Canadian Journal of Wound, Ostomy and Continence (CJWOC)
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Editorialiste Invite: IDEAs – NSWOCC 44th Annual Conference
No full textIt is an understatement to say that I have attended a few wound, ostomy and continence conferences. How much is there left to say about different etiologies, products, or new technologies? Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC®) demonstrated that the conversations and learnings must continue. This 44th annual conference in Montréal, QC, Canada was enlightening. The conference theme, IDEAs [Inclusivity, Diversity, Equity, Accessibility, shared — Inclusivite, Diversite, Equite, Accessibilite, solidaire] flowed seamlessly through a myriad of sessions. They are core beliefs of NSWOCC.
There are signs of a seismic shift in Canada as NSWOCs with light skin tones are now advocating for health inequity in skin assessment to rectify years of white supremacy. Rebecca Dyck highlighted how many assessment tools reference skin colour. “They always note it may appear differently in darker skin ... let’s change the may. It does appear differently in dark skin, and then we need to go beyond. How does it look different? We need to be specific,” says Dyck. Presenters are describing tools as biased, including pulse oximetry and the Apgar score. The familiar body mass index was designed on studies in a now obsolete racial classification. Such surrogate health markers fail to represent the diversity of global population. We need to recognize bias and stigma.
We agree that the skin is the largest organ in the body. Dr. Ray Samuriwo took us on a fascinating exploration of why the structure of the skin and its microbiome vary by different skin tones. Skin tone varies within cultures and even within families. “In terms of being honest about where we are and acknowledging the limitations of the system, we know that people with dark skin tones like mine often receive suboptimal care, and this is often because they are underrepresented in skin ... and wound healing research for variety of different reasons,” said Dr. Samuriwo. We wonder what future implications this could have for products or technologies in the fields of wound, ostomy and continence.
Moderator Josh Moralejo thanked Lili Berescu and Priyanka Jani for their session — Canadian Best Practice Recommendations: Wound Care for People Who Use Drugs — A Harm Reduction Approach, concluding that we must “listen, acknowledge and respect the lived experiences of persons who use drugs, because as health care professionals here today, how can we provide individualized, holistic and sensitive care if we’re not going to be listening to our clients?”
Of course, there were awards recognizing the deserving leaders whose tireless work inspires the next generation. We applaud these role models. Listening to the spouse of the late Dr. Laura Teague accept the Canadian Journal of Wound, Ostomy and Continence (CJWOCTM) manuscript award was a poignant moment. The manuscript was completed posthumously by Dr. Karen Campbell and acknowledged eight co-authors. Why do I pick out this individual award? Laura’s achievements and her husband’s vote of thanks epitomize the close-knit community and solidarity among the Canadian clinical community and, indeed, how united the industry is within it.
Again, as one who has attended many NSWOCC conferences, seeing the number of Nurses Specialized in Wound, Ostomy and Continence (NSWOC®) and Skin Wellness Associate Nurse (SWANTM) graduates and the stage packed with members contributing to NSWOCC Board roles and initiatives is a testament to the exceptional growth. It signifies how that deep sense of community inspires emerging leaders in wound, ostomy and continence. A rightful acknowledgment is extended to the National Conference Planning Core Program committee for exemplary leadership and for creating a culture of open discussion at the conference and beyond. This all bodes well for a first-class WCET®/NSWOCC® 2026 Joint Congress in Vancouver, Canada in April 2026.
Well done, NSWOCC, on bringing an informative conference with the IDEAs theme that took us away from our com-fort zone talking about etiologies, products and technologies and instead challenged our white supremacy, unconscious biases, pushed us to consider race, gender-affirming surgery, stigma, and harm reduction. It was refreshing and anything but the same old.It is an understatement to say that I have attended a few wound, ostomy and continence conferences. How much is there left to say about different etiologies, products, or new technologies? Nurses Specialized in Wound, Ostomy and Continence Canada (NSWOCC®) demonstrated that the conversations and learnings must continue. This 44th annual conference in Montréal, QC, Canada was enlightening. The conference theme, IDEAs [Inclusivity, Diversity, Equity, Accessibility, shared — Inclusivite, Diversite, Equite, Accessibilite, solidaire] flowed seamlessly through a myriad of sessions. They are core beliefs of NSWOCC.
There are signs of a seismic shift in Canada as NSWOCs with light skin tones are now advocating for health inequity in skin assessment to rectify years of white supremacy. Rebecca Dyck highlighted how many assessment tools reference skin colour. “They always note it may appear differently in darker skin ... let’s change the may. It does appear differently in dark skin, and then we need to go beyond. How does it look different? We need to be specific,” says Dyck. Presenters are describing tools as biased, including pulse oximetry and the Apgar score. The familiar body mass index was designed on studies in a now obsolete racial classification. Such surrogate health markers fail to represent the diversity of global population. We need to recognize bias and stigma.
We agree that the skin is the largest organ in the body. Dr. Ray Samuriwo took us on a fascinating exploration of why the structure of the skin and its microbiome vary by different skin tones. Skin tone varies within cultures and even within families. “In terms of being honest about where we are and acknowledging the limitations of the system, we know that people with dark skin tones like mine often receive suboptimal care, and this is often because they are underrepresented in skin ... and wound healing research for variety of different reasons,” said Dr. Samuriwo. We wonder what future implications this could have for products or technologies in the fields of wound, ostomy and continence.
Moderator Josh Moralejo thanked Lili Berescu and Priyanka Jani for their session — Canadian Best Practice Recommendations: Wound Care for People Who Use Drugs — A Harm Reduction Approach, concluding that we must “listen, acknowledge and respect the lived experiences of persons who use drugs, because as health care professionals here today, how can we provide individualized, holistic and sensitive care if we’re not going to be listening to our clients?”
Of course, there were awards recognizing the deserving leaders whose tireless work inspires the next generation. We applaud these role models. Listening to the spouse of the late Dr. Laura Teague accept the Canadian Journal of Wound, Ostomy and Continence (CJWOCTM) manuscript award was a poignant moment. The manuscript was completed posthumously by Dr. Karen Campbell and acknowledged eight co-authors. Why do I pick out this individual award? Laura’s achievements and her husband’s vote of thanks epitomize the close-knit community and solidarity among the Canadian clinical community and, indeed, how united the industry is within it.
Again, as one who has attended many NSWOCC conferences, seeing the number of Nurses Specialized in Wound, Ostomy and Continence (NSWOC®) and Skin Wellness Associate Nurse (SWANTM) graduates and the stage packed with members contributing to NSWOCC Board roles and initiatives is a testament to the exceptional growth. It signifies how that deep sense of community inspires emerging leaders in wound, ostomy and continence. A rightful acknowledgment is extended to the National Conference Planning Core Program committee for exemplary leadership and for creating a culture of open discussion at the conference and beyond. This all bodes well for a first-class WCET®/NSWOCC® 2026 Joint Congress in Vancouver, Canada in April 2026.
Well done, NSWOCC, on bringing an informative conference with the IDEAs theme that took us away from our com-fort zone talking about etiologies, products and technologies and instead challenged our white supremacy, unconscious biases, pushed us to consider race, gender-affirming surgery, stigma, and harm reduction. It was refreshing and anything but the same old
NSWOCC President's Award
No full textEach year the NSWOCC President has the privilege of recognizing an NSWOC who has exemplified leadership in the wound, ostomy and continence specialty. The President's Award goes beyond job titles. The award goes to someone who has worked tirelessly, often behind the scenes, to advance our mission, support our community and elevate our specialty in meaningful and lasting ways.
This year the recipient is truly a champion of evidence informed practice. With over twenty years of research and dozens of publications from peer reviewed articles to textbook chapters, to textbooks, this individual is leading change and knowledge development throughout our specialty and profession.
This year's Awardee has been an ambassador for the association at an international level. He has led our association’s Research Practice Core Program and assisted with the literature searches for all best practice recommendation documents over the past five years. He has served on the International Skin Tear Advisory Panel and helped found the Canadian Pressure Injury Advisory Panel.
This individual has consistently demonstrated the NSWOCC values of excellence, leadership and collaboration. I am proud to say that I have personally experienced the mentorship that this individual provides first as a PhD supervisor and now as a colleague. I now have the honour of awarding Dr. Kevin Woo with the 2025 NSWOCC President's Award.Each year the NSWOCC President has the privilege of recognizing an NSWOC who has exemplified leadership in the wound, ostomy and continence specialty. The President's Award goes beyond job titles. The award goes to someone who has worked tirelessly, often behind the scenes, to advance our mission, support our community and elevate our specialty in meaningful and lasting ways.
This year the recipient is truly a champion of evidence informed practice. With over twenty years of research and dozens of publications from peer reviewed articles to textbook chapters, to textbooks, this individual is leading change and knowledge development throughout our specialty and profession.
This year's Awardee has been an ambassador for the association at an international level. He has led our association’s Research Practice Core Program and assisted with the literature searches for all best practice recommendation documents over the past five years. He has served on the International Skin Tear Advisory Panel and helped found the Canadian Pressure Injury Advisory Panel.
This individual has consistently demonstrated the NSWOCC values of excellence, leadership and collaboration. I am proud to say that I have personally experienced the mentorship that this individual provides first as a PhD supervisor and now as a colleague. I now have the honour of awarding Dr. Kevin Woo with the 2025 NSWOCC President's Award
Réseau SCI-IEQCC et SCI-Ontario : collaboration pour élaborer et mettre en œuvre un document vidéo d’évaluation de la peau pour la prévention des lésions de pression en cas de lésion médullaire Résumé
No full textIndividuals with Spinal Cord Injury/Disease (SCI/D) face a high risk of developing pressure injuries (PI), which can significantly impact their health, well-being and the economic burden on the health care system. To help mitigate these risks, the Spinal Cord Injury Implementation and Evaluation Quality Care Consortium (SCI-IEQCC) identified gaps during the implementation of indicators in the tissue integrity domain, specifically in the area of patient education regarding daily skin checks.
A collaborative effort involving SCI-IEQCC, Spinal Cord Injury Ontario (SCIO), and individuals with lived experiences was undertaken to develop a skin check video resource. The process involved engaging a multidisciplinary team and other relevant stakeholders, creating storyboards, filming, and developing iterative feedback loops. Challenges included balancing clinician and user needs. Despite these challenges, an instructional video was successfully developed and integrated into SCI rehabilitation settings across Ontario.
The video demonstrates independent skin check and assisted skin check techniques and has been well-received, with 4,400 views to date. Implementation strategies varied across sites, reflecting local contexts and needs. Key findings include the importance of clear communication, stakeholder engagement, and iterative refinement. Future efforts will focus on sustaining and disseminating the video, including translating it into French and further integrating it into staff education.Les personnes atteintes d’une lésion ou d’une maladie de la moelle épinière (LME) sont exposées à un risque élevé de développer des lésions de pression, ce qui peut avoir des répercussions importantes sur leur santé, leur bien-être et entraîner un fardeau économique considérable pour le système de santé. Afin de réduire ces risques, le Spinal Cord Injury Implementation and Evaluation QualityCare Consortium (SCI-IEQCC) a relevé certaines lacunes lors de la mise en œuvre des indicateurs dans le domaine de l’intégrité de la peau, notamment en ce qui concerne l’enseignement aux personnes soignées au sujet de l’examen quotidien.
Une collaboration réunissant le SCI-IEQCC, l’organismeSpinal Cord Injury Ontario (SCIO) et des personnes ayantvécu cette réalité a été entreprise pour concevoir une vidéod’enseignement sur l’évaluation de la peau. Le processusa impliqué la mobilisation d’une équipe multidisciplinaireet d’autres parties prenantes concernées, la création descénarimages, le tournage ainsi que l’élaboration de boucles de rétroaction itératives. Les principaux défis rencontrés ont été la conciliation des besoins du personnel clinique et des personnes utilisatrices. Malgré ces défis, une vidéo d’enseignement a été réalisée avec succès et a été intégrée dans les milieux de réadaptation spécialisés en LME à travers l’Ontario.
La vidéo présente des techniques d’évaluation de la peauréalisées de manière autonome ou avec assistance. Lavidéo a été bien accueillie, comptabilisant à ce jour 4 400visionnements. Les stratégies de mise en œuvre variaientd’un site à l’autre, selon le contexte et les besoins locaux.Les principales conclusions soulignent l’importance d’unecommunication claire, de l’engagement des parties prenantes et d’une amélioration itérative. Les prochaines étapes viseront à assurer la pérennité et la diffusion de la vidéo, notamment sa traduction en français et son intégration à la formation du personnel
La puissance de la vitamine C : une revue de portée sur la cicatrisation des plaies de lésions de pression avec Supplémentation en vitamine C
No full textBackgroundPressure injuries are a significant health concern in Canada, with the occurrence as high as 26% across all health care settings. Researchers have studied the effectiveness of vitamin C in the healing of pressure injuries. The purpose of this scoping review is to synthesize the existing literature on the role of vitamin C in pressure injury wound healing and identify gaps within the current literature landscape.
MethodsA scoping review of the literature was conducted using the framework developed by Arksey and O’Malley, along with the PRISMA-ScR guidelines. PubMed, Medline, CINAHL, and EMBASE databases were searched for human studies published in English that investigated the effectiveness of vitamin C in reducing wound size and/or accelerating the rate of pressure injury healing. The authors extracted data using a predefined form to summarize information on study type, patient descriptions, study design, interventions, and outcomes.
ResultsNine articles met the review criteria. Six were randomized control trials, and the remaining 3 were observational studies. Seven studies acknowledged the benefit of vitamin C in pressure injury wound healing. One study reported no observed difference in healing within the control and treatment groups, and 1 study did not support the idea of increased vitamin C for wound healing.
ConclusionThe current evidence suggests a possible correlation between vitamin C supplementation and pressure injury wound healing. Research with randomized control trial study designs that have large sample sizes is necessary to investigate the exclusive role of vitamin C and its impact on pressure injury wound healing.
ContexteLes lésions de pression représentent un problème de santé majeur au Canada, avec une incidence pouvant atteindre 26 % dans l’ensemble des milieux de soins de santé. Des chercheurs ont étudié l’efficacité de la vitamine C dans la cicatrisation des lésions de pression. L’objectif de cette revue de portée est de synthétiser la littérature existante sur le rôle de la vitamine C dans la cicatrisation des plaies de lésions de pression et d’identifier les lacunes présentes dans la documentation actuelle.
MéthodesUne revue de portée de la littérature a été réalisée enutilisant le cadre élaboré par Arksey et O’Malley, ainsi queles lignes directrices PRISMA-ScR. Les bases de donnéesPubMed, Medline, CINAHL et EMBASE ont été consultéespour identifier des études sur des sujets humains publiées en anglais qui examinaient l’efficacité de la vitamine C dans la réduction de la taille des plaies et/ou l’accélération du taux de cicatrisation des lésions de pression. Les auteurs ont extrait les données à l’aide d’un formulaire prédéfini afin de résumer l’information sur le type d’étude, la description des patients, la méthodologie, les interventions et les résultats.
RésultatsNeuf articles répondaient aux critères de la revue. Six étaient des essais randomisés contrôlés et les trois autres étaient des études observationnelles. Sept études ont reconnu l’effet bénéfique de la vitamine C sur la cicatrisation des plaies de lésions de pression. Une étude n’a observé aucune différence de cicatrisation entre les groupes témoin et expérimental, et une autre n’a pas appuyé l’hypothèse d’un apport accru en vitamine C pour favoriser la cicatrisation.
ConclusionLes données actuelles suggèrent une corrélation possibleentre la supplémentation en vitamine C et la cicatrisation des plaies de lésions de pression. Des recherches menées sous forme d’essais randomisés contrôlés avec de grands échantillons sont nécessaires afin d’examiner le rôle exclusif de la vitamine C et son impact sur la cicatrisation des lésions de pression