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Bobbink Paul

Maïtre d'enseignement HES

Main contract

Maïtre d'enseignement HES

Haute école de santé - Genève
Avenue de Champel 47, 1206 Genève, CH

Faculty
Santé

Main Degree Programme
Soins infirmiers

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2024

Making conscientious decisions :

Scientific paper ArODES

engaging in venous leg ulcer self-management following nurse-led patient education

Paul Bobbink, Géraldine Gschwind, Philip Larkin, Sebastian Probst

Qualitative health research, October 2024, to be published

Link to the publication

Summary:

Venous leg ulcers (VLUs) provoke multiple symptoms and impact individuals and society as a whole. Their treatment and prevention strategies require individual’s involvement in self-management strategies. Insufficient knowledge with regard to prevention, management, and treatment has been identified as a critical factor related to VLUs and their recurrence. Therapeutic patient education (TPE) proposed as part of a management strategy for this population provides unclear benefits regarding wounds healing or prevention of recurrence. The aim of the study was to develop a theory explaining how individuals with a VLU experience an individualized nurse-led TPE program regarding self-management strategies. The constructivist approach of Charmaz to the grounded theory method was used to develop the theory. A total of 26 individuals contributed to the co-construction of the theory through face-to-face or telephone semi-structured interviews. Data analysis and data collection occurs simultaneously with a comparative process to reveal the conceptual categories, apply theoretical sampling, and define theoretical saturation. The theory of “Conscientiously Engaging in Self-Management” was co-constructed with the participants encapsulating four categories: “Being influenced by my own story,” “Being personally informed,” “Making conscientious decisions to engage in self-adapted management strategies,” and “Integrating a conscientious way of living.” This theory highlights individuals’ voices and stories toward their journey of VLU self-management taking contextual factors into consideration. This new theory offers new knowledge about implementation of self-management strategies for individuals living with a VLU and will inform clinical practice and contribute to the development of targeted interventions.

Application and challenges of using a Constructivist Grounded Theory methodology to address an undertheorized clinical challenge :

Scientific paper ArODES

a discussion paper

Paul Bobbink, Philip Larkin, Sebastian Probst

International journal of nursing studies advances, 2024, 6, 100199

Link to the publication

Summary:

Background : The benefits of nurse-led therapeutic patient education regarding wound healing and the prevention of recurrences for individuals living with a venous leg ulcer remain unclear. Obtaining the individuals perspective could offer an in depth understanding of why and how they engage or not, in self-management strategies following nurse-led patient education., Despite strong evidence indicating the need for further investigation into the benefits of therapeutic patient education in this population there is a lack of research into how individuals cope with chronic venous insufficiency or resulting ulceration, With this discussion paper we therefore explore the challenges associated with employing a Constructivist Grounded Theory methodology to gain a deeper insight into the experiences of patients with venous leg ulcers receiving individualized nurse-led patient education programs focused on the self-management of their condition. Objective : To identify and analyse the specific methodological and practical challenges encountered when applying a Constructivist Grounded Theory methodology to gain a better understanding of how patients with venous leg ulcer experience an individualised nurse-led patient education programme concerning the self-management of their condition. Design : discussion paper Results and Discussion : The constructivist approach to Grounded Theory methodology allows for the investigation of understudied phenomena such as nurse-led patient education for individuals living with venous leg ulcers. This methodology values the co-construction of a theory taking into consideration the inherent value of participants’ and researchers’ experiences. However, the specificities of constructivist epistemology challenge certain methodological aspects of Grounded Theory methods, such as how and when to use existing literature, conduct interviews to generate data and engage in the coding and theoretical sampling process for conceptualizing and proposing a theory. Conclusions : The constructivist paradigm of grounded theory methodolgy resonates with the art and science of nursing through its collaborative ‘real-world’ reflective approach, offering a unique way to explore understudied complex clinical nursing practice.

Practical implications for wound care

Book chapter ArODES

Sebastian Probst, Georgina Gethin, Paul Bobbink

Dans Kielo-Viljamaa, Emilia, Stolt, Minna, Suhonen, Riitta, Wound care education in nursing : a european perspective (pp. 135-143). 2024, Cham : Springer Nature

Link to the publication

Summary:

The future of wound care is on the cusp of a transformative technological revolution poised to redefine wound prevention, management and treatment. Advanced technologies are set to usher in a paradigm shift, optimising wound assessment, intervention, monitoring and patient engagement, resulting in improved outcomes, cost-efficiency and a patient-centred approach. This impending technological revolution is driven by the pressing issue of healthcare staff shortages, which cast a significant shadow over the healthcare system. The shortage of qualified healthcare professionals, particularly nurses and wound care specialists, substantially challenges wound care quality, patient outcomes and the overall healthcare landscape. This chapter delves into the intricacies of this predicament and explores how evolving technologies are positioned to support wound care nurses in the coming years. To mitigate the impact of nursing shortages on wound care, healthcare institutions must employ strategies such as hiring more wound care specialists, offering training and education programmes for existing staff, optimising wound care protocols and addressing nurse burnout and retention issues. Technologies such as advanced diagnostic modalities through artificial intelligence, smart wound dressings, 3D printing, regenerative therapies and telemedicine offer crucial tools to bridge care gaps during nursing shortages.

Research focus and guidelines in wound care education

Book chapter ArODES

Sebastian Probst, Georgina Gethin, Paul Bobbink

Dans Kielo-Viljamaa, Emilia, Stolt, Minna, Suhonen, Riitta, Wound care education in nursing : a european perspective (pp. 129-134). 2024, Cham : Springer Nature

Link to the publication

Summary:

Wound care education in nursing is a dynamic and evolving field focused on enhancing patient outcomes and nursing practice. This abstract explores two pivotal components of wound care education: digitalised learning and hybrid approaches. Digitalised wound care education harnesses internet and technological advancements to deliver content, including online lectures, websites, resource documents, videos and tailored modules. While digital education offers flexibility and global access to expertise, it comes with social interactions, motivation and technical proficiency challenges. Emerging technologies such as simulation and virtual reality provide immersive, hands-on learning experiences, with the potential for serious games and artificial intelligence (AI) to enhance learning and assessment. Hybrid approaches integrate digital and face-to-face teaching and have demonstrated success in nursing education. These approaches offer flexibility and combine theoretical and practical skill development to ensure evidence-based clinical practice. Various blended learning designs are under exploration, from small learning units to comprehensive week-long programmes. Choosing the right educational modality should align with desired learning outcomes and available resources, emphasising continuous evaluation and pedagogical improvements. Wound care guidelines play a crucial role in standardising practices but face challenges requiring increased attention and awareness within the wound care community.

Plaies chroniques des membres inférieurs :

Scientific paper ArODES

un guide pour le non-spécialiste

Marion Déléaval, Paul Bobbink, Damien Pastor

Revue médicale suisse, 2024, 20, 867, 622-630

Link to the publication

Summary:

Les plaies chroniques des membres inférieurs sont un problème grandissant de santé publique, occasionnant des dépenses conséquentes et entraînant une répercussion non négligeable sur la qualité de vie des patients et de leurs proches aidants. Les médecins de premier recours étant le plus souvent les premiers intervenants, l’acquisition d’un socle commun de connaissances est donc essentielle pour la bonne prise en soin initiale des plaies chroniques, obtenir un diagnostic précoce et identifier les urgences et les patients à référer. L’approche selon les principes CASE et TIMERS permet une évaluation holistique du patient et de sa plaie, et de proposer un traitement étiologique associé à des soins locaux adaptés. Celle-ci permet également d’identifier les plaies atypiques, sévères ou récalcitrantes, nécessitant un avis spécialisé.

2023

Nursing students’ knowledge on pressure injuries following a blended-learning unit :

Scientific paper ArODES

a quasi-experimental study

Paul Bobbink, Géraldine Gschwind, Lucie Charbonneau, Carole Guex, Laurent Chabal, Sebastian Probst

Advances in skin and wound care, 36, 12, 636-641

Link to the publication

Summary:

Objective : To assess first-year bachelor’s degree in nursing students’ knowledge about pressure injury (PI) etiology, classification, prevention, and management following blended learning and clinical practice. Methods : A quasi-experimental design was used. Nursing students’ PI knowledge was measured using the French version of the Pressure Ulcer Knowledge Assessment Tool (PUKAT) at three time points: baseline (before a blended-learning unit, consisting of 2 hours of e-learning and 3 hours of practical workshop), after the blended-learning unit, and after clinical practice. Results : A total of 21 students participated over the three time points. At baseline, the mean percentage of correct answers on the PUKAT was 45.8%. This score increased to 59.2% following the blended-learning unit and 65% after completing the clinical practice (F2,58 = 19.08; P = .00). Over the three time points, students scored highest on knowledge of risk assessment and lowest on knowledge of prevention. Conclusions : Blended-learning units combining e-learning and practical workshops are valuable tools to increase students’ knowledge about PIs. The PUKAT enables the evaluation of changes in students’ knowledge following a teaching unit on PIs. However, more research is needed to assess the long-term evolution of knowledge and the impact of this teaching on clinical practice.

Prevalence and incidence of venous leg ulcers :

Scientific paper ArODES

a systematic review and meta-analysis

Sebastian Probst, Camille Saini, Géraldine Gschwind, Alessio Stefanelli, Paul Bobbink, Marie-Therese Pugliese, Sezen Cekic, Damien Pastor, Georgina Gethin

International wound journal, 20, 9, 3906-3921

Link to the publication

Summary:

Venous leg ulcers (VLU) represent a major public health challenge. Little is known about the prevalence and incidence of VLU internationally. Published studies are usually reporting different estimates because of disparities in study designs and measurement methods. Therefore, we conducted a systematic literature review and meta-analysis to identify the prevalence and incidence of VLU internationally and to characterise the population as reported in these studies. Studies were identified from searches in Medline (PubMed), CINAHL Complete (EBSCOhost), Embase, Scopus, Web of Science, LiSSa (Littérature Scientifique en Santé), Google Scholar and Cochrane Database of Systematic Reviews up to November 2022. Studies were included if their primary outcomes were reported as a period prevalence or point prevalence or cumulative incidence or incidence VLU rate. Fourteen studies met the inclusion criteria, 10 reporting estimates of prevalence, three reporting both prevalence and incidence estimates and one incidence. All were included in meta-analyses. The results show a pooled prevalence of 0.32% and a pooled incidence of 0.17%. Our results highlighted an extreme heterogeneity across effect sizes for both prevalence and incidence, which prevent a meaningful interpretation of pooled indexes and argue for further studies with specific prevalence-type reported and target population under study.

Les soins des plaies évoluent grâce à la Haute école de santé genevoise

Professional paper ArODES

Paul Bobbink, Laurent Chabal, Lucie Charbonneau, Carole Guex, Géraldine Gschwind, Alessio Stefanelli, Camille Saini, Sebastian Probst

Soins infirmiers = Krankenpflege = Cure infermieristiche, 9, 59-61

Link to the publication

Summary:

Le laboratoire spécialisé en cicatrisation et soins des plaies développe, mène et implémente des projets de recherche appliquée dont bénéficie en direct l'enseignement aux niveaux Bachelor et post-grade. Découvrez les activités de ce centre de compétences genevois.

Diabetic foot ulcer patients’ and clinicians’ experiences of care transitions from hospital to home :

Scientific paper ArODES

a study protocol

Carole Guex, Camille Saini, Géraldine Gschwind, Paul Bobbink

Journal of wound management, 24, 2, 26-29

Link to the publication

Summary:

Background : Foot ulcers are an important cause of multiple hospitalisation and clinical complications in patients with diabetes. Before hospital discharge, the care transition should be planned across multiple care settings. Many problems occur during care transitions, resulting in negative patient outcomes and unnecessary readmissions. Aim : This paper presents a protocol for a qualitative study exploring the experience of care transitions from both patients’ and clinicians’ perspectives in a regional hospital context in Western Switzerland. Methods design : A qualitative descriptive design will be used to solicit patients‘ and clinicians’ perceptions of care transitions. Semi-structured interviews will be conducted with six patients with a diabetic foot ulcer (DFU) and six community nurses. Data will be analysed according to Braun and Clarke’s thematic analysis. Discussion : Exploring participants’ experiences will afford information about their role within the process, any barriers to effective care transitions, and any strategies to overcome. Implication for clinical practice : The findings of this study will be pivotal to informing and developing new and enhanced transition planning for people with DFU, with the ultimate goal of improving patient outcomes, reducing hospital readmissions and enhancing cost savings. Additionally, this study takes a unique approach as it seeks experiences of both the patient and the clinician and is in alignment with the EWMA project Living with chronic wounds.

Nursing students' skills in applying short-stretch compression bandages using the control of compression bandaging score

Scientific paper ArODES

Paul Bobbink, Géraldine Gschwind, Sebastian Probst

British journal of nursing, 2023, vol. 32, no. 12, pp. s28-s35

Link to the publication

Summary:

Aim: To assess the feasibility using the Control of Compression Bandaging (CCB) score to measure skills development on short-stretch compression therapy during a second-year nursing students' workshop. Design: A quasi-experimental pilot study with one group. Method: All students followed a blended learning unit comprising an e-learning unit on leg ulcers and compression therapy including videos, followed by hands-on workshops where they could exercise how to apply short-stretch compression bandages. Clinical nurse specialists in wound care collected pre- and post-workshop measures. Data collection included feasibility, absolute pressure under compression bandages and the CCB score. Results: Six clinical nurse specialists (CNSs) collected data and 16 students participated in this pilot study. The mean application time was 8.02 minutes (min=2, max=20) pre and 9.25 minutes (min=5, max=17) post workshop. Pressure under compression bandages increased at the forefoot (P=0.01) and the calf muscle base (P=0.03) post workshop. One extreme outlier was observed. In addition, the CCB score increased from 3.57 to 4.47 (P=0.16). Using pressure measuring devices was described as essential by all the CNSs and the CCB score was easy to use. Conclusion: Using the CCB score and pressure measuring devices were feasible during an undergraduate education session. Recruitment procedure and modality of data collection were satisfactory. This score may be a valuable way to assess students' skills in short-stretch compression therapy. If used for formal assessment, a passing score should be defined.

Thérapie par pression négative

Book chapter ArODES

Paul Bobbink, François Paquet, Sebastian Probst

Dans Chaplain, Valérie, Reeves, Isabelle, Pratiques exemplaires en soins des plaies : de novice à expert : tome 1 (36 p.). 2023, Québec : Presses de l'Université Laval

Link to the publication

2022

Bachelor nursing students' perceptions of a blended-learning unit on leg ulcers during the COVID-19 pandemic

Scientific paper ArODES

Paul Bobbink, Géraldine Gschwind, Celina Marques Teixeira, Lucie Charbonneau, Carole Guex, Laurent Chabal, Sebastian Probst

Journal of wound management, 2022, vol. 23, no. 1, pp. 4-12

Link to the publication

Summary:

Aim : To face teaching challenges during COVID-19, a new three-step blended learning pedagogical scenario for leg ulcers was developed combining e-learning, theoretical seminars and workshops. The aim of this survey is to explore students’ perceptions of the three-step learning unit presented during the COVID-19 pandemic. Method : An online anonymous survey comprising five Likert scale questions and two open-ended questions was sent to the 151 participating nursing students. Quantitative data were analysed with descriptive statistics, and qualitative data were addressed using thematic analysis. Results : A total of 68 students participated in this survey. The students reported that the newly developed three-step unit promoted their learning. The allocated time for the e-learning was, for 20 (29%) students, insufficient. The qualitative data demonstrated the benefits of studying in small groups and using e-learning as well as following a structured learning program. Workshops led by clinical nurse specialists and the use of adapted wound care materials were reported as essential. Conclusion : Students appreciate this three-step blended-learning unit. Small groups led by clinical specialists promote a positive learning environment. Further research is needed to evaluate the effectiveness of this approach.

E-learning and blended-learning program in wound care for undergraduate nursing students

Scientific paper ArODES

Paul Bobbink, Celina Marques Teixeira, Lucie Charbonneau, Laurent Chabal, Carole Guex, Sebastian Probst

Journal of nursing education, 2022, vol. 61, no 1, pp. 53-57

Link to the publication

Summary:

Background: Due to an increasing number of undergraduate students in a Bachelor of Nursing Science program, the existing teaching modalities in wound care were shifted into blended- and e-learning units. The aim is to present the development and implementation of a blended- and e-learning wound care curriculum in an actual nursing program. Method: The development of the blended- and e-learning units is based on literature reviews and expert discussions. The process was guided by the learning outcomes defined by the European Wound Management Association. The implementation was planned for 3 years. Results: All 14 learning units were developed and implemented using 12 blended and two e-learning units. Flipped classrooms using asynchronous e-learnings and workshops with clinical wound care specialists were used for blended learning. Conclusion: Blended and e-learning are valuable modalities to provide flexibility and deliver learning units based on the latest evidence. The effectiveness of this curriculum needs to be investigated.

2021

Wound curriculum for student nurses :

Scientific paper ArODES

European Qualification Framework Level 4

Elisabeth Lindahl, Samantha Holloway, Paul Bobbink, Luc Gryson, Andrea Pokornà, Karen Ousey, Ray Samuriwo, Pedro L. P. Hildago

Journal of wound management, 2021, vol. 22, no. 3, suppl. 1

Link to the publication

Summary:

In recent years, the care of people with chronic wounds has made enormous progress throughout Europe. However, aging populations, more complex wounds and advanced diagnostics are big challenges, especially because more people with chronic wounds are treated in their own homes. Bringing existing evidence-based and best practice knowledge to all nurses is a key objective of the European Wound Management Association (EWMA). The EWMA has previously published curricula for professional* nurse education intended for use in post-registration qualification in wound management on Levels 5–7 of the European Qualifications Framework (EQF). The aim of these curricula is to support a common approach to pre- and post-registration qualification in wound management for nurses across Europe. The curricula were developed by working groups representing different European countries and providers of education. However, as vocational qualifications throughout Europe are not uniform and pre-registration curricula may differ, there has been an unmet need to develop a curriculum covering pre-registration nurse education, to provide a starting point for increased and standardised education in wound care. This curriculum presents a framework and key content on skin integrity and wound care that is recommended for inclusion in student nurse curricula (general nurse education). In most European countries, this curriculum corresponds with the European Qualification Framework (EQF) Level 4. In combination, the full series of EWMA curricula can thus be adapted to meet the competencies expected at Level 4, progressing into Levels 5, 6 or 7.

Survey of physicians’ and nurses’ needs and expectations regarding a multidisciplinary wound clinic

Scientific paper ArODES

Karine Majchrzak, Paul Bobbink, Sebastian Probst

Journal of wound management, 2021, vol. 22, no. 3, pp. 21-30

Link to the publication

Summary:

Aim : To describe needs and expectations from healthcare professionals while setting up a multidisciplinary wound clinic. Methods : An online survey was conducted in a 190-bed hospital in Western Switzerland from the 2nd to 15th of June 2020. Descriptive statistics were used to analyse the data. Results : A total of 166 healthcare professionals (118 nurses, 48 physicians) participated in the survey. Half of the participants (48%) saw the importance of setting up a wound clinic as 47% were taking care of wounds daily. Almost all participants (83 %) disclosed having no educational wound care background and half of them (54%) indicated having no skills and knowledge in wound management. The main aetiologies treated in a specialist center should be diabetic foot, leg and pressure ulcers, then malignant wounds. It is expected a specialist clinic cares for complex or non-healing wounds. Furthermore, 48% of participants wished a multidisciplinary expert approach with a common protocol to guarantee a continuity of care. The wound center should also have an educational role, essential in maintaining up-to-date practice. Conclusions and implications for clinical practice : In conclusion, a wound clinic should have a multidisciplinary specialist approach while ensuring evidence-based and uniform practices to provide a person-centered care. Furthermore, further-education must be offered.

Prevalence and incidence of venous leg ulcers :

Scientific paper ArODES

a protocol for a systematic review

Sebastian Probst, Carolina Weller, Paul Bobbink, Camille Saini, Marie-Therese Pugliese, Monika Buehrer Skinner, Georgina Gethin

Systematic reviews, 2021, vol. 10, article 148

Link to the publication

Summary:

Background : Venous leg ulcers (VLUs) are chronic wounds characterized by slow healing and high recurrence. Information on prevalence and incidence is essential for ascertaining the burden of VLU on the health care system and to inform epidemiological research, priority setting, and health care planning. The objective of this protocol is to present a transparent process for how we plan to review the existing international literature on the prevalence and incidence of VLU as well as the characteristics of the population reported within these studies. Methods : An exploratory search was performed using MEDLINE via PubMed and CINHAL via Ebsco to identify concepts, keywords, MeSH terms, and headings to identify study types looking at data of VLU prevalence and/or incidence and related patient characteristics. The findings of this exploratory search will determine the final search strategy. The titles and abstracts of the identified articles will be screened independently be two authors for relevance. Study which pass the quality assessment will be included. Data extraction will be performed independently by two authors and in accordance with a pre-designed data extraction form. If the data allows, a meta-analysis will be performed otherwise a descriptive summary of the findings will be conducted. Discussion : The results of this review will contribute to the evidence base on VLU occurrence and may inform the decision making of healthcare professionals, policy-makers, and consumers. It will also inform future research in this area of VLU care.

Venous leg ulcer recurrences :

Scientific paper ArODES

the relationship to self-efficacy, social support and quality of life : a mixed method study

Sebastian Probst, Paul Bobbink, Laurence Séchaud, Monika Buehrer Skinner

Journal of advanced nursing, 2021, vol. 77, no. 1, pp. 367-375

Link to the publication

Summary:

Aim : The aim of this study was to explore the occurrence of venous leg ulcer recurrence and the relationship with self‐efficacy, social support and quality of life. Furthermore, we investigated the lived experiences of those patients and their understanding of why they developed a recurrence. Design : We used a convergent parallel mixed method design consisting of a cohort and an interpretative phenomenological study arm. Methods : Consecutive patients (N = 145) were recruited into the study. Between 2014 and 2018, three primary care centres took part in the study. Data collection methods included chart review, administered questionnaires and semi‐structured interviews. Results : The incidence of the venous leg ulcer recurrence was 33.1% within the study period. The scores for self‐efficacy, social support and venous leg ulcer health‐related quality of life show little variation between all measurement points and within subgroups. The qualitative findings identified two main themes: accidentally damaging the skin and avoiding venous leg ulcer recurrences. Venous leg ulcer recurrences frequently arose from accidents. Therefore, participants developed strategies to avoid additional ulcers. Conclusion : To optimize recurrence prevention, improvements in knowledge of people with VLUs should be considered.

2020

Experiences of Venous Leg Ulcer persons following an individualised nurse-led education :

Scientific paper ArODES

protocol for a qualitative study using a constructivist grounded theory approach

Paul Bobbink, Philip Larkin, Sebastian Probst

BMJ open, 2020, vol. 10, no. 11, article e042605

Link to the publication

Summary:

Introduction : Venous leg ulcers are slow-healing wounds with a high risk of recurrences. To prevent recurrences and promote healing, different nurse-led educational interventions have been developed. The impact of these interventions on self-management is ambiguous. Also, how persons with a venous leg ulcer experiences these educational sessions are poorly described. Aim : This study protocol presents the methodology to provide a comprehensive explanation of participants’ journeys—of how they experience their individualised education sessions concerning self-management. Methods and analysis : A constructivist grounded theory approach according to Charmaz involving 30 participants will be used. Data will be collected through semistructured face-to-face interviews. Interviews will be transcribed verbatim and analysed with initial and focus coding using MAXQDA. Data collection and data analysis will occur iteratively, focusing on constant comparison to obtain well-developed categories. Categories will be reinforced using existent literature. Ethics and dissemination : This pre-results study is embedded in a clinical trial (NCT04019340) and approved by ethical committee of the canton of Geneva (CCER: 2019-01964). A theory will emerge from participants’ journeys informing future education sessions for patients with venous leg ulcers. The findings will be disseminated through peer-reviewed publications and communications.

The lived experience of recurrence prevention in patients with venous leg ulcers :

Scientific paper ArODES

an interpretative phenomenological study

Sebastian Probst, Laurence Séchaud, Paul Bobbink, Monika Buehrer Skinner, Carolina Weller

Journal of tissue viability, 2020, vol. 29, no. 3, pp. 176-179

Link to the publication

Summary:

Aim of the study: To explore patient understanding of why they develop a venous leg ulcer and how they can prevent recurrence. Method: The methodological framework of the hermeneutic phenomenological approach was used. Semi-structured interviews were conducted with seventeen participants living with a venous leg ulcer from May 2017 to November 2018. Data were analysed using Smith's interpretative hermeneutic analysis. Results: The results are categorised into three main themes: “Trauma due to accident” (initial venous leg ulcer) and “Prevention of ulcer recurrence” (compression); “Trauma due to compression therapy” (venous leg ulcer recurrence). The findings demonstrate active venous leg ulcers are often caused by acute incidents while carrying out an activity in people with underlying chronic venous insufficiency. After a complete healing, preventive measures, such a compression stockings are initiated by the patient or health care provider. Trauma due to adherence to compression stockings caused skin breakdown beneath compression that caused subsequent ulcer recurrence. Conclusion: This study contributes to understanding the lived experience of patients with venous leg ulcers who develop a venous leg ulcer and their understanding of how they can prevent recurrence. Patients with VLUs would benefit from early preventive strategies, such as such a compression stockings fitting and application, integrated into daily care plan of primary care and community settings.

Nurse-led patient education for persons suffering from a venous leg ulcer in outpatient's clinics and homecare settings :

Scientific paper ArODES

a scoping review

Paul Bobbink, Marie-Therese Pugliese, Philip Larkin, Sebastian Probst

Journal of tissue viability, 2020, vol. 29, no. 4, pp. 297-309

Link to the publication

Summary:

Aim of this study : To provide an overview of the available nurse-led individualized educational interventions, for persons with Venous Leg Ulcer (VLUs) in an outpatient or homecare settings. Materials and methods : For this scoping review, a search was performed between December 2019 and January 2020. To identify sources of evidence a systematic search was conducted in PubMed, CINAHL, Embase, PsychINFO, Web of Science and LiSSa as well as in clinical trial registers to identify sources of evidence. All types of evidence associated with a nurse led-intervention were included. Results : Fifteen sources of evidence met the inclusion criteria. Educational sessions varied in modality, content and duration. Education sessions were face to face and supported by written materiel. The content focused on compression therapy and exercises. The duration and numbers of sessions varied. The most reported health related outcomes was wound healing. Conclusion : This scoping review provides a broad overview of the available evidence and ongoing research for individualized nurse-led education persons with VLUs. Variability in the literature was found, which suggests that more intervention studies are needed to test and evaluate efficacy of nurse-led patient education.

Wound care in elderly individuals with leg ulcerations

Book chapter ArODES

Paul Bobbink

Dans Probst, Sebastian, Wound care nursing : a person-centred approach (17 p.). 2020, Édimbourg : Elsevier Edinburgh : Elsevier

Link to the publication

Summary:

This chapter focuses on leg ulcerations with various aetiologies (venous, arterial or mixed), which are common in the elderly population.

2018

Evaluation of needs and treatment benefits in outpatient care for leg ulcer patients :

Scientific paper ArODES

a pilot study

Paul Bobbink, Diane Morin, Sebastian Probst

Journal of wound care, August 2018, vol. 2, no. 8, pp. 527-533

Link to the publication

Summary:

Objective : Leg ulcers can take a long time to heal and have a high recurrence rate. This study aims to describe the sociodemographic and medical profile, and therapeutic needs of patients with leg ulcers, and the benefits of care in a specialised leg ulcers outpatient clinic. Method : This is a descriptive, cross-sectional pilot study of patients of a university hospital outpatient clinic. A sociodemographic and medical questionnaire and the Patient Benefit Index-wound (PBI-w) were used to collect data on the therapeutic needs (patient needs questionnaire, PNQ) and benefits of treatment (patient benefit questionnaire, PBQ) they received. Results : A total of 32 patients with leg ulcers were recruited. Results demonstrated that a clear diagnosis and therapy, rapid wound closure and confidence in the therapy given are the most important treatment objectives for patients. Patients mentioned that their therapy benefitted most from confidence in the treatment given, decreased pain and being able to continue living normally. The PBI-w mean score was 2.93 (standard deviation=0.75) on a scale of zero (‘did not help at all’) to four (‘helped a lot’). The PBI-w score showed that the patients benefitted from the treatment they received. Conclusion : This pilot study showed the feasibility of using the PBI-w in practice in an outpatient clinic to assess patients' needs, which could help health professionals improve treatment and care for people with leg ulcers. The study also pointed towards the benefits of care for patients who consult specialised outpatient clinics.

2016

Comment mieux prendre en compte les attentes et les bénéfices perçus des soins du point de vue du patient : ulcères des membres inférieurs.

Professional paper

Claudia Lecoultre, Bobbink Paul

La gazette médicale / info@gériatrie, 2016 , vol. 3, pp. 12-13

2024

Bachelor in nursing students' skills and perceptions on stoma care after four steps learning process

Conference

Bobbink Paul, Géraldine Gschwind, Chabal Laurent

WCET- ASCN - UK, 28.09.2024 - 01.10.2024, Glasgow

Assessing nurses' knowledge on pressure ulcers using the PUKAT : An evidence-based way to guide an institutional education program

Conference

Guex Carole, Laura Bochud, Jessica Lefèbvre, Bobbink Paul

EPUAP, 25.09.2024 - 27.09.2024, Lausanne

Link to the conference

Making conscientious decisions to engage in venous leg ulcer self-management following nurse-led patient education

Conference

Bobbink Paul

GroundedTheoryConference, 19.09.2024 - 21.09.2024, online

Elaboration d'un dispositif hybride de formation continue en plaie et cicatrisation

Conference

Stéphane Coffre, Sandra Choutko, Bobbink Paul

Schweizer Pflegekongress / Congrès Suisse des soins infirmiers, 02.05.2024 - 03.05.2024, Bern

Experiences of Individuals with Venous Leg Ulcer following an individualized nurse-led education

Conference

Bobbink Paul

EWMA, 01.05.2024 - 03.05.2024, London

Workshop : After debridement

Conference

Bobbink Paul, Charbonneau Lucie, Guex Carole

EWMA, 01.05.2024 - 03.05.2024, London

Selecting and applying compression bandages

Conference

Bobbink Paul, Georgina Ritchie, Giovanni Mosti

EWMA - Masterclass : Compression therapy, 30.04.2024 - 30.04.2024, London

Soin des plaies en cabinet

Conference

Bobbink Paul, Charbonneau Lucie

JHaS, 19.04.2024 - 20.04.2024, Fribourg

Link to the conference

La théorisation ancrée : une méthode de recherche au service de la pratique

Conference

Bobbink Paul

Colloque de recherche du Service de soins palliatifs et de support, 19.03.2024 - 19.03.2024, Lausanne

2023

L'évaluation clinique de la personne et de la plaie

Conference

Bobbink Paul

Greenday 2023, 09.11.2023 - 09.11.2023, Lausanne

Nurse led patient centred education for persons with venous leg ulcers: a constructivist grounded theory

Conference

Bobbink Paul, Larkin Philip, Probst Sebastian

International Council of Nurses Congress, 01.07.2023 - 05.07.2023, Montréal

Workshop : After debridement

Conference

Bobbink Paul, Charbonneau Lucie, Guex Carole

EWMA 2023, 03.05.2023 - 05.05.2023, Milan

Evaluate the impact of Blended-Learning on participants experiences, knowledge and skills : examples in wound-care education

Conference

Bobbink Paul

EWMA 2023, 03.05.2023 - 05.05.2023, Milan

Soin des plaies en cabinet

Conference

Bobbink Paul, Charbonneau Lucie

JHaS - Jeunes médecins de famille Suisses, 31.03.2023 - 01.04.2023, Fribourg

Thérapie compressive : Outils d'éducation et d'adhésion

Conference

Bobbink Paul

EWMA / SFFPC Webinaire, 22.03.2023 - 22.03.2023, Online

Link to the conference

Evaluation de l’impact d’une formation hybride sur les connaissances des étudiant-e-s en soins infirmiers sur les escarres à l'aide du Pressure Ulcer Knowledge Assessment Tool : étude longitudinale

Conference

Poster

Gschwind Géraldine, Bobbink Paul, Charbonneau Lucie, Guex Carole, Chabal Laurent, Probst Sebastian

SFFPC - Journées cicatrisations, 15.01.2023 - 17.01.2023, Paris

Bachelor in nursing student’s skills and perceptions on applying short-stretch compression bandages before and after workshops

Conference

Bobbink Paul

SFFPC - Journées cicatrisations, 15.01.2023 - 17.01.2023, Paris

2022

Développement et implémentation d’une formation hybride en soins des plaies et cicatrisation.

Conference

Bobbink Paul

SIDIIEF, 16.10.2022 - 20.10.2022, Ottawa

Débridement : De la théorie à la pratique.

Conference

Chabal Laurent, Guex Carole, Bobbink Paul

SAfW, 21.09.2022 - 22.09.2022, Bienne

Atelier – Après le débridement.

Conference

Workshop – After Debridement. Communication

Bobbink Paul, Charbonneau Lucie, Chantal Rosset

EWMA, 23.05.2022 - 25.05.2022, Paris

2021

Set up of a multidisciplinary wound clinic : a survey of physicians’ and nurses’ needs and expectations.

Conference

Karine Majchrzak, Bobbink Paul, Probst Sebastian

EWMA, 26.10.2021 - 27.10.2021, Virtual Paris

Implementation of a new wound care pedagogical scenario facing COVID-19 restrictions for Bachelor in nursing students

Conference

Bobbink Paul

EPUAP, 18.09.2021 - 19.09.2021, Online

A nurse led patient education for persons with venous leg ulcer : sense or non-sense

Conference

Bobbink Paul, Chantal Rosset

Hartmann Wound dach, 24.06.2021 - 24.06.2021, Virtual

Inflammation ou infection ?

Conference

Bobbink Paul

SAfW, 15.04.2021 - 15.04.2021, online

2020

Designing an online course based on the EWMA curricula.

Conference

Probst Sebastian, Bobbink Paul

EWMA, 18.11.2020 - 19.11.2020, Online

Does patient education improve patient outcomes?

Conference

Bobbink Paul

EWMA, 18.11.2020 - 19.11.2020, Online

2019

Workshop – After Debridement.

Conference

Bobbink Paul, Charbonneau Lucie, Chantal Rosset

EWMA, 05.06.2019 - 07.06.2019, Gothenburg

Implementation of the Level 5 and Level 6 Post-Registration Wound Curriculum for Nurses, Switzerland

Conference

Bobbink Paul, Probst Sebastian

EWMA, 05.06.2019 - 07.06.2019, Gothenburg

Development and implementation of a blended learning unit on pressure ulcers in undergraduate nursing education.

Conference

Poster

Bobbink Paul, Celina Marques Teixeira, Sagne Aurèle

EWMA, 05.06.2019 - 07.06.2019, Gothenburg

2018

Formation en plaies et cicatrisation en Suisse romande - Réflexion sur l’utilisation du curriculum Européen.

Conference

Poster

Bobbink Paul, Charbonneau Lucie, Chabal Laurent, Chantal Rosset, Saini Camille, Probst Sebastian

SAfW, 19.09.2018 - 20.09.2018, Bienne

2015

Les pansements, comment choisir ?

Conference

Bobbink Paul

SAfW, 01.10.2015 - 01.10.2015, Lausanne

2010

Changing of Buruli ulcer dressings: proposal for an analgesic procedure.

Conference

Poster

Dimitri Madoery, Bobbink Paul

EWMA, 26.05.2010 - 28.05.2010, Geneve

Simple and effective cleansing with limited means.

Conference

Poster

Bobbink Paul, Dimitri Madoery

EWMA, 26.05.2010 - 28.05.2010, Geneve

Usage des TIC en formation et relation à distance : des étudiants témoignent.

Conference

Bobbink Paul, Solène Koechlin, Coralie Clerc

Colloque TIC santé, 10.02.2010 - 11.02.2010, Paris

Achievements

PEOPLE@HES-SO Directory and Skills inventory

Bobbink Paul

Maïtre d'enseignement HES

Maïtre d'enseignement HES

PEOPLE@HES-SO
Directory and Skills inventory