CLINICAL ISSUE AND QUESTION
Research is a systematic and scientific way of seeking information on a clearly defined question (Nagy, Mills, Waters & Birks, 2010). Nursing is an evidence based practice profession, therefore, research is an important aspect in nursing profession in order to develop knowledge in clinical practice, and administration. The clinical expertise of a nurse is based on the clinical experience, up to date knowledge of research and clinical literature and educational preparation. Therefore, it is clear that nursing research is an important aspect to develop knowledge about human responses and the best intervention to promote health, prevent and manage illness (Burns & Grove, 2010).
In this section, I would like to introduce the clinical issue of pressure ulcer among elderly bedridden patients in hospital settings. In my nursing practices in India, I witnessed and cared for several elderly bedridden patients with pressure ulcer. The most common practice that I noticed was repositioning. We used to …show more content…
86). The New Zealand wound care society sets the scene for November 21st as a worldwide ‘Stop Pressure Injury Day’ (Mckinnel, 2013) Pressure ulcer is the common problem in older adults. Within the first week of hospitalization 15% of elderly people develop pressure sores. Age related changes in the body systems cause skin to become more prone to breakdown, delayed healing and potential problems. Constant compression on the skin and blood vessel causes the impairment of cellular respiration which results in the death of cells and leads to form ulcer (Battaro & Barbara, 2013). Pressure ulcers can be prevented by early detection and high quality skin care, so, effective nursing care is essential to prevent pressure ulcers (Dziedzic,
Click here to unlock this and over one million essaysShow More
A family nurse practitioner could apply theory, information from research, and knowledge learned in class to formulate patient education strategies as well as to create patient education material. The nursing profession advocates for evidence-based practice. This requires the nurse to know, in order to provide proper care. Therefore, it is important to link research to nursing practice because the data collected through research makes it easier to make clinical decisions (Pipe, Wellik, Buchda, Hansen, & Martyn, 2005). An understanding of nursing theory would also prove important in handling nursing dilemmas by offering a systematic guide for handling nursing issues.
Evidence-based practice will definitely be more likely to thrive in environments where nurses feel they are being supported by both management staff and available resources. When nurses are offered further resources such as hands on training or simulation training that is backed by evidenced based research they can feel more secure and confident in the job they are able to perform during their shift. Nurses can thrive in their work place organization by building onto their basic knowledge and therefor enabling the nurse to climb the clinical ladder. As our book states “continuing to apply learning contributes to ongoing evidence based practice as one uses newer research and theory as a part of one’s practice.” Nurses who take control of their
“Systematic prevention programs have been shown to decrease hospital-acquired pressure ulcers by 34% to 50%” (ICSI, 2003). It is critical to identify all the risk factoEarly detection of risk status is critical because timely interventions can be designed to address specific risk factors. When the patients first get admitted to the hospital, an admission risk assessment is usually performed. In the assessment, nurses consider patient’s age, medical history, medications and prior history of pressure ulcers. These factors play an important part in providing the nurses with initial information about the patient.
The National Institute of Nursing Research The National Institute of Nursing conducts research to improve the health and well being of the population at large as they incorporate both clinical and research training on health and illness across all ages to prevent diseases, while they manage and improve the care of each individual. The goal of the research facility is to apply new technologies to promote health while developing scientist of the future ("National Institute of Nursing Research," 2011). There are three current methodologies to research; quantitative, qualitative, and outcome research. Examining all three closely reveals a complex distinction in methods of research. The quantitative method focuses on the formal, objective process
Nursing research is an integral part of the scientific enterprise of improving the nation 's health. The growing body of nursing research provides a scientific basis for patient care and should be regularly used by the nation 's 2.5 million nurses. Most studies concern health behaviors, symptom management, and the improvement of patients ' and families ' experiences with illness, treatment, and disease prevention. Research
The term Evidenced-based practice (EBP) is one of the most talked about concepts in healthcare. Nursing scholars, worldwide, have sought to provide healthcare workers with the evidence from research to be transform this into clinical care. To ease this transference of data into practice, scholars have developed EBP models. These models direct the researcher with the process from hypothesis to implementation of the data. The perplexity of EBP is that the data can come from research, clinical experience, patients, or local context and environment (Rycroft-Malone, et al., 2012).
Nursing profession is a practice that utilizes findings based on facts and/or evidence. In that, research plays a vital role in building a strong foundation to support the knowledge of nursing. In the profession of nursing field, research and/or evidence provides rationalized, cost-effective, and quality care interventions through validation (Barbara & Susan, 2014). It also assists with existing knowledge in creation of new ideas and innovations. Decisions are made based on research results.
Pressure ulcer is defined as skin breakdown and continuum of tissue damage of ischemic etiology secondary to high external pressure which usually occurs over prominences. Over bony prominences for 2 hours or more is enough to cause an ischemic wound.1 Individual who cannot independently reposition tend to be at the greatest risk for ulcer development.2 Pressure ulcers are the result of interplay of various intrinsic and extrinsic factors. The intrinsic factor includes immobilization, cognitive deficit, chronic illnesses, poor nutrition, use of steroids and aging.3 Orthopaedic wards already contain a higher proportion of beds with pressure sores than those of any other specialty. Orthopaedic patients with pressure ulcers experience greater morbidity and
The fields of nursing and medicine have a rich and fascinating history, dating back long before the outbreak of the First World War. Over the years, there have been significant advances in these fields as professionals have worked tirelessly to solve various challenges and problems. Despite the many obstacles they face, nurses and doctors remain committed to providing quality care to their patients, even in the face of great risk and uncertainty. During World War I, conditions in hospitals were often unhealthy and chaotic, resulting in the deaths of many wounded or injured soldiers. However, with the introduction of new technologies and techniques during World War II, medical professionals were able to make significant strides in their efforts to save lives.
In less acute circumstances, long term outcome of understaffing can also be detrimental to patient condition. Often, when a staff member is overwhelmed with the workload, nursing actions which are perceived less critical may be pushed to the back burner. Debilitated patients may not be turned and repositioned resulting in hospital acquired pressure ulcers, which not only affects patient outcome, but also taxes the hospital
1. CONCEPT 1-EVIDENCE-BASED PRACTICE IN NURSING This concept was deducted from module 2 with the topic “Concept of Evidence-based practice”. Evidenced-based nursing is a way of making decision and providing nursing care that is based on clinical issues and combine it with the most current, relevant research that is available on that issue. Evidence based nursing utilize the most up to date method of providing care, which have been proven via assessing high quality studies and statistically with significant research findings.
Nursing research is providing evidence used to support nursing practices, generate new knowledge, and promote evidenced-based nursing practice, ensure credibility of nursing profession, provide accountability for nursing practice and document effectiveness of nursing care. Nursing research also focuses on the understanding and relieving of the symptoms
We also did many in services with new products to treat and prevent pressure ulcers. We monitored the pressure ulcers if they were community, hospital, or unit acquired and then, the manager of the Wound Care Program had to send all this information quarterly to the NDNQI, and if we found many patients with newly hospital acquired pressure ulcers the Wound Care Program manager and her team had to implement a plan with new ideas to lower the pressure ulcers in the floors, and to educate the nurses and techs in order to be more successful in prevention of pressure ulcers because the treatment can be
This incident makes me think that I was not aware of the patient’s need. I should expect the risk can happen to patient especially patient who can walk and need to go to the toilet. After this incident I reflected on my nursing practice and concluded that I need to be more aware to improve my nursing care for a better outcomes of the patients.