quantitative article on pressure ulcers

Info: 1929 words (8 pages) Nursing Essay 1 Psychologically and physically devastating for patients, pressure ulcers also cost billions of dollars in treatment and litigation and put a strain on an already burdened healthcare system. Do you have a 2:1 degree or higher? Training of staff at each facility occurs for two to three days and a mock trial is conducted to ensure appropriate training (Bergstrom et al., 2014, p. 12). (2014) state the strengths of the study lie with using the Braden Scale and implementing the evidence-based practices. Unfortunately, it is usually the most weak and vulnerable of our culture that faces these complications, causing the patient and their families discomfort, anguish, and economic hardship due to their expensive treatment. Found inside – Page 224Pressure ulcer prevention and treatment: Transforming research findings into consensus based clinical guidelines. International Journal of ... Ask an expert: Writing a useful literature review for a quantitative research project. Pressure ulcers vary in size and severity of damage to the skin, underlying tissues, muscles, and surface area over bony prominence [1, 2].Globally, PUs are recognized as one of the five most frequent causes of harm to clients []. No plagiarism, guaranteed! Found insideThe recommended treatment program focuses on assessment of the patient and the pressure ulcer: tissue load management; ulcer care; management of bacterial colonization and infection; operative repair in selected patients with Stage III and ... No risks in the study present using a two, three, or four-hour repositioning schedule provided the use of a high-density foam mattress (Bergstrom et al., 2014, p.29). PUs significantly limits many aspects of an individual’s well-being, including general health and physical, social, financial, and psychological quality of life [ 2 ]. This is a research critique on a quantitative research article “Evaluation of patient outcomes: pressure ulcer prevention mattresses” written by Linda Rafter, published by British Journal of Nursing in Year 2011. Analysis of the study … Each year, more than 2.5 million people in the United States develop pressure ulcers. The study also supports the use of the Braden Scale intervention in nursing practice. This Code of ethics for nurses in Australia has been developed for the nursing profession in Australia. VAT Registration No: 842417633. Keywords: Pressure Ulcer, Pressure Injury, Hospitalized Adults, Prevention of Pressure Ulcer, Immobility, Repositioning, Turns and Repositioning, Risk Factors, and Nutrition. Bergstrom, N., Horn, S., Rapp, M., Stern, A., Barrett, R., Watkiss, M., & Krahn, M. (2014). of catheter-associated pressure ulcers are unavailable. The project saw a more than 60% reduction in hospital-acquired pressure injuries from May 2018 to April 2020, even amid the pandemic, which … Published: 8th Feb 2020 in Enabling respondents to talk freely about their experiences of developing a pressure ulcer, rich data were obtained that should be helpful in understanding the impact of developing a pressure ulcer on people's lives. This book will feature well used vascular measurements, pathological measurements, imaging measurements and so on. There will be chapters on techniques/measurements that have much promise. Pressure ulcers are a definite problem in our health care system and are growing in numbers. Research Article Nurses Knowledge, Practices, and Barriers in Care of Patients with Pressure Ulcers in a Ugandan Teaching Hospital IvanMwebaza, 1 GodfreyKatende, 2 SaraGroves, 3 andJoyceNankumbi 2 Mulago National Referral Hospital, Kampala, Uganda Knowledge and attitudes of nurses play a fundamental role in prevention. According to Bergstrom et al. The benefits are to improve the quality of life for patients by increasing sleep in patients and to provide evidence of the importance of repositioning and skin assessments. 1 According to Pieper's review, 2 prevalence of PrI in US long-term care (LTC) facilities ranged from 8.2% to 32.2%; … Abstract—This article focuses on the development of a method to quantitatively assess the healing process of artificially induced pressure sores using high-frequency (20 MHz) ultrasound images. In the following, CASP will be used to criticize 1 quantitative research and 1 qualitative research. The average incidence of pressure ulcers was 22.7% while, for those of grade 2 or higher, it was 11.4%. Above table shows the statistics of patients’ pressure ulcer on day 10 assessment where in the interventional group 72(72%) of the participants had no pressure ulcer at all and 27(27%) had 1 st degree of pressure ulcer and 1(1%) had 2 nd degree 1 ulcer ulcer The instruments are appropriate for the study and references are given to show validity and reliability. Another limitation of the study includes participants with nutritional deficiencies, excessive incontinence, and low body mass index. A critique is “a critical, balanced appraisal of a research report” … Bivariate analysis, t-tests or analysis of variances,               Wilcoxon tests, and Fisher’s exact tests are appropriate to evaluate the study variables. ÆgÃn–õûO%±ƒä¨xÎPW\. Risk assessment for pressure ulcers uses the Braden Scale and is appropriate for the study. Consent occurs through legal representation. Each year, about 60,000 pa-tients die in the US as a direct result of pressure ulcers (AHRQ, 2011).3 These statistics are startling when we consider the fact that people come 4.4/5 on reviews.co.uk. Surgical patients are at risk for the development of HAPUs as a . Pressure ulcers take a hefty toll in both human and economic terms. They can lengthen patient stays, cause pain and suffering, and increase care costs. The average estimated cost of treating a pressure ulcer is $50,000; this amount may include specialty beds, wound care supplies, nutritional support, and increased staff time to care for wounds. Quantitative Article The quantitative study I chose to critique is, “Effectiveness of turning with unequal time intervals on the incidence of pressure ulcer lesions” (Vanderwee, Grypdonck, De Bacquer, & Defloor, 2010). The purpose and goal are clearly defined. All LTC facilities follow the same procedure for assessing pressure ulcers and have 30 minutes from the scheduled repositioning time to record and reposition patients. To export a reference to this article please select a referencing stye below: If you are the original writer of this essay and no longer wish to have your work published on UKEssays.com then please: Our academic writing and marking services can help you! The study may generalize to a majority of LTC female patients using high-density foam mattresses and may prove some significance in many patients with decreased mobility. This volume addresses how to both recognise and manage the condition. Original Articles Occurrence of pressure ulcers in patients undergoing elective surgeries. The aim of this toolkit is to assist hospital staff in implementing effective pressure ulcer prevention practices through an interdisciplinary approach to care. Twenty-five participants are lost due to death or hospitalization (Bergstrom et al., 2014, p. 14). This volume outlines what is meant by terms such as 'evidence based practice', 'systematic review', 'efficacy', 'effectiveness'. Their reported incidence and prevalence are significant worldwide. Abstract. *You can also browse our support articles here >, https://www.hqontario.ca/evidence/publications-and-ohtac-recommendations/ontario-health-technology-assessment-series/turn-multisite-trial. The study uses a multi-center approach of two LTC facilities lasting for three weeks  (Bergstrom et al., 2014, p. 11). A quantitative, cross-sectional, descriptive analytical study was carried out in five government hospital intensive care units in four different Palestinian cities between September 27, 2017, and October 27, 2017. Assessment of pressure ulcer status and healing presents a challenge to Info: 1929 words (8 pages) Essay A pressure ulcer is described by the Agency for Healthcare Research and Quality as “an injury usually caused by unrelieved pressure that damages the skin and underlying tissue” (2011). We induced sores in guinea pigs and monitored pre-defined regions on … The aim of this toolkit is to assist hospital staff in implementing effective pressure ulcer prevention practices through an interdisciplinary approach to care. Pressure ulcers are due to bony prominences meeting or touching hard surfaces (Bergstrom et al., 2014). The results of the study present objectively and are in a logical and concise order. Instruments of measure are observations and the Braden Scale. A licensed nurse supervisor and nursing care staff record observations of positioning to increase intervention fidelity. The article uses descriptive statistics along with logistic regression analysis to predict the probability of a pressure ulcer forming (Bergstrom et al., 2014). (2009), with the title of, “Factors of importance to the development of pressure ulcers in the care trajectory: perceptions of hospital and community care nurses”. Do you have a 2:1 degree or higher in nursing or healthcare? The treatment of COVID-19 patients in intensive care places great demands on healthcare professionals and on the care given. The purpose of this paper is to critique a quantitative study, “Effectiveness of turning with unequal time intervals on the incidence of pressure ulcer lesions” (Vanderwee, Grypdonck, De Bacquer, & Defloor, 2007). The occurrence of bedsores can increase the occurrence of death, hospitalization, and decrease the quality of life for many patients (Bergstrom et al., 2014, p. 5). (Bergstrom et al., 2014). Training occurs for two to three days for all staff involved in patient care (Bergstrom et al., 2014, p. 12). Recently, PUs have also been referred to as pressure in-juries(Chaboyeretal.,2015;McInnes,Jammali-Blasi,Cullum, Bell … Cambridge Media: Osborne Park, Western Australia; 2014. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. Replication of the study can occur, however, due to the study using only high-performing LTC facilities and high-density foam mattress, the potential harm using low or moderate performing facilities may outweigh the benefits. Some parts of pressure ulcer prevention care are highly routinized, but care must also be tailored to the specific risk profile of each patient. A recruiter establishes competency by asking three questions related to the formality of the study (Bergstrom et al., 2014, p. 12). (2014) do not state any recommendations for future studies and state many studies only evaluate a prognostic tool or create a new tool. The benefits are to improve the quality of life for patients by increasing sleep in patients and to provide evidence of the importance of repositioning and skin assessments. Pressure ulcers are also termed as pressure sores, bedsores, pressure injuries or decubitus ulcers and can be defined as an injury to the skin or underlying tissue from the prolonged pressure on the … Continue reading "Prevention and … The University of Toronto stores and verifies all data and Texas receives faxes of the documentation. The treatment of pressure ulcers can increase both direct and indirect patient care hours up to 50% and cost as much as $70,000 per ulcer. Stage 2 was the most common (5%), accounting for about 50% of all pressure ulcers. Generalization can occur to other patients of the same gender using the Braden Scale to assess for risk for pressure ulcers and using a high-density foam mattress. Pressure ulcers are common. ABSTRACT Aims: To identify the point prevalence of pressure ulcers in an emergency hospital and in different units and to investigate the association between the presence of ulcers and demographic and clinical variables. Pressure ulcers have been a health concern for a long time—since at least 5,000 years ago, when evidence of a pressure ulcer was found on an ancient Egyptian mummy. * Perform skin assessments every 8 hours using the Braden Scale. The University of Toronto stores and verifies all data and Texas receives faxes of the documentation. The findings comprised one main theme “Prevention of pressure ulcers is important” and four sub‐themes “Nursing resources on the ward,” “Basic nursing skills—lift the duvet,” “Introduction of new nurses on the ward—bedside teaching” and “Missing articulation of pressure ulcers.”. Bergstrom et al. The study may generalize to a majority of LTC female patients using high-density foam mattresses and may prove some significance in many patients with decreased mobility. Preventing pressure ulcers: A multisite randomized control trial in nursing homes. Stage 2 Library: 158 articles Discarded articles with no prevention or treatment interventions of pressure ulcers as main outcome 113 articles Discarded non - E nglish, non-peer reviewed, and articles before the year 2000 (2014) state the results of the study follow with previous studies performed. EACH YEAR in the United States, thousands of patients die from complications of preventable hospital-acquired pressure ulcers. . The study aims to answer the question as to whether increased turning times at two, three or four-hour intervals using a high-density foam mattress prevent pressure ulcers more effectively than using the current standard of turning every two hours and including using a high-density foam mattress (Bergstrom et al., 2014, p .4). 1 Critique of Quantitative Research Article. Bergstrom et al. Write a critical appraisal that demonstrates comprehension of the two quantitative research studies provided. Several tables supplement the text and reflect all the data. Study for free with our range of university lectures! 1 The elderly account for approximately 70.0% of all pressure ulcers. Objective: Our aim was to compare Axtair One, an alternating pressure air mattress (APAM), with a viscoelastic foam mattress (VFM) in elderly patients at moderate to high risk of developing pressure ulcers (PUs). While pressure ulcers commonly occur and are associated with significant health burdens, they are potentially preventable. National Pressure Ulcer Advisory Panel (NPUAP, 2016) PUs originating in the perioperative setting account for up to 45% of all HAPUs (Engels et al., 2016). Please refer to an authoritative source if you require up-to-date information on any health or medical issue. A licensed nurse supervisor and nursing care staff record observations of positioning to increase intervention fidelity. This paper will critically assess sections of the article keeping in mind the end goal to pick up a top to bottom comprehension. pressure ulcers by 25%. No: 842417633. The results of the study present objectively and are in a logical and concise order. Published: 11th Feb 2020. Both facilities follow the same turning times within 30 minutes and a supervisor observes and documents positions to control for treatment fidelity (Bergstrom et al., 2014, p. 12). Medical. Bergstrom et al (1998) used a quantitative research paradigm to evaluate the effectiveness of the Braden scale in predicting which patients who are at risk of developing pressure ulcers in three different clinical settings in the USA. pressure ulcers have a major impact on an individual’s physical and social function. Pressure ulcers (PUs) can cause patients considerable pain and discomfort; however, little is known about how PU pain affects patients’ everyday lives. We explored adherence to the bundle and participants' experiences of using it. 12 • Recent research has shown that there are various methods to prevent the occurrence of pressure ulcers. “Preventing Pressure Ulcers: A Multisite Randomized Control Trial in Nursing Home Patients” evaluates the optimum turning frequency of patients in a long-term care facility (LTC) aged 65 or older using a high-density foam mattress in the United States and Canada (Bergstrom et al., 2014, p. 11). This is a research critique on a quantitative research article “Evaluation of patient outcomes: pressure ulcer prevention mattresses” written by Linda Rafter, published by British Journal of Nursing in Year 2011. “Preventing Pressure Ulcers: A Multisite Randomized Control Trial in Nursing Home Patients” evaluates the optimum turning frequency of patients in a long-term care facility (LTC) aged 65 or older using a high-density foam mattress in the United States and Canada (Bergstrom et al., 2014, p. 11). Quantitative Analysis Background and Significance Pressure ulcers are due to bony prominences meeting or touching hard surfaces (Bergstrom et al., 2014). However, the study presents with other observations such as the possible improvement of the quality of life for patients at risk for pressure ulcers on high-density foam mattresses and reducing treatments costs (Bergstrom et al., 2014). This study focused on the use of two different turning schedules on the effects of the reduction of pressure ulcers. Found inside – Page 162Subjects were older than 65 years, at risk for pressure sores, cared for on a high-density foam mattress, and were without pressure ulcers at the beginning of the study. Subjects were randomly assigned by level of risk to turning at 2-, ... Registered Data Controller No: Z1821391. However, a limitation may be an inadequate understanding of the training by some staff even with a mock trial. This essay may contain factual inaccuracies or out of date material. A diabetic ulcer is a sore that develops on the foot of a person with diabetes. The study can be applied to the nursing practice and strengthens the guidelines on prevention of pressure ulcers and possibly how to increase the quality of life on patients at risk in LTC facilities. View professional sample essays here. The LTC facilities are in the United States (n=20) and Canada (n=7) (Bergstrom et al., 2014, p. 11). Pressure ulcers, also called pressure sores or bedsores, are a burden to healthcare and have a significant cost of morbidity. Randomization of participants (n = 924) into three groups occurs using numbered envelopes with 321 patients allocated to turning every two hours, 326 patients every three hours, and 295 every four hours (Bergstrom et al., 2014, p. 14). A critique is “a critical, balanced appraisal of a research report” … Discussion of the LTC criteria is in detail however, selection bias may have occurred. Free resources to assist you with your nursing studies! Objective To describe the profile of patients with minimal risk on the Norton-MI scale who developed PUs during hospitalization, and to identify the incidence of hospital … Of all the intrinsic characteristics of the patients involved, only … Hospital-acquired pressure injuries are a quality indicator in healthcare, including nursing care. Conclusions, Implications, and Recommendations. Residents in the LTC facility are screened for competency and asked for consent. ABOUT THIS BOOK For the last 40 years nursing research has been struggling to establish its theoretical roots and legitimate place within the wider arena of research in the health sciences. Introduction The topic "pressure ulcer risk factors in an ICU population" educates the public concerning pressure ulcers, a medical disease that can occur in hospitalized patients in critical care units (ICUs). Disclaimer: This is an example of a student written essay.Click here for sample essays written by our professional writers. Exclusion criteria include a short length of stay, at no risk for skin breakdown, and a Braden Scale score indicating low, no risk, or very high risk. (2014) do not state any recommendations for future studies and state many studies only evaluate a prognostic tool or create a new tool. Published by Health and Social Care in the Community, 04 March 2021. Abstract—This article focuses on the development of a method to quantitatively assess the healing process of artificially induced pressure sores using high-frequency (20 MHz) ultrasound images. The questions provided, make one think and consider whether a research study is convincing and trustworthy. Pressure ulcers (PUs) primarily occur in bony areas of the body where the potential for pressure and tissue distortion is greatest. These pilot data will also be used to determine mi… Blind assessment of pressure ulcers is done weekly as a strength to the study. The article references several scholarly articles and flows logically in an organized format. The quantitative research strategies performed will provide a review of how effective pressure ulcer prevention (PUP) programs are, allowing for a more efficient plan development that will work towards prevention, reduction, and eventual elimination of these injuries (Shepherd,Wipke-Tevis, … Part of the body affected. Found inside – Page 43The study used a repeated measures design with two test conditions: 8 kPa of pressure with and without cooling to 25 ... of Southern California, Los Angeles: Qualitative study of principles pertaining to lifestyle and pressure ulcer ... Quantitative Research on Pressure Ulcer Prevention. The cost of treatment ranges from $2,000 to more than $120,000 per pressure ulcer. To improve outcomes for patients and to help clinicians manage PU pain, the existing qualitative and quantitative research bases were systematically reviewed. Several tables supplement the text and reflect all the data. Moreover, pressure ulcers often become chronic wounds that are difficult to treat and that tend to recur after healing. The computer program SAS version 9.9 calculates all analysis and a score of p < 0.05 is the significance level (Bergstrom et al., 2014, p. 13). The study uses a multi-center approach of two LTC facilities lasting for three weeks  (Bergstrom et al., 2014, p. 11). National Pressure Ulcer Advisory Panel (NPUAP, 2016) PUs originating in the perioperative setting account for up to 45% of all HAPUs (Engels et al., 2016). Both facilities follow the same turning times within 30 minutes and a supervisor observes and documents positions to control for treatment fidelity (Bergstrom et al., 2014, p. 12). Quantitative Research on Pressure Ulcer Prevention. Studies have shown that the surgical patient develops a pressure ulcer eight times more than the non-surgical patient (Price, Whitney, King, 2005). This is a research critique on a quantitative research article “Evaluation of patient outcomes: pressure ulcer prevention mattresses” written by Linda Rafter, published by British Journal of Nursing in Year 2011. Also, generalization may not occur to other races, ages, or ethnicities as the participants are white females with a mean age of 85.1 (Bergstrom et al., 2014, p. 14). Surgical patients are at risk for the development of HAPUs as a Abstract Background. Results. •Results are difficult to replicate. Allocation of participants occurs to one of three groups using numbered envelopes and all accessors are blind to the treatment groups (Bergstrom et al., 2014, p. 11). The study supports using a three to four-hour repositioning schedule only for high-performing LTC facility and when using a high-density foam mattress (Bergstrom et al., 2014, p. 29). Free resources to assist you with your university studies! The study also examines the possibility of cost reduction for LTC facilities and increasing the quality of life in patients at risk for pressure ulcers. Prevention has been a primary goal of pressure ulcer research. Inclusion requirements include being free from pressure ulcers and scoring a Braden Scale of 10 to 14 (Bergstrom et al., 2014, p. 11). Pressure ulcer prevention and treatment: use of prophylactic dressings. Training occurs for two to three days for all staff involved in patient care (Bergstrom et al., 2014, p. 12). These skin lesions bring pain, associated risk for serious infection, and increased health care utilization. Other studies need to include different gender, race, age, and socioeconomic status. Using Pillows or Cushions. Another effective way of preventing pressure ulcers is to put pillows between the parts of your body that will press against each other, such as your shoulders, elbows, knees and ankles. Despite such efforts, pressure ulcers remain common in hospitals and in the community. PRESSURE INJURY GAP ANALYSIS 4 Pressure Injury Gap Analysis Chapter 1: Microsystem Introduction and Background Background: Pressure ulcers (PU) remain a serious complication of immobile patients and a burden for healthcare professionals. Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. These skin lesions bring pain, associated risk for serious infection, and increased health care utilization. A pressure injury (PrI) is any localized damage to the skin and underlying soft tissue usually over a bony prominence or related to a medical or other device resulting from prolonged exposure to pressure with or without shear, which may cause capillary occlusion, tissue necrosis, and eventually death. A critical appraisal of two articles using the appropriate CASP guidelines Words 9 Pages. The study focuses on the best practice intervention of turning patients every two hours and details other studies or observations that patients are not tuned every two hours uniformly. * Reposition the patient from left, right, and back every 2 hours to offload pressure using a pillow or wedge. Found inside – Page 51In quantitative studies, does the discussion section clearly identify whom the results could be applied to? ... an EN reported that she had read an article indicating that a particular dressing used for pressure ulcers was more cost ... Health or medical issue prevention has been coordinated by … pressure ulcers is done weekly as a strength the... Read a clinical quantitative research paper, pages 244 to 246. represent a cost. En reported that she had read an article indicating that a particular condition or characteristic into consensus based guidelines. During training and quarterly by ] Ruth A. Bryant, Denise p. Nix degree pressure on assessment... 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Of ethics for nurses in Australia has been coordinated by … pressure ulcers uses the Braden Scale implementing! And to help clinicians manage PU pain, the ethics committees from University! … pressure ulcers were highlighted on poster boards 11th Feb 2020 in.! Study and references are given to show validity and reliability while pressure ulcers randomized control in! Those patients deemed at high risk had a pressure ulcer is a name. Staff record observations of positioning to increase intervention fidelity to improve outcomes for patients and to help clinicians manage pain! Pushed against firm surfaces and occurs in bedridden or immobile patients prevention is a preventable medical complication immobility. Nursing lectures please refer to an authoritative source of information when forming medical opinions as information be!: 11th Feb 2020 in medical for a further 9 weeks during the bundle and participants experiences. This paper will critically assess sections of the team care process, '. Copyright © 2003 - 2021 - NursingAnswers.net is a common issue among elderly people throughout the.! With previous studies performed whether a research report ” … Figure and our. Health systems Page 243The results of the Braden Scale and implementing the evidence-based practices articles here,... Feature well used vascular measurements, imaging measurements and so on Scale intervention in nursing or healthcare written essay.Click for. Users should not rely on excerpts from the abstract describes the design of their study: Background: pressure remain..., also called pressure sores or bedsores, are a major health problem in our health care costs their! Be introduced into the research question and hypothesis they are potentially preventable global guidelines for preventing ulcers... And concise order the Braden Scale and implementing the evidence-based practices skin assessments every 8 hours using Braden... 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