Quality Improvement Project - Nursing Education Training
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LITERATURE REVIEW0 Quality Improvement Project: Nursing Education Training on Pressure Injury Prevention In Skilled Nursing Facility with elderly population
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LITERATURE REVIEW1 Introduction A pressure ulcer is defined as an injury which is a common problem faced by the patients that occur from prolonged pressure on the human body. Such kind of injury mainly develops on the skin which covers bony sections of the human body including hips, heels, tailbone and ankles. The objective of this research is to review the previous studies based on the pressure ulcer and identify the effective points about nursing education training on pressure injury prevention. Literature review and critical appraisal The significance of the literature review is to evaluate the recent studies by identifying main points and outcomes of the investigations. Using an appropriate literature review, the strength and weaknesses of the previous studies can be evaluated. The critical appraisal is an effective way to evaluate the studies before processing the actual research as it identifies the main points and techniques highlighted by the writers along with the appropriateness of the research. Therefore, it is reported that using critical appraisal the researchers can reduce research gaps and complete the research in an effective manner. Article 1: Study protocol of a cluster randomized controlled trial evaluating the efficacy of a comprehensive pressure ulcer prevention program for private for-profit nursing homes This paper was written by Enid and other writers in the year 2016. The aim of the paper is to produce a pressure ulcer prevention program for-profit nursing homes(Kwong, Lee, & Yeung, 2016).As per the writers, pressure ulcers are common healthcare problems which are linked with the quality of care provided in the nursing home setting. In order to complete the research, the writers included various methods such as qualitative design, inductive approach, research philosophy, primary and secondary data collection techniques and statistical analysis process. A survey through questionnaire was adopted in order to review the viewpoints of the participants about pressure ulcer. It is found that for
LITERATURE REVIEW2 addressing pressure ulcer it is significant to develop a prevention program for the nursing homes setting. The developed program in this study will enhance the skills of care staff on the reduction of pressure ulcers in nursing home settings. The major strength of this paper is that it provided depth information about pressure ulcer that managed research gaps but the writers did not conduct a literature search in the research. Article 2: TEAM-UP for quality: a cluster randomized controlled trial protocol focused on preventing pressure ulcers through repositioning frequency and precipitating factors The aim of the article is to examine how changes in medical severity communicate with changes in risk level and repositioning schedule for predicting and managing pressure ulcers (Yap, et al., 2018).According to the writers, a pressure ulcer is a serious problem for nursing homes as it can lead to septic infections and chronic wounds related injuries in the body. The writers adopted a cluster randomized study where a survey was conducted for obtaining effective data about the research topic. The writers used both primary and secondary methods for obtaining larger data in regards to the pressure ulcer. It is found that effective prevention and training can help to reduce the level of pressure ulcer and avoid treatment costs easily. The strengths of the paper include reduced research gaps, enhanced research quality by including effective methods,and highlighted complete information about the research topic and many more. However, the writers did not provide alternative prevention programs for managing the problem of pressure ulcer that produced gaps in the research. Article 3: Effectiveness of Pressure Ulcer Prevention Strategies for Adult Patients in Intensive Care Units: A Systematic Review The objective of the paper is to synthesize the evidence about the effectiveness of strategies developed to manage the pressure ulcer injury (Tayyib, & Coyer, 2016).The investigators examined that pressure ulcers are linked with the health burdens that may be preventable by using effective approaches and strategies. A research strategy was adopted for retrieving investigation published in the past years in regards to the pressure ulcers. There are various methods were adopted including quasi-experimental, randomized controlled trials and comparative investigations. Data and facts were obtained through
LITERATURE REVIEW3 secondary methods and analyzed using content analysis techniques. It is found that the writers provided a way to enhance skills in regards to the pressure ulcer and manage such health problems effectively. However, the researchers did not include negative impacts of a pressure ulcer on the human body due to which the readers are not able to evaluate the other health issues linked with the pressure ulcer. Conclusion It can be concluded that pressure ulcer is a serious problem that can be managed by implementing effective strategies and prevention programs in nursing home settings. The conducted literature review and a critical appraisal helped to enhance skills in regards to the pressure ulcer and evaluated the findings of recent papers. Therefore, it is reported that the previous studies provided complete information about pressure ulcer and highlighted effective prevention programs by which such issues can be managed in nursing home settings.
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LITERATURE REVIEW4 References Kwong, E. W. Y., Lee, P. H., & Yeung, K. M. (2016). Study protocol of a cluster randomized controlled trial evaluating the efficacy of a comprehensive pressure ulcer prevention programme for private for-profit nursing homes.BMC geriatrics,16(1), 20. Tayyib, N., & Coyer, F. (2016). Effectiveness of pressure ulcer prevention strategies for adult patients in intensive care units: a systematic review.Worldviews on Evidence‐ Based Nursing,13(6), 432-444. Yap, T. L., Kennerly, S. M., Horn, S. D., Bergstrom, N., Datta, S., & Colon-Emeric, C. (2018). TEAM-UP for quality: a cluster randomized controlled trial protocol focused on preventing pressure ulcers through repositioning frequency and precipitating factors.BMC geriatrics,18(1), 54.