two and optimise wound treatment.
Article
This paper presents preliminary analysis of clinicians use of the Tissue Viability Leading Change (TVLC) competency framework launched in November 2015. It is the first UK wide competency framework developed for staff working in a tissue viability service. Total downloads for the framework has been 331 to date. Overall initial feedback has been pos...
Article
Objective: To identify primary empirical research related specifically to feelings of disgust associated with malodorous chronic cutaneous wounds. Method: A rapid review of the literature using the key words disgust; wounds; malodour and psychosocial. Results: A total of 163 papers were retrieved with seven being included for the final review....
Article
Full-text available
Background: An investigation was undertaken to compare the effect of multi-component compression bandages and compression hosiery kits on individuals' range of ankle motion whilst wearing typical and medical footwear, and barefoot. Methods: A convenience sample of 30 healthy individuals recruited from the staff and student population at the Univ...
Article
Background: Patients with metastatic spinal tumours have a limited prognosis. Surgical complications that may result in prolonged hospitalization or readmission are highly undesirable. Surgical site infection (SSI) is one such complication, which can, in extreme cases, lead to death. Aim: To assess the impact of SSI on patient survival after sur...
Article
Balancing skin hydration levels is important as any disruption in skin integrity will result in disturbance of the dermal water balance. The discovery that a moist environment actively supports the healing response when compared with a dry environment highlights the importance of water and good hydration levels for optimal healing. The benefits of...
Article
Background: Pre-registration nursing students throughout the United Kingdom (UK) are required to complete a minimum number of theory hours within the course. Anecdotal evidence suggests that students are required to attend campus for approximately fifty percent of the theory hours. The remaining theory hours are often labelled as 'study time' in w...
Article
A number of clinical studies and case reports have shown that HydroClean plus effectively cleanses wounds of necrotic tissue, fibrinous slough and bacteria-laden wound exudates. Due to the innovative technology inherent in the polyacrylate superabsorbent material at the core of these dressings, the wound is actively cleansed by the rinsing and abso...