724.8.5 : Foundations of Inquiry
The graduate differentiates between quality improvement processes, evidence based practice, and research.
724.8.6 : Literature Review and Analysis
The graduate demonstrates knowledge of the process and outcomes of conducting a literature review.
724.8.7 : Ethics and Research
The graduate demonstrates understanding of the ethics of nursing research, particularly human subjects’ protections, informed consent, and alignment with patient and family values and preferences.
724.8.8 : Patient Outcomes
The graduate discriminates between identified standards and practices that do not provide improvements in patient outcomes utilizing relevant sources of evidence and the application of nursing theory.
724.8.9 : Data Collection, Analysis, and Dissemination
The graduate describes the process of data collection, analysis, and implementation of evidence that can improve clinical practice from an interprofessional perspective.
In this task, you will identify a healthcare problem and develop a PICO question that can be answered using evidence. You will identify a single intervention and then search for five research articles and two non-research articles that support that change practice.
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A. Write a summary of the significance and background of a healthcare problem by doing the following:
1. Describe a healthcare problem that can be used to develop a PICO question.
Note: You may use the same topic and the same research articles that were used in Task 1 provided they support the proposed intervention. Or you may choose a different topic and select articles focusing on one of the following topics: falls and fall prevention, pain management in children, opioid abuse, hepatitis C, catheter-associated urinary tract infections, and hand hygiene and infections in hospitals.
2. Explain the significance of the problem from part A1.
3. Describe the current healthcare practices related to the problem from part A1.
4. Discuss how the problem affects the organization and patients’ cultural background (i.e., values, health behavior, and preferences).
B. Complete a literature review by searching for a total of seven articles consisting of five research articles and two non-research articles related to the healthcare problem from part A1, and describe the search strategy you used to conduct the literature review by doing the following:
1. Discuss two research evidence sources and two nonresearch evidence sources that you considered.
Note: Please do not use the same primary author for more than two articles. Articles must not be more than five years old.
C. Use your research articles to develop a PICO (patient/population, intervention/indicator, comparison/control, and outcome) question based on the topic.
D. Complete the attached “Evidence Matrix,” using the five research evidence sources from scholarly journal sources you located during the literature review in part B. For each article, address the following points:
Note: You may submit your completed matrix as a separate attachment to the task, or you may include the matrix within your paper, aligned to APA formatting standards.
Note: Upload a copy of the full text of the articles with your submission.
• author, journal name, and year of publication
• research design (e.g., quantitative, qualitative, mixed design, systematic review)
• sample size (e.g., numbers of study participants, number of articles, number of control group participants)
• outcome variables measured (e.g., identify what the research is measuring)
• quality (using the following scale: A, B, C)
• results/author’s conclusions (e.g., briefly summarize the outcome)
E. Recommend a practice change that addresses the PICO question, using the evidence collected in the attached “Evidence Matrix.” You must use all five research articles from the “Evidence Matrix” attachment to support this recommendation via in-text citations.
F. Describe a process for implementing the practice change from part E in which you do the following:
1. Explain how you would involve three key stakeholders in the decision to implement the recommendation from part E.
2. Describe two specific barriers you may encounter when implementing the practice change from part E in the nursing practice setting.
3. Identify two strategies that could be used to overcome the barriers described in part F2.
4. Identify one indicator to measure the outcome (the O in PICO question) of the recommended change practice from part E.
G. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
H. Demonstrate professional communication in the content and presentation of your submission.
Solution:
Pressure Ulcers among hospitalized elderly Patients
Health Problem and its Significance
The identified health problem is the increasing rates of pressure ulcers among hospitalized elderly patients in most facilities across the country. Moore, Webster, and Samuriwo (2015) indicate that pressure ulcers are areas of injury on the body that develop after prolonged compression of the skin of underneath tissues between an external surface. It has been established that pressure ulcers occur mostly in people with challenges of moving themselves. This explains why they are common among elderly hospitalized patients.
The increased rates of pressure ulcers in many facilities is a significant problem in the healthcare system in the country. Precisely, as indicated by Coffey, Fry, Cardenas, Wing, and Skinner (2015), pressure ulcers typically results in increased financial costs, which in turn present a substantial burned to the patients as well as their families. A study by Moore et al. (2015) revealed that pressure ulcers in the United States cost more than 11 billion dollars per year. Besides, each case of a pressure ulcer has been found to add over 4000 dollars in costs in a hospital. Taking this into account, it can be deduced that pressure ulcers present a substantial challenge to the healthcare system in the country.
Currently, in most healthcare facilities across the country, management of pressure ulcers among hospitalized elderly patients is typically performed by single professionals. As result, enhancing positive patient outcomes in regards to pressure ulcers has been challenging to a considerable extent. Nevertheless, it is expected that the use of wound-care team would go a long way in delivering better patient outcomes in relation to the prevention and treatment of pressure ulcers among hospitalized elderly patients.
Pressure ulcers impact the organizational values greatly. In this view, it is a fact that the primary goal of any health facility is to provide quality care to the patients. However, when pressure ulcers develop among hospitalized patients, the level of care in those facilities is questioned. This, in turn, compromises the reputation of the health facilities.
PICO Question and Table
Based on the information provided above, below is the PICO question for the health problem;
In hospitalized elderly patients with pressure ulcers (P) does the use of wound-care teams (I) in comparison to single professionals (C) helps in reducing the cases of pressure ulcers (O). This has been illustrated in the PICO table below…..Please click the icon below to purchase full answer at only $15