Submit a summary of six of your articles on the discussion board

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Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why the article may or may not provide sufficient evidence for your practice change.

Article 1- The effect of multiple layers of linens on surface interface pressure.

This article discusses the use of multiple bed-linen layers that are often used in hospital. Adding multiple layers to a surface increases the peak pressure more than simply adding a transfer sheet or an incontinence pad. The type of material used in the linens or under pad also plays a role in the increase in pressure, because they may compromise the support surface’s ability to redistribute pressure. Strength- evidence supports this theory and is a great teaching topic to focus on for practice change. Weakness- additional studies to determine specific replacement would be beneficial. With this information this article offers sufficient evidence for the use of my practice change.

 

Article2- Pressure ulcer prevention and treatment use of prophylactic dressings.

This article discussed the use of dressings to prevent pressure ulcers patients in the hospital. The best management of pressure ulcer prevent is through prophylactic measures, this includes the appropriate use of certain dressings. Strength- evidence supports this theory. Weakness- Needs more research from larger study size and stronger evidence. With this information this article offers sufficient evidence for the use of my practice change.

 

Article 3- Effect of a wearable patient sensor on care delivery for preventing pressure injuries in acutely ill adults: A pragmatic randomized clinical trial.

This article discussed the use of a wearable sensor for patients admitted to ICU. It was determined that when wearing this device optimal turning was more readily achieved. Strength- offered great insight as to different ways to help assist ICU staff on adequate turning for patients. Weakness- not always cost affective for some facilities. With this information this article offers sufficient evidence for the use of my practice change.

 

Article 4- Knowledge Test on Pressure Injury.

In this article it was concluded that there was a deficiency in professionals’ knowledge. With this there is a great need to develop educational strategies to qualify professionals. Lack of knowledge has a direct impact on preventive actions and on the incidence and prevalence of pressure ulcers. Strength- the research was pertinent and demonstrates the importance of encouraging nurses to develop more research, considering the scientific and practical knowledge in the evaluation, staging and prevention of pressure injuries. Weakness- did not offer ways in which to provide the suggested education to staff. With this information this article offers sufficient evidence for the use of my practice change.

 

Article 5- Implementation costs of a prevention protocol for pressure ulcers in a university hospital.

This article discusses the average cost needed to implement a new protocol for preventing pressure ulcers in a facility. When deciding on implementing a new protocol it is very important to first discuss the funds available and the estimated cost. This will help decide to what length the organization can take for the new project. Strength- great information to add when trying to implement a change in pressure ulcer prevention. Weakness- this is aimed toward a large university hospital. The average cost may be greater for smaller, rural hospitals, such as mine. With this information this article offers sufficient evidence for the use of my practice change.

 

Article 6- Take three steps forward to prevent pressure injury in medical-surgical patients:

Nursing care is key to pressure injury prevention.

This article discussed steps in which organizations could take in order to prevent pressure injuries from happening to med-surg patients. This includes appropriate communication among staff, increased risk recognition, and multidisciplinary coloboration through all departments. Strengths- great knowledge to keep in mind for personal practice. Weakness- information was not directed toward increased education or change of practice in the direction of my projected practice change. I will keep this article in mind, however, will not rely heavily on this for pertinent information.

 

 

References

Black, J. (2018). Take three steps forward to prevent pressure injury in medical-surgical patients:

Nursing care is key to pressure injury prevention. American Nurse Today, 10–39.

Fernandes Costa Lima, A., Castilho, V., Brunet Rogenski, N. M., Caetano Baptista, C. M., &

Rogenski, K. E. (2015). Implementation costs of a prevention protocol for pressure ulcers in a university hospital. Revista Eletronica de Enfermagem, 17(4), 1–8. doi: 10.5216/ree.v17i4.xxxx

Montenegro de Albuquerque, A., de Melo Buriti Vasconcelos, J., Marques Andrade de Souza, A.

P., Costa de Lima Chaves, T. R., Fernandes Costa, I. K., & Guimarães Oliveira Soares, M. J. (2018). Knowledge Test on Pressure Injury. Journal of Nursing UFPE / Revista de Enfermagem UFPE, 12(6), 1738–1750. doi: 10.5205/1981-8963-v12i6a234578p1738-1750-2018

Pickham, D., Berte, N., Pihulic, M., Valdez, A., Mayer, B., & Desai, M. (2018). Effect of a

wearable patient sensor on care delivery for preventing pressure injuries in acutely ill adults: A pragmatic randomized clinical trial (LS-HAPI study). International Journal of Nursing Studies, 80, 12–19. doi: 10.1016/j.ijnurstu.2017.12.012

Reid, K., Ayellio, E., Alavi, A. (2016). Pressure ulcer prevention and treatment use of

prophylactic dressings. Chronic Wound Care Management and Research, 2016;3, 117-121.

Williamson, R., Lachenbruch, C., VanGlider, C., Sauser, F. (2013). The effect of multiple layers

of linens on surface interface pressure: Results of a laboratory study. Ostomy Wound Management, 59(6).




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