Evidence-based practice regarding lower leg ulcers: a mapping review



mapping review, lower leg ulcer, evidence-based, concept map


Background: Treating lower leg ulcers is a multifaceted problem and requires a comprehensive approach. Appropriate care requires both skill and knowledge in the application of evidence-based care. New evidence regarding wound care and the management of lower leg ulcers is emerging continuously, yet care seems to lack standardisation, and guidelines are not implemented.

Method: A systematic process was followed to address the research question that focused on the characteristics, assessment methods, and treatment options of evidence-based practices for people with lower leg ulcers in all healthcare settings. An electronic search of seven different databases was conducted for publications from 2011 to 2020. Studies were assessed for relevance and 44 of 668 publications were included. Data were charted literatim and checked for accuracy.

Conclusion: Data charted from the reports were organised into themes, categories and subcategories, and aided in identifying links and concepts regarding history taking, assessment, treatment, wound assessment, referral criteria, outcome measures, health dialogue, and product options as the first step in the development of a care pathway for lower leg ulcers. A mapping review of existing evidence aided in building an actionable knowledge base.

Author Biographies

FA Bruwer, Life Roseacres Hospital,

Wound Clinic, Life Roseacres Hospital, South Africa

Y Botma, University of the Free State

Wound Clinic, Life Roseacres Hospital and School of Nursing, Faculty of Health Sciences, University of the Free State, South Africa

M Mulder, University of the Free State

School of Nursing, Faculty of Health Sciences, University of the Free State, South Africa