Evidence-Based Therapeutic Interventions for Pressure Ulcers

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the student
Name of the university
Author note

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Outline of the clinical issue
Clinical experiences are situations that help the nursing professionals to understand
critical aspects of healthcare while providing care to patients (Missen, McKenna& Beauchamp,
2016). Clinical nursing problems are the critical conditions, in which it is important that the
nursing professionals implement critical care so that these conditions could be treated effectively
(Sving, Högman, Mamhidir and Gunningberg, 2016). One such critical condition is pressure
ulcers in patients. As per Qaseem, Humphrey, Forciea, Starkey and Denberg(2015), pressure
ulcers arecritical conditions due to which majority of the patients are unable to lead effective
lifestyle or develop and also increase the cost of living. If the pressure ulcer related conditions
are not treated effectively, then it would create critical conditions such as poor nutrition and
hydration condition, increased lack of sensory conditions, immortality and critical health
conditions (Haugland&Giske, 2016). As per the Australian bureau of statistics, more than 70%
of patients that have been admitted in the healthcare facilities suffer from moderate to severe
pressure ulcer related conditions and in such condition, they should be provided with critical
healthcare interventions so that they could overcome these health conditions.
Therefore, the primary aim of this paper is to develop an effective evidence based search
so that the appropriate research articles could be found and through the help of that evidence
search, critical articles could be collected and a literature synthesis could be developed. Further,
thorugh these practice chances, this paper would help to identify the aspects that would develop
further recommendations for the changes that need to be taken for the practice.
Clinical question
Population Intervention Comparison Outcome

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patients
suffering from critical
pressure ulcer
condition
Usage of
therapeutic
intervention
compared to
medicinal
interventions
improved
conditions
The question: does the evidence based therapeutic interventions helps the patients
suffering from pressure ulcer to obtained improved condition compared to medicinal or
pharmaceutical intervention?
Evidence search
To collect latest evidences for the identification of therapeutic interventions to overcome
the critical health complications of pressure ulcers in patients who are being admitted to
healthcare facilities, an evidence based search strategy would be conducted. The scientific
database of Pub Med would be used for this purpose asSving et al. (2016) mentioned this
database 40 one of the leading and accurate database for scientific evidences. To collect recent
and accurate databases, key words such as “therapeutic intervention”, “pressure ulcer”,
“improvement”, and “effective intervention” and through the usage of Boolean operators (AND,
OR, NOT), these keywords would be searched in permutation and combinations to find out
several accurate and appropriate research articles. Multiple inclusion and exclusion criteria
would be implemented in the search process and the search results would be refined using
publication years (2014 to 2019), research type (primary or secondary), higher or lower level of

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evidence (as per the NHMRC hierarchy of evidences) so that refined and relevant research
articles could be selected for this analysis.
The five research articles that were included after conduction of evidence based search
included two systematic reviews, one descriptive qualitative study, a quasi experimental study
and a cross sectional research process. These research articles were included in the NHMRC
hierarchy of evidences as level of evidence 1, level of evidence 4, and level of evidence 3
respectively.
Literature synthesis of best evidence
The first evidence collected from the search evidences is conducted by Tayyib and Coyer
(2016) so that the complication related to Hospital‐acquired pressure ulcers (HAPUs) could be
effectively overcome and the quality of care could be eliminated. This paper identified all the
aspects so that the incidences and prevalence of this health condition could be controlled. There
are multiple research evidences that were collected from this research process, such as
polarization light, repositioning and mobilization therapies, nutritional aspects and
implementation of support surfaces would help the patient to overcome the HAPU related
complications. These results are reliable and valid as there are multiple research processes found
repositioning and mobilization therapy to be effective in providing patients with HAPU in
effective relief. Therefore, application of this could be easily help the patients that are suffering
from moderate to severe pressure ulcer conditions. Therefore, the research article by Tayyib and
Coyer (2016) helped to identify effective therapeutic intervention for the patients with pressure
ulcers.