This article discusses the key issues I personally faced in setting up and running a nurse-led tissue viability service in Malta. I will highlight relevant areas that helped in the process: gaining knowledge and experience, developing an accessible service, working with professionals who are interested in working with you, creating a national and international network of support, being politically astute and taking hold of any opportunity to increase awareness of the service. I thought it is important to write about this experience because often these vital nurse initiatives are not documented and nothing is available for new nurses to go back to in order to learn about their predecessors' journey. My hope is that this will not only shed light on some important elements that helped me in the development of a national service on Malta, but also will encourage other nurses who might be thinking about pursuing a similar journey.
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