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Pressure Ulcer In Nursing Research

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CLINICAL ISSUE AND QUESTION
Research is a systematic and scientific way of seeking information on a clearly defined question (Nagy, Mills, Waters & Birks, 2010). Nursing is an evidence based practice profession, therefore, research is an important aspect in nursing profession in order to develop knowledge in clinical practice, and administration. The clinical expertise of a nurse is based on the clinical experience, up to date knowledge of research and clinical literature and educational preparation. Therefore, it is clear that nursing research is an important aspect to develop knowledge about human responses and the best intervention to promote health, prevent and manage illness (Burns & Grove, 2010).
In this section, I would like to introduce the clinical issue of pressure ulcer among elderly bedridden patients in hospital settings. In my nursing practices in India, I witnessed and cared for several elderly bedridden patients with pressure ulcer. The most common practice that I noticed was repositioning. We used to …show more content…

86). The New Zealand wound care society sets the scene for November 21st as a worldwide ‘Stop Pressure Injury Day’ (Mckinnel, 2013) Pressure ulcer is the common problem in older adults. Within the first week of hospitalization 15% of elderly people develop pressure sores. Age related changes in the body systems cause skin to become more prone to breakdown, delayed healing and potential problems. Constant compression on the skin and blood vessel causes the impairment of cellular respiration which results in the death of cells and leads to form ulcer (Battaro & Barbara, 2013). Pressure ulcers can be prevented by early detection and high quality skin care, so, effective nursing care is essential to prevent pressure ulcers (Dziedzic,

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The nursing departments in our hospital formed a joint pressure ulcer prevention task force and the task force created voluntarily. Two nurses come from each of medical and surgical units to create the task force. The task force thus comes together every Wednesday to make rounds on nursing units and check for a pressure ulcer on patients whose Braden score is less than 18. The task force is very successful in catching missed and potential pressure ulcers. The task force then reports its finding and recommendation for wound care nurse for further evaluation and treatments.

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A family nurse practitioner could apply theory, information from research, and knowledge learned in class to formulate patient education strategies as well as to create patient education material. The nursing profession advocates for evidence-based practice. This requires the nurse to know, in order to provide proper care. Therefore, it is important to link research to nursing practice because the data collected through research makes it easier to make clinical decisions (Pipe, Wellik, Buchda, Hansen, & Martyn, 2005). An understanding of nursing theory would also prove important in handling nursing dilemmas by offering a systematic guide for handling nursing issues.

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We also did many in services with new products to treat and prevent pressure ulcers. We monitored the pressure ulcers if they were community, hospital, or unit acquired and then, the manager of the Wound Care Program had to send all this information quarterly to the NDNQI, and if we found many patients with newly hospital acquired pressure ulcers the Wound Care Program manager and her team had to implement a plan with new ideas to lower the pressure ulcers in the floors, and to educate the nurses and techs in order to be more successful in prevention of pressure ulcers because the treatment can be

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Pressure ulcer is defined as skin breakdown and continuum of tissue damage of ischemic etiology secondary to high external pressure which usually occurs over prominences. Over bony prominences for 2 hours or more is enough to cause an ischemic wound.1 Individual who cannot independently reposition tend to be at the greatest risk for ulcer development.2 Pressure ulcers are the result of interplay of various intrinsic and extrinsic factors. The intrinsic factor includes immobilization, cognitive deficit, chronic illnesses, poor nutrition, use of steroids and aging.3 Orthopaedic wards already contain a higher proportion of beds with pressure sores than those of any other specialty. Orthopaedic patients with pressure ulcers experience greater morbidity and

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In less acute circumstances, long term outcome of understaffing can also be detrimental to patient condition. Often, when a staff member is overwhelmed with the workload, nursing actions which are perceived less critical may be pushed to the back burner. Debilitated patients may not be turned and repositioned resulting in hospital acquired pressure ulcers, which not only affects patient outcome, but also taxes the hospital

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Introduction During nursing practice, a nurse faces several clinical issues. This paper aims at selecting and reviewing a clinical issue for further study to be made in the final year project along with the significance of selection. It also provides guideline to resolve this problem. Clinical Issue Analysis Nursing requires a proper and suitable approach for effective and influential practices.

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“Systematic prevention programs have been shown to decrease hospital-acquired pressure ulcers by 34% to 50%” (ICSI, 2003). It is critical to identify all the risk factoEarly detection of risk status is critical because timely interventions can be designed to address specific risk factors. When the patients first get admitted to the hospital, an admission risk assessment is usually performed. In the assessment, nurses consider patient’s age, medical history, medications and prior history of pressure ulcers. These factors play an important part in providing the nurses with initial information about the patient.

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As seen in the case study above prevention should always be the focus in managing pressure ulcers, and should be commenced upon initial assessment, ensuring a complete medical and nursing history is taken, followed by a skin examination and completion of risk assessments. The Francis report (2010) investigated the inadequate care in an acute hospital, within his report he made recommendations on the importance of the fundamental aspects of care, including pressure ulcer prevention as a key element of maintaining patient safety (Francis, 2010). The ‘Stop the Pressure’ campaign was originally launched in Midlands and East region in 2011 to raise awareness of the risk factors and early warning signs of pressure ulcers with amongst healthcare professionals. It aimed to use an engagement programme, a SKIN care bundle for patient facing clinical staff, a pressure ulcer collaborative and a communications campaign. Research in the Midlands and East Region showed that 47% of pressure ulcers were occurring in non-acute setting, so community led

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1. CONCEPT 1-EVIDENCE-BASED PRACTICE IN NURSING This concept was deducted from module 2 with the topic “Concept of Evidence-based practice”. Evidenced-based nursing is a way of making decision and providing nursing care that is based on clinical issues and combine it with the most current, relevant research that is available on that issue. Evidence based nursing utilize the most up to date method of providing care, which have been proven via assessing high quality studies and statistically with significant research findings.

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Nursing profession is a practice that utilizes findings based on facts and/or evidence. In that, research plays a vital role in building a strong foundation to support the knowledge of nursing. In the profession of nursing field, research and/or evidence provides rationalized, cost-effective, and quality care interventions through validation (Barbara & Susan, 2014). It also assists with existing knowledge in creation of new ideas and innovations. Decisions are made based on research results.

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4.1 Summary In this quantitative cross-sectional study the researchers have carried out an investigation on the links between dependent variable (DV) (these included risk assessment, skin assessment within 24 h of admission, pressure reducing mattress (PRM) and planned repositioning in bed) and independent variables (IV) ( i.e. Hospital and unit type, nursing staff and workload, and patient characteristics) in 2 healthcare setting in Sweden [one general (350 beds) and one university (1100 beds) hospital]. The university hospital developed a PUP plan. The general hospital did not have this in place, however they had a higher percentage of nurses carrying out direct patient care (62.8% vs 52.8) and nurses in the general hospital had more experience.

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Nursing research is providing evidence used to support nursing practices, generate new knowledge, and promote evidenced-based nursing practice, ensure credibility of nursing profession, provide accountability for nursing practice and document effectiveness of nursing care. Nursing research also focuses on the understanding and relieving of the symptoms

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A hospital stay is normally associated with only increasing a patient’s overall well-being. However, that is not always the case. While the health-care team is fully taking care of a patient’s needs, human dignity can sometimes be lost. Hospital acquired infections, such as catheter associated urinary tract infections, can also pose a threat to a patient’s well-being. Nurses must be trained to combat both of these problems simultaneously.

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Romanelli et al 2010, explains the importance of managing the exudate to improve the patient’s quality of life. If exudate is not managed properly it can lead to delayed healing. It is important that nurses recognise by the appearance of he wound that the right decision has been made in the choice of dressings, as well as being able to recognise the complications of poor exudate

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This incident makes me think that I was not aware of the patient’s need. I should expect the risk can happen to patient especially patient who can walk and need to go to the toilet. After this incident I reflected on my nursing practice and concluded that I need to be more aware to improve my nursing care for a better outcomes of the patients.

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