While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students

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While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Also need to have a copy of Turn it in report.

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students
Literature Evaluation Table Student Name: Change Topic (2-3 sentences): The main topic is whether pressure ulcers in healthcare facilities can be avoided through turning patients after an hour or using automated beds. Authors have argued that turning patients is more practical. Criteria Article 1 Article 2 Article 3 Article 4 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Aase Fremmelevholm, & Knaerke Soegaard.  British Journal of Nursing 2019, Vol 28, No 6: TISSUE VIABILITY SUPPLEMENT https://doi.org/10.12968/bjon.2019.28.6.S6 Amos Wung Buh, Hassan Mahmoud, Wenjun Chen, Matthew D F McInnes,2 Dean A Fergusson. http://dx.doi.org/10.1136/bmjopen-2020-043042 Mohammad Y.N. Saleha, Panos Papanikolaoub, Omayyah S. Nassarc, Abeer Shahind Denis Anthony. Journal of Tissue Viability 28 (2019) 210–217 https://doi.org/10.1016/j.jtv.2019.10.005 Amit Gefen, Paulo Alves, Guido Ciprandi, Fiona Coyer, Catherine T Milne, Karen Ousey, Norihiko Ohura, Nicola Waters & Peter Worsley https://doi.org/10.12968/jowc.2020.29.Sup2a.S1 Article Title and Year Published Pressure ulcer prevention in hospitals: a successful nurse-led clinical quality improvement intervention 2019 Effects of implementing Pressure Ulcer Prevention Practice Guidelines (PUPPG) in the prevention of pressure ulcers among hospitalized elderly patients: a Systematic review protocol. 2021 Nurses’ knowledge and practice of pressure ulcer prevention and treatment: An observational study. 2019 Device-related pressure ulcers: SECURE prevention. 2020 Research Questions (Qualitative)/ Hypothesis (Quantitative) This article’s hypothesis sought to develop a nurse-led quality improvement project and prompted action to reduce pressures ulcers. The research question will be to understand the effectiveness of implementing the pressure ulcers prevention methods. The hypothesis was seeking to understand potential factors that hinder nurse’s implementation of pressure ulcers prevention. The hypothesis was to seek to understand how using medical devices increases the risk of pressure ulcers. Purposes/Aim of Study The study aimed to assess how clinical practices can reduce pressure ulcer bundles from 2010 to 2018. The aim will assess the effectiveness of the methods used in managing pressure ulcers among elderly patients. The study aimed to understand whether nurse’s knowledge affects the treatment and prevention of pressure ulcers. This study aimed to establish how medical devices increase pressure, shear, and friction risks leading to tissue and cell deformation. Design (Type of Quantitative, or Type of Qualitative) A quasi-experimental design descriptive design A quasi-experimental design was implemented. A descriptive design Setting/Sample Fifty health departments at the Odense University Hospital were involved. Library research was done from sites including n Medline Ovid, Cumulative Index to Nursing and Allied Health Literature, PubMed, Embase, Cochrane Library, Scopus, and Web of Science 318 patients, 377 nurses were involved from 11 hospitals. N=2079 Methods: Intervention/Instruments Individualized nurse interventions were involved. Analysis of the statistical assessment and the instrument review. In comparison, important data will be extracted to the excel program. Therapeutic intervention and individual intervention strategies were used. Individualized nurse interventions were involved in understanding how medical devices cause pressure ulcers. Analysis The data was collected from the departments concerning the new cases of pressure ulcers. A meta-analysis occurred where various studies will be combined to access the pressure ulcers recommendations. A self-reported cross-sectional survey was used and 8-h observation. SPSS analysis was conducted. Key Findings After 6 years of study (2018), the pressure ulcers reduced by 2%, with just one at stage 3. The research has not occurred yet since this is a proposal. A higher nurse-to-patient ratio determined whether pressure ulcers would occur or not. The use of devices within various healthcare organizations gradually increases pain, scar, and permanent hair loss and reduces the quality of life. Recommendations Pressure ulcer prevention should be incorporated in the clinical practice within all hospitals departments. Therapies can be used in addressing pressure ulcers. In comparison, treatments and prevention like nutrition should be considered. Training should be implemented to increase nurse knowledge of pressure ulcers. Nurse patient ratio should be reduced to prevent pressure ulcers. The authors indicate that future technologies will be essential in reducing pressure ulcers by using non-contact devices when handling patients. Explanation of How the Article Supports EBP/Capstone Project The article applies therapeutic strategies to reduce and recommend pressure ulcers control mechanisms. Therapeutic approaches are addressed in the article that helps in preventing pressure ulcers among patients. The article applies therapeutic strategies to reduce and solve pressure ulcers complications. The article applies therapeutic strategies to reduce and solve pressure ulcers complications. Criteria Article 5 Article 6 Article 7 Article 8 Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article Yukyeong Seoa,& Young Sook Roh. https://www.sciencedirect.com/science/article/pii/S0260691719301868 Horup, M. B., Soegaard, K., Kjølhede, T., Fremmelevholm, A., & Kidholm, K https://doi.org/10.12968/bjon.2020.29.12.S24 Lichterfeld-Kottner, A., Lahmann, N., & Kottner, J. Journal of tissue viability, 29(3), 204-210. https://doi.org/10.1016/j.jtv.2020.05.001 Gefen, A., Cohen, L. P., Amrani, G., Hoffer, O., & Ovadia‐Blechman, Z. https://www.woundsme.com/uploads/resources/5f958a872d64bd831beff058a6ac9b36.pdf Article Title and Year Published Effects of pressure ulcer prevention training among nurses in long-term care Hospitals. 2020 Static overlays for pressure ulcer prevention: a hospital-based Health technology assessment. 2020 Sex-specific differences in prevention and treatment of institutional-acquired pressure ulcers in hospitals and nursing homes. 2020 The roles of infrared thermography in pressure ulcer research focus on skin microclimate induced by medical devices and prophylactic dressings. 2019 Research Questions (Qualitative)/Hypothesis (Quantitative) The research question was “how nurses caring for elderly patients with a high risk of pressure ulcer at long-term care hospitals Require the necessary knowledge, behaviors, and attitudes regarding preventing pressure ulcers? The hypothesis understood how pressure ulcers could be prevented through altering air mattresses. The hypothesis was seeking to understand how men and women respond differently to evidence-based care. The hypothesis is seeking to reduce human suffering in healthcare centers by preventing potential pressure ulcers. Purposes/Aim of Study There are identifying the effects of pressure ulcer prevention training on nurses’ behavior, attitude, and knowledge in managing pressure ulcers. The study aimed to understand how altering air mattresses can be used for managing pressure ulcers. The research aimed to provide the differences between women and men patients in preventing and treating pressure ulcers. The study aimed to understand how pressure ulcers reduce healthcare costs and reduce litigation risk and hospital stays. Design (Type of Quantitative, or Type of Qualitative) A quasi-experimental design was used. quasi-experimental design and questionnaire Secondary data analysis occurred. quasi-experimental Setting/Sample 30 participants 1557 patients were involved in the experiment, while 55 answered the questionnaire. 38,655 nursing home patients were involved. There is no sample indicated. Methods: Intervention/Instruments Therapeutic intervention strategies. Therapeutic intervention strategies through air mattresses. Therapeutic intervention strategies. Application of therapeutic strategies was used in reducing pressure ulcers. Analysis SPSS. SPSS SPSS SPSS Key Findings There should be pressure training and prevention made on a lecture or team-based learning methods. They discovered that air mattresses were essential due to improved mobility and less noise. The men were at a higher risk of acquiring pressure ulcers compared to women. They discovered that IRT is a great method of bioengineering in preventing pressure issues. Recommendations Organizations should develop lecture-based or team-based learning methods for training about pressure ulcers management for patients. The static overlays should be considered the alternatives to air mattresses when preventing pressure ulcers. Healthcare facilities should consider gender as a potential risk factor in preventing pressure ulcers among male patients. The authors argue that ART should be used in research more about pressure ulcers. Explanation of How the Article Supports EBP/Capstone Therapeutic approaches are addressed in the article that helps in preventing pressure ulcers among patients. The article applies therapeutic strategies to reduce and solve pressure ulcers complications. Therapeutic approaches are addressed in the article that helps in preventing pressure ulcers among male. patients The article applies IRT therapeutic strategies to reduce and solve pressure ulcers complications References Buh, A. W., Mahmoud, H., Chen, W., McInnes, M. D., & Fergusson, D. A. (2021). Effects of implementing Pressure Ulcer Prevention Practice Guidelines (PUPPG) in the prevention of pressure ulcers among hospitalised elderly patients: a systematic review protocol. BMJ open, 11(3), e043042. http://dx.doi.org/10.1136/bmjopen-2020-043042 Fremmelevholm, A., & Soegaard, K. (2019). Pressure ulcer prevention in hospitals: a successful nurse-led clinical quality improvement intervention. British Journal of Nursing, 28(6), – S11. https://doi.org/10.12968/bjon.2019.28.6.S6 Gefen, A., Alves, P., Ciprandi, G., Coyer, F., Milne, C. T., Ousey, K., … & Worsley, P. (2020). Device-related pressure ulcers: SECURE prevention. Journal of wound care, 29(Sup2a), S1-S52. https://doi.org/10.12968/jowc.2020.29.Sup2a.S1 Gefen, A., Cohen, L. P., Amrani, G., Hoffer, O., & Ovadia‐Blechman, Z. (2019). The roles of infrared thermography in pressure ulcer research with focus on skin microclimate induced by medical devices and prophylactic dressings. Wounds Int, 10(1), 8-15. https://www.woundsme.com/uploads/resources/5f958a872d64bd831beff058a6ac9b36.pdf Horup, M. B., Soegaard, K., Kjølhede, T., Fremmelevholm, A., & Kidholm, K. (2020). Static overlays for pressure ulcer prevention: a hospital-based health technology assessment. British Journal of Nursing, 29(12), S24-S28. https://doi.org/10.12968/bjon.2020.29.12.S24 Lichterfeld-Kottner, A., Lahmann, N., & Kottner, J. (2020). Sex-specific differences in prevention and treatment of institutional-acquired pressure ulcers in hospitals and nursing homes. Journal of tissue viability, 29(3), 204-210. https://doi.org/10.1016/j.jtv.2020.05.001 Saleh, M. Y., Papanikolaou, P., Nassar, O. S., Shahin, A., & Anthony, D. (2019). Nurses’ knowledge and practice of pressure ulcer prevention and treatment: An observational study. Journal of tissue viability, 28(4), 210-217. https://doi.org/10.1016/j.jtv.2019.10.005 Seo, Y., & Roh, Y. S. (2020). Effects of pressure ulcer prevention training among nurses in long- term care hospitals. Nurse education today, 84, 104225. https://www.sciencedirect.com/science/article/pii/S0260691719301868
While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students
PICOT Statement and Question Based on the previous research, several methods have been implemented to reduce pressure ulcers within healthcare facilities. Therefore, the PICOT question for this paper will be “can pressure ulcers within critical care units be reduced/prevented after repositioning the patients after one or two hours in comparison to using a pressure distribution mattress? Pressure Redistribution Mattress and Repositioning Within healthcare facilities, Pressure ulcers can increase the costs of obtaining healthcare relatively, primarily by increasing the mortality and immobility rates. We have several tactics that can be used to protect patients from acquiring Pressure ulcers. Therefore, we will evaluate the most effective methods for this paper when comparing using pressure mattresses to patient repositioning in one to two hours. Rychetnik et al. (2012). The Evidence-Based Solution In our healthcare facilities, both pressure distribution and repositioning of patients is a common practice. Through repositioning, the patient’s position is changed either by healthcare staff or patients themselves. However, this process must occur within one to two hours intervals to reduce pressure on specific body regions and maintain tissue integrity. Additionally, through repositioning, the blood flow in the affected areas is enhanced. In contrast, pressure distribution involves the application of special devices, for example, EHOB or air mattress. This method is also effective in increasing blood flow to the body’s affected areas and reducing pain. Therefore, the two approaches help reduce risks on patients. Other examples of pressure distribution devices include; donut pillows, waffle cushions, and overlays mattresses. However, various studies have supported the application of pressure distribution devices while others don’t. Mervis & Phillips (2019). The Nursing Intervention For the two approaches to function appropriately, the nurses involved should be educated and conversant with using pressure redistribution devices and patient repositioning. The Pressure ulcers occurrence is reduced relatively through turning the patient within two hours. Additionally, it is vital to educate individuals about nurses’ application of devices that helps relieve pressure and increase blood flow to specific body regions. Therefore, Pressure ulcers are reduced by providing a range of motion to the patient, including moving their legs down or up and appropriately selecting the devices helps promote quality of life to the patient, which is among the aims of nursing practice. The Patient Cares It is important to train the staff about patient care to prevent the pressure ulcers. The length of stays in a healthcare facility and healthcare costs can be gradually reduced by applying repositioning and pressure devices for the patients. Additionally, patients’ comfort is improved relatively by using a pressure redistribution mattress that is either changed or sanitized regularly to ensure that they do not increase infection risks to the patient, improving the HealthCare results. The Healthcare Agency In nursing homes, AHRQ “agency for healthcare research and quality” is applied as the safety program through continued collaboration with the healthcare departments and facilities in addressing and reducing Pressure ulcers. The agency further gives a toolkit to cater to over two million patients within the critical care units. Their program additionally provides favorable prevention mechanisms through interdisciplinary tactics to provide devices to various facilities. Gefen et al. (2020). The Nursing Practices Some of the knowledge and skills gained after attending a nursing school include appropriate care for the patients, showing professionalism following ethical standards, providing emotional support to the ill, and affecting the patient’s family needs. Therefore, the nursing interventions like using pressure devices or repositioning should be enhanced through using precaution methods to promote the patient’s safety. Therefore, nurses should be trained to use proper techniques when transferring patients and using devices based on the current patient’s state. Additionally, Pressure ulcers can be reduced by the promotion of patient’s mental and emotional health. When patients are conscious, they should be sensitized on the importance of turning themselves or calling nurses when it’s time to get turned. Nurses should also be trained and expect to round in order to keep checking on their patients and ensure that needs are appropriately addressed. This will help in reporting injuries or Pressure ulcers complications in advance. Jackson et al. (2019). Conclusion In conclusion, the significant aims of nursing practice are promoting patient’s health and reducing the stay in healthcare facilities. For example, pressure ulcers within critical care units can be reduced by using pressure redistribution devices like mattresses or repositioning patients within two hours. References Gefen, A., Alves, P., Ciprandi, G., Coyer, F., Milne, C. T., Ousey, K., … & Worsley, P. (2020). Device-related pressure ulcers: SECURE prevention. Journal of wound care, 29(Sup2a), S1-S52. https://www.magonlinelibrary.com/doi/abs/10.12968/jowc.2020.29.Sup2a.S1 Jackson, D., Sarki, A. M., Betteridge, R., & Brooke, J. (2019). Medical device-related pressure ulcers: A systematic review and meta-analysis. International journal of nursing studies, 92, 109-120. https://www.sciencedirect.com/science/article/pii/S0020748919300379 Mervis, J. S., & Phillips, T. J. (2019). Pressure ulcers: Pathophysiology, epidemiology, risk factors, and presentation. Journal of the American Academy of Dermatology, 81(4), 881- 890. https://www.sciencedirect.com/science/article/pii/S0190962219300921 Rychetnik, L., Bauman, A., Laws, R., King, L., Rissel, C., Nutbeam, D., … & Caterson, I. (2012). Translating research for evidence-based public health: key concepts and future directions. J Epidemiol Community Health, 66(12), 1187-1192. https://jech.bmj.com/content/66/12/1187.short

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