Pressure Ulcer Prevention In Hospitals Assignment
Pressure Ulcer Prevention In Hospitals Assignment
Nursing Practice Problem
Pressure ulcers are increasingly affecting older adults leading to increased readmission rates and prolonged lengths of hospital stay. Pressure ulcers occur over the bony prominences including ischial tuberosities, sacrum, and heels. High numbers of pressure ulcers are reported among older patients with nearly 70% of cases recorded. The most common healthcare facilities are nursing homes with an estimated 21% of pressure ulcers and hospitals with about 32% of cases. Healthcare facilities are concerned with the increased cost associated with the high prevalence of pressure ulcers as well as health repercussions such as immobility and high mortality rates. Thus, there is a need to implement effective measures to prevent patients from acquiring pressure sores in healthcare facilities. For instance, routine patient positioning and pressure distribution use devices such as pressure mattresses are useful strategies that can be used to reduce the incidence of pressure sores in healthcare facilities Pressure Ulcer Prevention In Hospitals Assignment.
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PICOT Question
Among elderly patients in the medical-surgical unit who are at a high risk of developing pressure ulcers (P), does the use of routine repositioning and pressure distribution devices (I) more effective compared to usual care (C) in reducing the rates of hospital-acquired pressure ulcers (O) within two weeks of hospitalization?
| Criteria | Article 1 | Article 2 | Article 3 |
| APA-formatted article citation with permalink | Fremmelevholm, A., & Soegaard, K. (2019). Pressure ulcer prevention in hospitals: a successful nurse-led clinical quality improvement intervention. British Journal of Nursing, 28(6), S6-S11. https://doi.org/10.12968/bjon.2019.28.6.S6 | Saleh, M. Y., Papanikolaou, P., Nassar, O. S., Shahin, A., & Anthony, D. (2019). Nurses’ knowledge and practice of pressure ulcer prevention and treatment: an observational study. Journal of tissue viability, 28(4), 210-217. https://doi.org/10.1016/j.jtv.2019.10.005 | Gefen, A., Alves, P., Ciprandi, G., Coyer, F., Milne, C. T., Ousey, K., … & Worsley, P. (2020). Device-related pressure ulcers: SECURE prevention. Journal of wound care, 29(Sup2a), S1-S52. https://doi.org/10.12968/jowc.2020.29.Sup2a.S1 |
| How does the article relate to the PICOT question? | The article relates to the PICOT as it proposes applicable therapeutic strategies for reducing pressure ulcers and recommend control methods to effectively mitigate the problem. | The article applies therapeutic strategies that can be used in the management of pressure ulcers to reduce the incidence and lessen the burden of complications. | The article applies therapeutic strategies to reduce and solve pressure ulcer complications. |
| Is the article qualitative, quantitative, or mixed methods?
Justify your selection. |
The article used a qualitative research method as the questionnaires were used in data collection with random sampling techniques adopted. | The study was a quantitative study that adopted the correlation research design to examine nurses’ knowledge of pressure ulcer frequency and prevention actions without manipulating or controlling the study participants. | The study was qualitative research with the use of a descriptive design. |
| Purpose statement | The study aimed to assess the clinical practices that could be used in reducing cases of pressure ulcers in Odense University Hospital from 2010 to 2018 Pressure Ulcer Prevention In Hospitals Assignment. | The study aimed to understand whether nurses’ knowledge affects the treatment and prevention of pressure ulcers. Also, comprehension of the frequency of pressure ulcers and factors influencing providers’ implementation of prevention and treatment approaches will be explored. | This study aimed to establish how medical devices increase pressure, shear, and friction risks leading to tissue and cell deformation. |
| Research question(s) | Implements effective pressure ulcer management techniques useful in reducing pressure ulcers by 50% with no case of pressure ulcers above category 3? | The hypothesis was to seek an understanding of potential factors which hinders nurses from implementing pressure ulcer prevention techniques. | The hypothesis was to seek to understand how using medical devices increases the risk of pressure ulcers. |
| Outcome(s) | There was a reduction of 2% in cases of pressure ulcers with a single case reported at stage three. | The nurse-to-patient ratio is a major determinant of the occurrence of pressure ulcers in healthcare facilities. Highly educated and experienced healthcare providers can offer effective pressure ulcer care. | The traditional devices, which interface with vulnerable skin and soft tissue, are frequently associated with device-related pressure ulcers. |
| Setting
(Where did the study take place?) |
The research was conducted at Odense University Hospital where healthcare providers from 50 departments were engaged in pressure ulcer management. | The study was conducted in Jordanian hospitals where 318 patients and 377 nurses from eleven hospitals were evaluated to determine suitable ways of reducing pressure ulcers. | An international group of medical, clinical, and bioengineering experts met in London, UK, to develop the first international consensus statement on device-related pressure ulcers. |
| Sample | The randomized technique was the preferred sampling method in the study. The article’s hypothesis sought to develop a nurse-led quality improvement project and prompted action to reduce pressure ulcers. | The study used 318 patients and 377 nurses from eleven hospitals to collect data on the frequency of nurses implementing prevention and treatment initiatives on pressure ulcer patients. | The sample population of 2079 participants was used in the study. |
| Method | Individualized and patient-centered interventions were used to prevent cases of pressure ulcers in Odense University Hospital in Denmark. The data collection methods used include the use of questionnaires from various departments on pressure ulcers in the institution. | The cross-sectional surveys and observations were used in data collection. Descriptive statistics with linear regression were used to analyze the sampled questionnaires from the research. | Individualized nurse interventions were involved in understanding how medical devices cause pressure ulcers. SPSS analysis was conducted. |
| Key findings of the study and implications for nursing practice | After six years of clinical research, there was a reduction of 2% in cases of pressure ulcers with a single case reported at stage three. | The nurse-to-patient ratio is a major determinant of the occurrence of pressure ulcers in healthcare facilities. | The use of devices within various healthcare organizations gradually increases pain, scar, and permanent hair loss and reduces the quality of life. |
| Recommendations of the researcher | Pressure ulcer prevention methods should be incorporated into routine clinical practices in all hospital departments. | Training should be implemented to increase nurses’ knowledge of pressure ulcers. Nurse patient ratio should be reduced to prevent pressure ulcers. | The authors indicate that future technologies will be essential in reducing pressure ulcers by using non-contact devices when handling patients. |
| Criteria | Article 4 | Article 5 | Article 6 |
| APA-formatted article citation with permalink | Seo, Y., & Roh, Y. S. (2020). Effects of pressure ulcer prevention training among nurses in long-term care hospitals. Nurse education today, 84, 104225. https://doi.org/10.1016/j.nedt.2019.104225 | Horup, M. B., Soegaard, K., Kjølhede, T., Fremmelevholm, A., & Kidholm, K. (2020). Static overlays for pressure ulcer prevention: a hospital-based health technology assessment. British Journal of Nursing, 29(12), S24-S28. https://doi.org/10.12968/bjon.2020.29.12.S24 | Lichterfeld-Kottner, A., Lahmann, N., & Kottner, J. (2020). Sex-specific differences in prevention and treatment of institutional-acquired pressure ulcers in hospitals and nursing homes. Journal of tissue viability, 29(3), 204-210. https://doi.org/10.1016/j.jtv.2020.05.001 |
| How does the article relate to the PICOT question? | Therapeutic approaches including the assessment of behavior, knowledge, and attitude of providers are addressed in the article that helps in preventing pressure ulcers among patients. | The study is related to the PICOT as it proposes the use of alternating-air mattresses as used in the prevention of pressure ulcers. | The study was related to the PICOT as it explores the differences in pressure ulcer prevention that was dismal in nursing homes and hospitals. |
| Is the article qualitative, quantitative, or mixed methods?
Justify your selection. |
Quantitative research design with comparison group pretest and posttest designs. | Qualitative research with quasi-experimental design and questionnaire in data collection. | The study was quantitative research with the use of descriptive design |
| Purpose statement | Identifying the effects of pressure ulcer prevention training on nurses’ behavior, attitude, and knowledge in managing pressure ulcers. | The study aimed to understand how altering air mattresses can be used for managing pressure ulcers. To determine the consequences and properties of using overlays to prevent pressure ulcers. | The study aimed to understand how pressure ulcers reduce healthcare costs and reduce litigation risk and hospital stays. |
| Research question(s) | The research question was “how do nurses caring for elderly patients with a high risk of pressure ulcers at long-term care hospitals require the necessary knowledge, behaviors, and attitudes regarding preventing pressure ulcers?” Pressure Ulcer Prevention In Hospitals Assignment | The hypothesis understood how pressure ulcers could be prevented by altering air mattresses. | The hypothesis was seeking to understand how men and women respond differently to evidence-based care. |
| Outcome(s) | The groups showed significant increases in scores for pressure ulcer prevention knowledge, behaviors, and attitudes following the intervention as compared before it. | The research demonstrated that healthcare providers had mixed attitudes but the majority selected overlays because of improved mobility and less noise among patients. | There were more underweight women at risk of acquiring pressure ulcers compared to those of their counterparts who were obese. |
| Setting
(Where did the study take place?) |
Long-term care facilities in the metropolitan area of the Republic of Korea. | The research was conducted at Odense University Hospital where a hospital-based health technology assessment was done. | The study was conducted in several hospitals and nursing homes in Germany from 2001 to 2016. |
| Sample | The study participants were assigned conveniently to team-based and lecture-based learning groups of 30 individuals each. | 1557 patients were involved in the experiment, while 55 answered the questionnaires | The study participants were 58 760 patients from hospitals and 38 655 residents from nursing homes |
| Method | The researchers examined pre-test and post-test differences in scores of pressure ulcer prevention parameters such as behavior, knowledge, and attitude. The results were compared using independent samples t-tests. | Two types of observational studies were conducted to compare the above strategies for patients at risk of developing pressure ulcers. | The research method-focused studies were used in data collection. The characteristics and variables were described using standard deviations, proportions, numbers, and means. |
| Key findings of the study and implications for nursing practice | There should be pressure training and prevention made through a lecture or team-based learning methods | They discovered that air mattresses were essential due to improved mobility and less noise. | They discovered that IRT is a great method of bioengineering in preventing pressure issues. |
| Recommendations of the researcher | Organizations should develop lecture-based or team-based learning methods for training about pressure ulcer management for patients. | The static overlays should be considered the alternatives to air mattresses when preventing pressure ulcers. | The authors argue that ART should be used in research about pressure ulcers. |
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Conclusion
In summary, the routine patient positioning at an interval of two hours is useful in reducing pressure on a given body region and maintaining tissue integrity through proper blood floor thus enhancing tissue perfusion. Conversely, distribution devices such as overly mattresses, waffle cushions, and donut mattresses are effective in increasing blood flow and reducing pain in the affected regions.
For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem.
Use the “Literature Evaluation Table” to complete this assignment. Prior to starting the “Literature Evaluation Table,” complete the following:
Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population.
Following the PICOT format, write a PICOT question in your selected area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. Note: This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem. A mixed methods article can qualify towards meeting a qualitative or quantitative methodology Pressure Ulcer Prevention In Hospitals Assignment.
Articles must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments. The PICOT question will also provide a framework for your capstone project.
Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic reviews, literature reviews, and metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles. Therefore, they should not be included in this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
References
Fremmelevholm, A., & Soegaard, K. (2019). Pressure ulcer prevention in hospitals: a successful nurse-led clinical quality improvement intervention. British Journal of Nursing, 28(6), S6-S11. https://doi.org/10.12968/bjon.2019.28.6.S6
Gefen, A., Alves, P., Ciprandi, G., Coyer, F., Milne, C. T., Ousey, K., … & Worsley, P. (2020). Device-related pressure ulcers: SECURE prevention. Journal of wound care, 29(Sup2a), S1-S52. https://doi.org/10.12968/jowc.2020.29.Sup2a.S1
Horup, M. B., Soegaard, K., Kjølhede, T., Fremmelevholm, A., & Kidholm, K. (2020). Static overlays for pressure ulcer prevention: a hospital-based health technology assessment. British Journal of Nursing, 29(12), S24-S28. https://doi.org/10.12968/bjon.2020.29.12.S24
Lichterfeld-Kottner, A., Lahmann, N., & Kottner, J. (2020). Sex-specific differences in prevention and treatment of institutional-acquired pressure ulcers in hospitals and nursing homes. Journal of tissue viability, 29(3), 204-210. https://doi.org/10.1016/j.jtv.2020.05.001
Saleh, M. Y., Papanikolaou, P., Nassar, O. S., Shahin, A., & Anthony, D. (2019). Nurses’ knowledge and practice of pressure ulcer prevention and treatment: an observational study. Journal of tissue viability, 28(4), 210-217. https://doi.org/10.1016/j.jtv.2019.10.005
Seo, Y., & Roh, Y. S. (2020). Effects of pressure ulcer prevention training among nurses in long-term care hospitals. Nurse education today, 84, 104225. https://doi.org/10.1016/j.nedt.2019.104225 Pressure Ulcer Prevention In Hospitals Assignment