Preventing Pressure Injuries in Bethe Bound Patients Using Evidence Based Nursing Research

Evidence Based Nursing Research
(Author’s name)
(Institutional Affiliation)

Student Name: Student Number:
Abbreviated PICO Worksheet and Search Strategy
Brief description of the problem or topic:
Bedbound patients are at a high risk of developing Pressure Injuries. Research is continuously being undertaken to find the best way of preventing
these. Two methods of preventing pressure injuries are performing regular 2hrly repositioning and turning, and the use of alternating air mattresses. AP Population/Patient/
Problem
Relative and the elderly resident
I Intervention Regular 2hrly repositioning and turning
C Control/Comparison Alternating air mattresses
O Outcomes Prevention of Acquired pressure area
Write out your question:
For elderly residents in aged care, is performing regular 2hrly repositioning and turning or the use of alternating air mattresses is more effective in the
prevention of acquired pressure area?
Identify □ Cochrane Library □ PubMed/MEDLINE □ JBI COnNECT+ (Joanna Briggs) □ CINAHL with Full Text
Keywords Search Terms Alternative terms/synonyms
P Relative and the elderly resident Next to kin, family member, residents family
I Regular 2hrly repositioning and
turning
2hrly turn,2/24 PAC, q2h PAC
C Alternating air mattresses Air mattress, hospital air bed
O Reduction in the number of
Acquired pressure area
Bed sores, Pressure ulcer, decubitus ulcers
Search filters or □ Age The elderly □ Language: English only □ Publication years <5years □ Other peer
reviewed

Running head: Evidence based nursing research 3
Bergstrom, N., Horn, S., Rapp, M., Stern, A., Barrett, R., & Watkiss, M. (2013). Turning
forUlcer ReductioN: A Multisite Randomized Clinical Trial in Nursing Homes. Journal
Of The American Geriatrics Society, 61(10), 1705-1713.
Level of Evidence: Systematic review
Justification using the 5 components
The study was conducted to determine the required frequency of positioning in nursing
homes residents who are at high risk of developing pressure ulcer when they care on high-
density foam mattresses. Different repositioning groups were used according to the repositioning
intervals which include a two-hour group, three-hour group, and four-hour group. The
participants were from the United State of America and Canada who were at the age over 65
years and at risk of developing pressure ulcers. The participants were located randomly using
skin stratification method and repositioning schedule for three weeks where blinded assessors
assessed the skin integrity weekly. The results showed that there was no significant difference of
pressure ulcers incidents in relation to different repositioning groups over the three weeks in
participants using high-density mattresses when the repositioning is done consistently and their
skin monitored.