Cultura

The Complementary Role Between Nursing and Health Informatics Technician

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Turki Omar Al Otaibi, Shaher Mesfer Al Qethami, Meshal Hassn Al Qurashi, Faliha Nasser Daher Albalawi, Abdullah mohsen alharthi, Sultan Matar Althobaiti, Mosa Hassan Alfifi, Abdulmajeed Abdullah Atiyan Al-Thaqafi, Majdi Mohammed Alosaymi

Abstract

The growing complexity of modern healthcare delivery has necessitated a convergence between clinical expertise and technological proficiency. As healthcare systems worldwide accelerate their adoption of digital infrastructure — most prominently Electronic Health Records (EHRs) — the distinct yet interdependent roles of nursing professionals and health informatics technicians have come to the forefront of health system reform. This study explores the complementary nature of these two roles, arguing that neither can function optimally without the active engagement of the other. Drawing on evidence from resource-limited settings and high-income contexts alike, the article examines how nurse informaticists and health informatics technicians together form the backbone of successful health information technology (HIT) implementation. Key domains of collaboration discussed include EHR deployment, clinical workflow analysis, vendor engagement, training, content development, quality assurance, and post-implementation support. The article underscores the urgent need to institutionalise this complementary relationship, particularly in low- and middle-income countries (LMICs) where technological resources are scarce but the demand for improved health information systems is rapidly intensifying.

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty