Module 2 Assessment: Clinical Inquiry, Research Methodologies Project

This assignment analyzes three peer-reviewed articles focused on pressure ulcer prevention. The first article investigates the effectiveness of soft silicone foam dressings through a randomized controlled trial, highlighting the strength of this methodology in minimizing bias and establishing superiority. The second article employs a qualitative approach, using semi-structured interviews to understand barriers and facilitators in preventing pressure ulcers in nursing homes, emphasizing the value of qualitative data in real-world settings. The third study utilizes a qualitative observational approach to assess the impact of interventions in reducing tracheostomy-related pressure ulcers in critical care units, underscoring the importance of monitoring and recording real-world conditions. The assignment includes a detailed examination of the aims, methodologies, strengths, reliability, and validity of each study, providing a comprehensive overview of the research and its implications for clinical practice.

© 2018 Laureate Education Inc. 1
Matrix Worksheet Template
Use this document to complete Part 2 of the Module 2 Assessment, Evidence-Based Project,
Part 1: An Introduction to Clinical Inquiry and Part 2: Research Methodologies
Article #1 Article #2 Article #3
Santamaria, N., Gerdtz, M.,
Sage, S., McCann, J.,
Freeman, A., Vassiliou, T., ...
& Knott, J. (2015). A
randomised controlled trial of
the effectiveness of soft
silicone multi‐layered foam
dressings in the prevention of
sacral and heel pressure
ulcers in trauma and critically
ill patients: the border
trial. International wound
journal, 12(3), 302-308.
Lavallée, J. F., Gray, T. A.,
Dumville, J., & Cullum, N.
(2018). Barriers and facilitators
to preventing pressure ulcers
in nursing home residents: A
qualitative analysis informed
by the Theoretical Domains
Framework. International
journal of nursing studies, 82,
79-89.
O’toole, T. R., Jacobs, N.,
Hondorp, B., Crawford, L.,
Boudreau, L. R., Jeffe, J., ... &
LoSavio, P. (2017). Prevention
of tracheostomy-related
hospital-acquired pressure
ulcers. Otolaryngology–Head
and Neck Surgery, 156(4),
642-651.
Richardson, A., Peart, J., Wright, S.
E., & McCullagh, I. J. (2017).
Reducing the incidence of pressure
ulcers in critical care units: a 4-year
quality improvement. International
Journal for Quality in Health Care, 1-7.
issue
brief
elated
f
This article is related with the
clinical issue of interest as it is
dealing with the prevention of
pressure ulcers. This paper had
shown the importance of
reducing the formation of
pressure ulcer. The patients in
the intensive care unit are
more prone to develop the
pressure ulcers. So the patients
of the intensive care unit were
given the importance
This article has been chosen as
this article is related with the
clinical issue. The barriers and
facilitators to prevent the
formation of pressure ulcer
has been discussed. The
pressure ulcers are localized
damages of the skin and the
tissues underlying the skin.
The individuals or the patients
who are at risk of evolving
pressure ulcer includes those
people who are severely ill,
aged persons, suffering from
reduced mobility and lack of.
So most of the residents of
nursing home are lying at the
risk.
This research paper is related
with the clinical inquiry as it is
dealing with the prevention of
tracheostomy related pressure
ulcers acquired in the hospital.
Since he last few years, there
has been an increasing
emphasis on the improvement
of the quality of the health
care mainly delivered in the
United States.
This article is related with this clinical
issue as it is dealing with the critical
care of patients who are at the risk of
several risk factors for developing
pressure ulcer and implementing the
prevention interventions have shown
in reducing the risk of the diseases.
f
r
The aim of this research paper
is to identify the efficiency of
several coated soft silicon
foam coverings for inhibiting
the formation of pressure ulcer
in the units of intensive care.
The objective of this papers is
to understand the aspects of
prevent the formation of
pressure ulcers in the nursing
care homes. The objective of
this research paper is to
identify and understand the
effective barriers and the
facilitators to the practices.
The objective of the study was
to identify the adjustment of
the perioperative tracheostomy
methods of care can reduce the
chances of pressure ulcer of
tracheostomy related or not.
The aim of this research study is to
decrease the incidences of pressure
ulcer in the units of acute care. The
study was a quality improvement
study.
he The research design of this The research methodology The research design was a The conducted study was qualitative
Matrix

© 2018 Laureate Education Inc. 2
Be
c.
experiment is randomized
control trial. The total number
of participants of the
experiment were 440 who
were suffering from trauma
and sere illness. The
intervention group consisted
of 219 patients who were
supplied with mepilex border
sacrum as well as dressings of
mepilex heel in the emergency
department. The result showed
that only few patient in the
group of intervention
developed pressure ulcer than
the control participants. The
study is a quantitative one.
which was used in conducting
this research was a semi-
structured interview. The
interviews were conducted
with the nurses of the nursing
homes, assistants of the
healthcare centers, nurses of
the nationality of the health
service nurses. The guide of
the interview was prepared by
using the Theoretical Domains
Framework in exploring the
obstacles and enablers to
prevent the formation of
pressure ulcer among the
residents of nursing home. The
obtained data were examined
by using a framework analysis
and the areas were recognized
as outstanding which are
dependent on their regularity
and the possible power of their
impact. The study was
qualitative one.
normal observational study.
All of the participants were of
18 years age who all
undergone placing of a
tracheostomy tube within the
working theatre from July 1of
2014, to June 30 of
2015 .They were cared for
after the operation by a quality
improvement protocol adopted
by the institution. The protocol
included the following
consituents: (1) placing of a
hydrocolloid dressing beneath
the tracheostomy extension
during the period of post
operation, (2) removing the
plate junctions within 7 days
of the tracheostomy (3)
placing a dressing of
polyurethane foam after
removing the suture and (4)
re-positioning it neutral of the
head. After one year of the
initiation of the bundle, a
surveying analysis was
conducted for comparing the
percentage of tracheostomy
patients who already had
grown pressure ulcers in
comparison to the period of
pre-intervention. It is a
qualitative study.
study which recognized a high chance
of bed sore in the four different adult
serious care centres in the
organization. So this avoided the
pressure ulceration which was the
important priority. Different non-
technical and technical mediations
were applied which were maintained
by clinical leaders on every units.
Important constituents were evidence
evaluations, changing the mattresses;
motivated risk identification along
with instructing patients at an high risk
to change the position within two
hours and training of staffs to improve
the awareness about the ways to
prevent the formation of ulcers. The
results showed successful reduction of
the chances of bed sore..
he
of the
ies
bility
he
plied
The strengths of randomized
control trials are this method is
the most suitable one to
compare and establish the
superiority.
It minimizes biases and other
co-factors.
The results are reliable as the
statistical results are
significant and interpretable
when the study is the
randomized one.
The strengths includes that the
obtained data require very
little time for planning.
The data re highly reliable and
valid.
The results of the case study
seems to be more subjective
one.
The results seem to be more
personal one.
The strengths includes proper
monitoring and recording the
conditions which exit in the
world.
It allow the consumers to act
together as well as separately.
It observe the actual situation.
It provides patients with
reliable observations or values
The strengths includes proper
monitoring and recording the
conditions which exit in the world.
It allow the consumers to act together
as well as separately.
It observe the actual situation.
It provides patients with reliable
observations or values

© 2018 Laureate Education Inc. 3
Reference
Lavallée, J. F., Gray, T. A., Dumville, J., & Cullum, N. (2018). Barriers and facilitators to preventing pressure ulcers in
nursing home residents: A qualitative analysis informed by the Theoretical Domains Framework. International
journal of nursing studies, 82, 79-89.
O’toole, T. R., Jacobs, N., Hondorp, B., Crawford, L., Boudreau, L. R., Jeffe, J., ... & LoSavio, P. (2017). Prevention of
tracheostomy-related hospital-acquired pressure ulcers. Otolaryngology–Head and Neck Surgery, 156(4), 642-651.
Richardson, A., Peart, J., Wright, S. E., & McCullagh, I. J. (2017). Reducing the incidence of pressure ulcers in critical care
units: a 4-year quality improvement. International Journal for Quality in Health Care, 1-7.
Santamaria, N., Gerdtz, M., Sage, S., McCann, J., Freeman, A., Vassiliou, T., ... & Knott, J. (2015). A randomised controlled
trial of the effectiveness of soft silicone multi‐layered foam dressings in the prevention of sacral and heel pressure
ulcers in trauma and critically ill patients: the border trial. International wound journal, 12(3), 302-308