Literature Review

Criteria

Article 1

Article 2

Article 3

Article 4

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

McInnes E, The Cochrane Database of Systematic Reviews (9). doi: 10.1002/14651858.CD001735

Haesler, Emily; et al. Clinical Practice Guideline. ISBN 978-0-6480097-8-8

Edsberg, Journal of Wound, Ostomy, and Continence Nursing.doi:10.1097/WON.0000000000000281

Kaewprag P, BMC Medical Informatics and Decision Making. doi:10.1186/s12911-017-0471-z

Article Title and Year Published

Support surfaces for pressure ulcer prevention, 2015

Prevention and Treatment of Pressure Ulcers/Injuries, 2019

Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System: Revised Pressure Injury Staging System, 2016

Predictive models for pressure ulcers from intensive care unit electronic health records using Bayesian networks,2017

Research Questions (Qualitative)/Hypothesis (Quantitative)

What is the comparative effectiveness of preventing ulcers?

To what extend does the surfaces that relieve pressure reduce pressure incidences?

What are the prevention strategies for Injuries?

What are the patient treatment procedures?

What causes injury? What are the stages of pressure injury

What are the predictive models for understanding patients?

Identify accurate risk factors for pressure ulcers?

Purposes/Aim of Study

Pressure reduction in patients

Treating and preventing injuries

Scrutinizing pressure injury etiology

Solutions to the pressure ulcers risk factors

Design (Type of Quantitative, or Type of Qualitative)

Working stress

Limit state

Ultimate load method

Clinical expertise

Electrical health records

Bayesian network predictive models

Setting/Sample

Hospitalized patient

laboratory

Research

Patient clinical data

Methods: Intervention/Instruments

Pressure devices

Multicenter RCTs

Investigating and managing incontinence.

The NPUAP panel

Diagnostic label

Predictive models

Network visualization of the models

Analysis

After extraction of data, it checked by the author and similar trials pooled for meta-analysis

Patients skin being left dirty and clean enhances injury.

Classification of pressure injuries

Determining the relationship between risk factors and intensive care.

Key Findings

The merits of the low-pressure devices are unclear.

Alternating pressure mattresses may be more effective.

Keeping the skin dry and clean and avoiding products that make it dry prevents pressure ulcers.

Intended staging is key in the intervention of pressure injuries

There are suspected and known PU risk factors that increases capabilities of prediction.

Recommendations

Organizations to consider using forms of pressure relief for high risk patients.

The skin should be checked daily to avoid dirt.

Artwork should be used in illustrating pressure injuries features.

Bayesian model gives improvement framework.

Explanation of How the Article Supports EBP/Capstone Project

Stipulates the merits of implementation factors that improves patient’s health.

It provides proper information on the processes and steps to be followed to reduce injuries.

The NPUAP comments on the necessary procedures to be followed in treatment.

Deploys a clinical setting and responding to conditions associated to ulcer injury.

Criteria

Article 5

Article 6

Article 7

Article 8

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Moore ZE, The Cochrane Database of Systematic Reviews. Retrieved from: https//doi: 10.1002/14651858.CD011999.pub2

Norman G, Dumville JC, The Cochrane Database of Systematic Reviews. Retrieved from: https//doi: 10.1002/14651858.CD011586.pub2

Gillespie, Brigid M.

The Cochrane Database of Systematic Reviews. Retrieved from: https//doi: 10.1002/14651858.CD009958.pub3.

Joyce P, Moore ZE, Christie J, The Cochrane Database of Systematic Reviews. Retrieved from: https//doi: 10.1002/14651858.cd012132.pub2

Article Title and Year Published

Bed rest for pressure ulcer healing in wheelchair users, 2016

Antibiotics and antiseptics for pressure ulcers, 2016

Repositioning for pressure injury prevention in adults, 2020

Organization of health services for preventing and treating pressure ulcers, 2018

Research Questions (Qualitative)/Hypothesis (Quantitative)

What is the importance of bed rest for pressure ulcer patients?

Is pressure localized in the underlying skin tissue?

What is the function of antibiotics and antiseptic for ulcers pressure?

What factors are required for antibiotics and antiseptic decision making?

What is the importance for repositioning?

What are the effects of a pressure injury?

What are the organization services for preventing pressure?

What is the most appropriate method of treating pressure?

Purposes/Aim of Study

The bed rest impact on pressure ulcer healing.

To identify the systematic and topical antibiotics effects on healing of patients

To identify the cost effectiveness of clinical repositioning

To determine the effects of the interventions of different providers in the organization.

Design (Type of Quantitative, or Type of Qualitative)

Cluster- RCTs and controlled trails (RCTs)

Antibiotics and antiseptics

Repositioning schedules

Controlled trails (RCTs) that are randomized and cluster -RT s.

Setting/Sample

Wheelchair patients

Patients with ulcers in a clinic

Patient positions

Health services organization

Methods: Intervention/Instruments

Managing pressure ulcers among the wheelchair patients

Trials that are randomized and controlled.

Placing patients in different positions at intervals.

Research on demonstrating the impacts of the approaches to the patients

Analysis

Reviews the authors assessed tittles on the topic through eligibility of the strategies.

Interdependent duty selection and risk of biasness when extracting data

Assess risk biasness and extraction of data

There is evidence for the extraction of data and assessments of grades.

Key Findings

None of the studies met the criteria incorporated.

Most of the patients reported primary outcomes and few secondary outcomes

The trails are at high risk of biasness

The evidence has a lot of limitations in study that incorporates biasness.

Recommendations

Well-designed trials to address the issue should be incorporated to increase the results

There is need for an alternative medical intervention due to lack of clarity in results.

Enhance robust evaluations the PI patients

There is need for high quality RTCs for the preventive and treatment practices

Explanation of How the Article Supports EBP/Capstone

It explains the medical interventions and healing of the patients in wheelchairs.

Provides evidences and limitations to the EBP.

It stipulates the impact of repositioning to patients with PI

It stipulates the limited preventive and treating measures put in place.