Pressure Ulcer Prevention Bundles in ICU Settings Essay

PICOT Statement

For staff working in the intensive care unit (P), how does the implementation of a pressure ulcer prevention bundle (I) compared with usual care (C) impact the incidence of pressure ulcers (O) in 8 weeks (T)? Pressure Ulcer Prevention Bundles in ICU Settings Essay

Literature Support

Current ICUs oftentimes still face challenges with pressure ulcers, which are persistent and severe. Numerous prevention bundle approach was used to manage the problem of pressure ulcer and the outcomes of its feasibility have been investigated. The fact that ICU pressure ulcer preventions bundles according to, and revealed in two research studies, proves their effectiveness. Pressure Ulcer Prevention Bundles in ICU Settings Essay

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Articles Chosen

As the study was reported in the Wound Management and Prevention by Rivera et al. (2020), the bundle of pressure injury prevention measures in a critical care setting for adults were put in place. The study of their group explains the feelings, that bundles are importantly effective in decreasing the appearance of hospital-acquired pressure injuries, and which belongs to Level III evidence. Besides, in the same journal article, Titmazer and Tuzer (2019) conducted another study, in which they tried to find content validity of a pressure ulcer preventive care package. Alongside that, our team seeks to promote the comprehension of preventative bundles and their role in preventing ICU patients from pressure ulcers as well as the evidence from this study, which is of Level III. The consequent studies highlight the importance of conducting evidence-based prevention strategies as highlighted in the PICOT statement, capable of reducing the number of pressure ulcers which result among the critical care unit staffers between an eight-week period.Top of Form Pressure Ulcer Prevention Bundles in ICU Settings Essay

Key Search Terms and Primary Type of Evidence

The following are the main search terms that were used: “pressure ulcer prevention measures,” “intensive care area,” “pressure injury avoidance,” “conventional care vs., monitoring procedure,” and “incident of pressure ulcer.” Datasets are the main type of found research during my literature exploration on pilot experiment. Pressure Ulcer Prevention Bundles in ICU Settings Essay

Limitations Identified in the Literature

The literature in some studies presents small sample sizes, in others it can be observer data which relies on self-disclosed data and preliminary studies that did not use random assignment are among literature’s limitations. The limitations of having variable methodologies, defined outcomes and confounding factors may hinder the reliability and generalizability of the results.

Johns Hopkins Table Level and Quality Guide

John Hopkins evolver table of level and quality guide is allocating both the read articles as Level III. Although such studies have some drawbacks, their remarkable contributions include the ability to show that certain pressure ulcer prevention methods do indeed work and reduce the number of pressure sores seen in ICUs. Pressure Ulcer Prevention Bundles in ICU Settings Essay

Conclusion

Supported by research testing by proven technologies and measures, pressure ulcer prevention bundles can also diminish the pressure ulcer rates in Intensive Care Units (ICUs). Interventions like risk assessment, repositioning, skincare, nutrition and hydration management and tracking of and reporting pressure ulcer incidence are mostly elements of these bundles. The efficiency of this model for use in the intensive care units has been tested recently in two comprehensive studies. Rivera et al. (2020) reported a significant drop in new PIs in several trial projects that they conducted in adult CCU after establishing the DEPFI successful implementation. Tilmazer and Tuzer (2019) validation research content looks valid through the lens of preventative bundles, which function as a shield against pressure ulcers in ICU patients.  Pressure Ulcer Prevention Bundles in ICU Settings Essay Nevertheless, the data reveals that although its limitations i.e. small sample size and the fact that most of the data used in observational studies is usually self-reported there is still a noticeable reduction in pressure ulcer cases in intensive care units when the prevention bundles are implemented. Pressure Ulcer Prevention Bundles in ICU Settings Essay

References

Rivera, J., Donohoe, E., Deady-Rooney, M., Douglas, M., & Samaniego, N. (2020). Implementing a pressure injury prevention bundle to decrease hospital-acquired pressure injuries in an adult critical care unit: An evidence-based, pilot initiative. Wound Management and Prevention, 66(10), 22-29. https://doi.org/10.25270/wmp.2020.10.2229

Tilmazer, T., & Tuzer, H. (2019). Pressure ulcer prevention care bundle: A cross-sectional, content validation study. Wound Management and Prevention, 65(5), 33-35. https://www.hmpgloballearningnetwork.com/site/wmp/article/pressure-ulcer-prevention-care-bundle-cross-sectional-content-validation-study. Pressure Ulcer Prevention Bundles in ICU Settings Essay