title: A framework for challenging deficits in compression bandaging techniques.
abstract: Northern Irish (and all UK-based) health care is facing major challenges. This article uses a specific theory to recommend and construct a framework to address challenges faced by the author, such as deficits in compression bandaging techniques in healing venous leg ulcers and resistance found when using evidence-based research within this practice. The article investigates the challenges faced by a newly formed community nursing team. It explores how specialist knowledge and skills are employed in tissue viability and how they enhance the management of venous leg ulceration by the community nursing team. To address these challenges and following a process of reflection, Lewin's forcefield analysis model of change management can be used as a framework for some recommendations made.
authors.affiliation: Community Nurse, Northern Health and Social Care Trust.
authors.forename: Marianne
authors.initials: M
authors.lastname: Tinkler
authors.forename: Leontia
authors.initials: L
authors.lastname: Hoy
authors.forename: Daphne
authors.initials: D
authors.lastname: Martin
mesh_terms: D003152:Community Health Nursing; D058128:Compression Bandages; D055318:Evidence-Based Nursing; D006801:Humans; D016294:Models, Nursing; D009660:Northern Ireland; D011788:Quality of Life; D016896:Treatment Outcome; D014647:Varicose Ulcer / Q000451:nursing*; D014945:Wound Healing
keywords: Compression bandaging; Lewin's Theory of Change; Patient outcomes