|
| Author | Gaps in knowledge | Other relevant findings | Suggestions |
|
| Noble-Jones et al. [21] | Assessment and evaluation, exercise, factors affecting therapy, cultural, ethical and legal concerns | (i) Educational needs: compression, surgery, assessment, new advances
(ii) Eager for both online and offline educational materials | (i) Supplemental education on genital lymphedema in addition to current training
(ii) Better collaboration with other specialities |
|
| Omar et al., 2021 [22] | Lymphatic system, general care, lack of knowledge among other HCPs such as physical therapists | (i) Lower experience and competence than knowledge
(ii) Low number of certified practitioners
(iii) Lack of adequate referral system
(iv) 78% eager for professional development opportunities | (i) Self-directed undergraduate educational modules |
|
| Dellar et al., 2021 [23] | Etiology | (i) Unfavorable attitudes, high level of stigma, and lack of skills
(ii) No significant change in attitude | (i) Improved training
(ii) In-service supportive supervision |
|
| Churko et al. [24] | Etiology, risk factors | (i) 56% favorable attitudes
(ii) 59.7% inadequate knowledge and skills | (i) In-service training |
|
| Pereira Rios Gerez et al. [25] | Proper material in lymphedema management, diagnostic skills, preventive measures | (i) Practical knowledge for better practice: lymphatic drainage techniques > therapeutic approach > proper materials > bandaging
(ii) Eager for lymphedema education on: therapeutic approach > wounds > treatment > diagnosis > etiology | (i) Education based on highlighted needs and gaps |
|
| Bayisenge et al. [26] | Signs and symptoms, at-risk groups | (i) Overall positive attitudes
(ii) Gap in practice (wound care and shortage of resources) | (i) Improvement in access to resources
(ii) Educational sessions |
|
| Abu Sharour [27] | Assessment and examination, follow-up appointment, anatomy, and prevention | (i) 93.3% eager for education in-service | (i) Educational structured |
|
| Tsuchiya et al. [28] | Skin care | (i) Good knowledge of referral
(ii) 96% eager for education (70% in-service)
(iii) Education needs: prevention, LD, and psychosocial care
(iv) Low intention to community-based education for cancer survivors | (i) Better understanding of cancer survivors needs |
|
| Mete Civelek et al. [29] | NA | (i) Refer BCRL to general surgeon > oncologist > physical medicine > rehabilitation specialist | (i) Undergraduate and postgraduate education
(ii) Multidisciplinary approach |
|
| Tam et al. [30] | Lower knowledge of primary care providers | (i) Refer BCRL to physical therapist > surgeon > oncologist | (i) Educational interventions especially for PCP |
|
| Ryan et al. [31] | General function, risk of BP measurement, deep-breathing exercise impact | (i) Competence as a predictor for practice
(ii) Beliefs regarding responsibility of nurses: risk reduction (95%), self-management (68%), and treatment (31%) | (i) Education in nursery school curriculum, conferences, journals, and practice setting
(ii) Using National Lymphedema Network and other interest groups
(iii) Multidisciplinary approach |
|
| Yakob et al. [32] | Etiology, signs and symptoms, stigmata | (i) 100% stigmatizing attitudes
(ii) Gap in practice (lack of knowledge and shortage of resources) | (i) Pre- and in-service training
(ii) Improvement in access to resources |
|
| Mathews et al. [33] | Symptoms, preventable, daily activity difficulties | (i) Positive change in attitude | (i) Capacities of lymphedema management programs (lymphedema roadshow) for education improvement |
|
| Morgan et al. [34] | Differential diagnosis (heart failure), lack of clarity of their role, and other professionals | (i) Uncertainty of nurses’ role
(ii) Lack of adequate skills | (i) Multidisciplinary approach and communication
(ii) Educational programs |
|
| Rath et al. [35] | Foot care, massage | (i) Gap in practice (foot care) | (i) Peripheral care practitioner orientation |
|
| Logan et al. [36] | Early referral, management of lower limb lymphedema, preventive measures | (i) 65.7% eager for education | (i) Appropriate education for specialists |
|
