change

Running Head: PRESSURE ULCER RISK 1

Pressure Ulcer Risk 7

Pressure Ulcer Risk

Chamberlain College of Nursing

NR451 RN Capstone Course

Summer 2016

The recurrent pressure ulcers in patients that visited the health center had common symptoms and they got treated. After some time, research was conducted, and it was evident that there were means through which one would easily avoid the skin pressure ulcers or even mitigate its effects. The report argued that adequate hygiene measures and alterations of positions would lessen the risks attached to pressure ulcers appearance, (Disch, 2013). Those were the means that the research found that would mitigate that atrocity.

Change Model Overview

Evidence-based Practice model

A John Hopkins Nursing, an Evidence-Based Practice Model alongside procedures, got applied as the base that guided the production and evolution of the ideas into practice. The model entails three pillars of nursing that are education, research, and practice. Evidence-based Model argues that both research and non-research proofs create the grounds for the clinical ruling. The model also suggests that both internal and external aspects must get kept in check before changing the practice.

There exist three stages in the JHNEBP model often called the PET process. The initial phase identified the answerable problem. The following step reviews the problem with a creation of a research and non-research facts. The last stage is the transition stage in that model. The reason as to why the model is most suitable for nurses was that the evidence-based practice group of nurses carrying out the research would be the possibility of implementing the intended training alterations. The final translation stage entails implementation of the method adjustments in a procedural manner, assessment of the outcomes and how the findings would get distributed.

How would we mitigate pressure ulcers?

Step 1: Recruit Inter-Professional Team

The research that we conducted was carried out with the assistance of an eight-member team that I chaired since that was my research project. The select committee members included three male physicians, one laboratory technician, two nurses and a pharmacist and me. The stakeholders got tasked with the responsibility of locating suitable solutions to the problem.

Step 2: Develop and Refine the EBP Question

The select committee members got tasked with the responsibility of identifying the means that would lessen the probability of pressure ulcers taking place. After defining the PICO question, it was in order extensively to explain the relevance of each PICO elements about the research. The initial P-element denoted the problem that affected the patients or the general population. The problem in our case was the continuous admission of aged patients who underwent hip surgery. The second element was the “I”-element that stood for the intervention. The first intervention was the treatment of the patient subsequently in every three hours. The other intervention was the application of adequate hygiene measures on the body especially skin using clean water, detergent, and cream. The “C” stands for comparison existing between the underlying treatment and other treatment means. In that case, the patient turns in an interval of every two hours. The last term “D” there was the desired outcomes; the given methodologies lowered the commonness and severity of hospital gotten ulcers.

Step 3: Establish the Scope of the EBP

Recently cases of almost hundred patients out of the four hundred who got admitted to the hospital had issues relating with skin pressure ulcers. That was particular with patients that got admitted for hip born surgery. The case reported to the health care officials made the hospital get charged with for treatment of all the patients who unintentionally contacted the ulcers during their stay at the hospital. That impacted negatively on hospital’s future as many patients would not want to associate themselves with the clinic.

Steps4 and 5: Plan Responsibility of Team Members

The eight-member team each got emitted to some specific duty within the research project. The pharmacist, in particular, would ensure that he monitored all the in patients who had hip bone surgeries. At the same time, the laboratory technician was also providing that he tested all the patients before, during and after their admission to the hospital and gave us a detailed report that gave us the exact number of affected patients. The other nurses also took the responsibility to monitor how the sick people recovered and what complications they incurred during the administration of the prescriptions. Lastly, I took the responsibility of recording all the data giving out the appropriate results.

Evidence

Steps 6and 7: Internal and external evidence

The research got specified through the admission of questionnaires to some people that visited the hospital, at the same time face-to-face interviews were conducted to offer the actual response from the patients and staff. A study got also conducted into the culture of the organization. The report also decided to venture into determining the types of equipment used in treating the patients. About that we also researched upon the drugs. Apparently, we conducted both qualitative and quantitative research.

Steps8and9: Summarize the Evidence

The study found out that the number of people that got infected at the hospital resulted from unhygienic conditions. That transmission of the infections from one patient was exacerbated through the mishandling of the medical types of equipment as they used them from one patient to another. Most patients reportedly got the infection through physical touch onto the infected person. Or even coming into contact with things associated with the person having the infection including their bedding, clothing, and utensils or other objects they interacted.

Step 10: Develop Recommendations for Change Based on Evidence

The research recommended the administration of antibacterial drugs to patients who got discovered to posse’s symptoms that led to the infection. At the same time, the nurses gave the patients a high level of hygiene that ensured no transfer of germs from one patient to the other. The last option was altering of patients’ treatment in two to three hours to safeguard them from the bacteria.

Version

Steps 11, 12, and 13, 14: Response Plan

The intended changes would take place in the next span of six months. At the end of all, we expected the patients to get protected from the contagious bacteria that cause wounds on people’s hands, (Armour-Burton, Fields, Outlaw, & Deleon, 2013). For that matter, nurses consulted with the appropriate in charge personnel ensuring that they fumigated the place. After that, they followed the report recommendations to the latter.

Steps 16and 16: Evaluating Outcomes and Reporting Outcomes

At the end of the administration of the stipulated changes, we anticipated some changes regarding the number of infections that occurred in the hospital. In as much we required a reduction in the number of infections; our esteemed goal was ultimately finishing the infection. That would cleanse the name of the hospital besides keeping the patients safe from skin ulcers. We would count the number of newly reported cases of the infection as one leaves the hospital and cases that were also brought forth in the course of treatment.

Steps 17: Identify Next Steps

Deploying the changes to the whole of the hospital would mean us adding the number of employees who helped in the cleanliness of the hospital. At the same time, we ensured that we gave the patients the best of our services and had in place some medications on new cases that came up in the due cause of their treatment, (Armour-Burton, Fields, Outlaw, & Deleon, 2013). Follow-up activities were also conducted in the hospital to ensure the administered changes resulted in significant output.

Step 18: Disseminate Findings

The findings of the study would get disseminated to both internal and external environment of the hospital. A series of meetings in the hospital with other stakeholders necessitated the importance of general cleanliness of the hospital, (Armour-Burton, Fields, Outlaw, & Deleon, 2013). Similarly, turning the patients in three hours gave promising results. The external environment got the information through brochures that they received as they took over the counter drugs at the bar. Other outdoor campaigns were conducted to ensure that similar impacts got driven to the public.

Conclusion

The problem in question was the manner in which we could address the case of regular skin ulcer. The research applied an evidence base approach, and they came up with two primary means of implementing the necessary changes to the company to ensure a smooth flow of activities, (Armour-Burton, Fields, Outlaw, & Deleon, 2013). For that, we came up cleanliness as the most obvious case of dealing with the case.

References:

Armour-Burton, T., Fields, W., Outlaw, L., & Deleon, E. (2013). The Healthy Skin Project: changing nursing practice to prevent and treat hospital-acquired pressure ulcers. Critical care nurse, 33(3), 32-39.

Barradas Cavalcante, T., Carvalho Moura, E. C., Barros Araújo Luz, M. H., Queiroz, L. N., Francisco, A. A., Barbosa Furtado, L., & da Silva Monte, B. K. (2016). UPDATING PF THE ASSISTANCE PROTOCOL FOR PRESSURE PREVENTION: EVIDENCE BASED PRACTICE. Journal of Nursing UFPE/Revista de Enfermagem UFPE.

Disch, J. (2013). Interprofessional education and collaborative practice. Nursing outlook, 61(1), 3-4.

Rafter, L. (2011). Evaluation of patient outcomes: pressure ulcer prevention mattresses. British Journal of Nursing, 20(11), 32.