Research
ISD
ResearchUtilizationPresentation-Sample1.pptx
Pressure Injuries among critical care patients
Washington Adventist University
Professor Wilson
NURS 389 Nursing Research
Objectives
Learners will be able to identify risk factors for Hospital acqured pressure injuries (HAPIs)
Learners will know the difference between Unavoidable Pressure injuries and avoidable pressure injuries
Learners will understand/prevent the occurrence of pressure injuries in critical patients
Learners will view how research can be impactful on Nursing care
Purpose
Pressure injuries are a constantly occurring condition in almost all hospitals, so it is important for nurses to know the proper care to prevent one or treat one.
Nurses should be kept up to date and utilize the proper tools needed to identify the risk for pressure injuries and make it a priority to document.
Annotated Bibliography # 1
Hospital-Acquired Pressure Injuries in Critical and Progressive Care: Avoidable Versus Unavoidable
A descriptive retrospective design created by Joyce Pittman and colleagues to discover the amount of hospital acquired pressure injuries in patients that were in progressive care and critical care units that are unavoidable. Also to identify different risk factors and or qualities that show the difference between HAPIs that are unavoidable and avoidable
The results showed that more than half HAPIs approximately 60% were avoidable and less than half approximately 40% were determined nonavoidable.(Pittman et al., 2019, 338)
Annotated Bibliography #2
Outcomes Associated With Stage 2 Pressure Injuries Among Surgical Critical Care Patients: A Retrospective Cohort Study
Jenny Alderden created this study to examine outcomes of stage 2 hospital-acquired pressure injuries among critical care patients and identify factors associated with nonhealing stage 2 hospital-acquired pressure injuries.
Complete data were available for 253 patients. Of these 253 patients, 160 (63%) had unhealed pressure injuries at hospital discharge & risk factors associated with HAPIs were older age, elevated serum lactate, elevated serum creatinine, and lower oxygenation.(Alderden et al.,2019, 13)
RESEARCH UTILIZATION MODEL - IOWA MODEL
Generate the question
For patients in critical care is the use of the Braden scale more effective than the use of Electronic health records(such as lab values) in decreasing the occurrence of pressure injuries?
P- Patients in critical care
I- Braden scale
C- Electronic health records
O- Decreased occurrence of pressure injuries
| Relevance | Pressure injuries are a huge issue in hospital settings so when providing nursing care it is important for nurses to be able to identify patients at risk for pressure injuries so they can implement the proper care |
| Team | -Registered Nurse -Wound care nurse -Nutritionist -Physical therapist |
| Answers the question | Evidence has shown that by identifying risk factors of pressure injuries before they occur allows nurses to help prevent them. |
| Is there sufficient evidence ? | Before doing a larger study a pilot study was done implementing care to 20 critical care patients. 10 patients had there care implemented based off their Braden scale score and the other 10 had their care implemented based off lab values from electronic health records. |
| Proposed Outcome | Decreased occurrence of pressure injuries More individualized care Prevention and early detection of risk for pressure injuries |
| Disseminate Results | The use of Braden scale was more effective than the use of electronic health information in identifying patients at risk for pressure injuries. |
Implications
Nurses will be able to identify patients that are more likely to get pressure injuries before they occur
Less occurrence of pressure injuries
Prevention methods
Individualized care
References
Alderden, J., Zhao, Y. L., Thomas, D., Butcher, R., Gulliver, B., & Cummins, M. (2019). Outcomes Associated With Stage 2 Pressure Injuries Among Surgical Critical Care Patients: A Retrospective Cohort Study. Critical Care Nurse, 39(4), 13–19. doi:10.4037/ccn2019598
Pittman, J., Beeson, T., Dillon, J., Yang, Z., & Cuddigan, J. (2019). Hospital- Acquired Pressure Injuries in Critical and Progressive Care: Avoidable Versus Unavoidable. American Journal of Critical Care, 28(5), 338– 350. doi: 10.4037/ajcc2019264
Grove, Susan K., and Jennifer Gray. Understanding Nursing Research: Building an Evidence-Based Practice. 7th ed., Elsevier, 2019.
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