title: Disconnection: the user voice within the wound dressing supply chain.
abstract: OBJECTIVE
  This study examined the user voice in England's National Health Service (NHS) wound dressing supply chain.
  
  
  BACKGROUND
  The impetus for this work came from involvement in a collaboration between industry and clinicians, entitled Woundcare Research for Appropriate Products. Experiences from that study highlighted the notable absence of research about the impact of the supply chain on the users of dressings.
  
  
  METHODS
  Interview data are presented following an outline of the grounded theory method used. These data were obtained from key stakeholders (n = 41) within the wound dressing supply chain such as nurses, manufacturers, distributors, professional organizations, government organizations and user groups.
  
  
  RESULTS
  The consequences of supply disconnection revealed haphazard supply, unmet user needs and lack of information transfer between player groups.
  
  
  CONCLUSIONS
  These consequences explain the lack of user voice in the supply chain and have far-reaching implications for nursing management, through purchasing decisions and nurses' management of wound care.
authors.affiliation: Department of Practice and Policy, School of Pharmacy, University of London, London, UK. natasha.campling@pharmacy.ac.uk
authors.forename: Natasha
authors.initials: N
authors.lastname: Campling
authors.forename: Patricia
authors.initials: P
authors.lastname: Grocott
authors.forename: Sarah
authors.initials: S
authors.lastname: Cowley
mesh_terms: D001291:Attitude of Health Personnel; D001294:Attitude to Health; D001458:Bandages / Q000600:supply & distribution*; D003144:Communication Barriers; D004739:England; D006801:Humans; D007400:Interprofessional Relations; D016294:Models, Nursing; D008960:Models, Psychological; D020380:Needs Assessment; D015404:Nursing Methodology Research; D011637:Public Health Nursing / Q000458:organization & administration; D017592:Skin Care / Q000295:instrumentation / Q000451:nursing / Q000523:psychology*; D013222:State Medicine / Q000458:organization & administration*; D011795:Surveys and Questionnaires; D014947:Wounds and Injuries / Q000523:psychology* / Q000628:therapy