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Running head: PREVENTIVE PRESSURE ULCERS IN HOSPITALS Preventing Pressure Ulcers in Hospitals

 

Isaac Oke

 

Chamberlain College Of Nursing

 

NR 439

 

October 8, 2016 1 PREVENTIVE PRESSURE ULCERS IN HOSPITALS 2 Preventing Pressure Ulcers in Hospitals

 

Each year millions of people develop pressure ulcers. These skin lesions bring pain,

 

associated risk for serious contamination, and increased health care use. Anticipating pressure

 

ulcers has been a nursing concern for numerous years. Numerous clinicians believe that pressure

 

ulcer development is not just the flaw of the nursing care, but instead a failure of the whole heath

 

care system. Henceforth, a breakdown in the collaboration and skill of the whole health care

 

team. Research also proposes that when the health care providers are working as a group, the

 

frequency rates of pressure ulcers can diminish. In this way, weight ulcers and their preventive

 

should be viewed as a patient safety objective [Cou08].

 

Research Question

 

Since pressure ulcer care is perplexing, efforts to enhance pressure ulcer preventive

 

require a system approach that will include organizational change. Realizing organizational

 

change of any type is troublesome. It is significantly more troublesome when it includes

 

numerous, concurrent modifications to work process, communication, and decision making as

 

are required in a pressure ulcer aversion activity. Inability to survey your organization's status for

 

a change at different levels can prompt unexpected challenges in usage, or even the complete

 

failure of the effort [AHR141].

 

Research Design

 

The article employs an exploratory research design. An exploratory design is led around a

 

research problem when there are few or no prior studies to allude to or depend upon to anticipate

 

a result. The emphasis is on gaining insights and recognition for later examination or embraced

 

when research issues are in a preparatory phase of the research. Exploratory plans are regularly PREVENTIVE PRESSURE ULCERS IN HOSPITALS 3 used to build up a comprehension of how best to continue in examining an issue or what

 

procedure would successfully apply to social affair data about the issue.

 

Collection of Sample

 

A systematic survey of the literature on nurse-centered interventions led in the hospital

 

setting educates the proof base for execution of pressure ulcer (PU) preventive programs. In spite

 

of the accessibility of distributed rules, there is little evidence of which intercessions can be

 

effectively incorporated into routine consideration through quality change (QI). The two past

 

literature synthesis on PU avoidance have included articles from numerous settings yet have not

 

engaged particularly on QI [Lyn11].

 

Data Collection Methods

 

A search of six electronic databases for publications from January 1990 to September

 

2009 was directed. Trial registries and lists of sources of published studies and reviews and

 

Internet sites of financing organizations were also used. Using institutionalized structures, two

 

autonomous reviewers screened productions for qualification into the specimen; data were

 

preoccupied and concentrate on quality was surveyed for those that passed screening [Lyn11].

 

Limitations of Study

 

The research design uses small sample sizes and, in this way, findings are ordinarily not

 

generalizable to the populace. The exploratory way of the research represses a capacity to make

 

complete decisions about the discoveries. They give knowledge however not complete

 

conclusions. PREVENTIVE PRESSURE ULCERS IN HOSPITALS 4 The research procedure supporting exploratory studies is adaptable yet frequently

 

unstructured, prompting just provisional results that have restricted quality to leaders. The plan

 

needs thorough principles connected to techniques for information social occasion and

 

investigation since one of the ranges for investigation could be to figure out what strategy or

 

strategies could best fit the research problem [USC16].

 

Findings of Study

 

Thirty-nine studies met the consideration criteria. The greater part of them utilized a

 

previously, then after the fact study plan in a single site. Intervention strategies included PUparticular changes in combination with instructive and QI systems. Most studies reported patient

 

result measures, while less reported nursing procedure of consideration measures. For almost all

 

the studies, the authors inferred that the intercession had a beneficial outcome. The pooled

 

hazard distinction for creating PUs was ?.07 looking at the pre-and post-intervention status

 

[Lyn11].

 

Article Summary

 

This layout can serve as a letter to key stakeholders in the hospital to acquaint them with

 

the objectives and motivation behind a pressure ulcer project. The hospital is setting out on a

 

vital new initiative focused on the preventive action of pressure ulcers among our intense care

 

patients.

 

Pressure ulcers procured during intense care stays present noteworthy treatment and

 

recuperation delays for patients, increase length and expense of inpatient stays, and have turned

 

into a "never" occasion from the stance of Medicare repayment. PREVENTIVE PRESSURE ULCERS IN HOSPITALS 5 Before, pressure ulcer care has sometimes been seen as exclusively a nursing unit duty. In

 

any case, recent research has made it clear that effectively decreasing pressure ulcer rate requires

 

a planned multidisciplinary approach. Subsequently, the implementation of new counteractive

 

action methodologies may require, for instance: Housekeeping: Do standard bed-production methods and materials result in an excessive amount of dampness being held beside patient skin?

 

Information technology: Is data about skin appraisal and pressure ulcer preventive interventions successfully coordinated into the electronic therapeutic record?

 

Respiratory treatment: Is all respiratory gear fittingly put to diminish the odds of weight injuries creating where tubing or mouthpieces are in contact with patient skin?

 

Drug: Are suitable orders on record or accessible for any required exceptional surfaces or other preventive measures?

 

Quality improvement: Are QI preparing and strategies accessible to the group taking a shot at this exertion?

 

Transport: Is patient time on hard wheelchairs or stretchers minimized or relieved when

 

patients have removed the unit for symptomatic or therapeutic activities?

 

AHRQ?s far-reaching toolbox plots step in the change procedure and give important tools. Using these devices, we will evaluate staff awareness and information of pressure ulcer

 

avoidance, examine patient care procedures to recognize where there are risks to patient skin

 

integrity, and target interventions in those areas. Pressure ulcer occurrence, while patients are

 

under our care, will be followed and reported more broadly with the goal that progress can be

 

evaluated.

 

Most imperative in this effort is a shift of thinking and culture, from seeing pressure

 

ulcers as the inescapable consequence of patient immobility to considering them to be never

 

events that can be avoided through a comprehensive prevention program [AHR14]. PREVENTIVE PRESSURE ULCERS IN HOSPITALS References 6 PREVENTIVE PRESSURE ULCERS IN HOSPITALS 7 AHRQ. (2014). Introductory Executive Summary for Stakeholders. Retrieved from AHRQ:

 

http://www.ahrq.gov/professionals/systems/hospital/pressureulcertoolkit/putool7.html#To

 

oloneA

 

AHRQ. (2014). Preventing Pressure Ulcers in Hospitals. Retrieved from AHRQ:

 

http://www.ahrq.gov/professionals/systems/hospital/pressureulcertoolkit/putool1.html

 

Lyder, C. H., & Ayello, E. A. (2008). Pressure Ulcers: A Patient Safety Issue. Retrieved from

 

NCBI: https://www.ncbi.nlm.nih.gov/books/NBK2650/

 

Lynn M. Soban, S. H. (2011, June). Preventing Pressure Ulcers in Hospitals: A Systematic

 

Review of Nurse-Focused Quality Improvement Interventions. Retrieved from

 

Calidadasistencial: http://www.calidadasistencial.es/images/gestion/biblioteca/317.pdf

 

USC. (2016, October 6). Organizing Your Social Sciences Research Paper: Types of Research

 

Designs. Retrieved from USC: http://libguides.usc.edu/writingguide/researchdesigns

 


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