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Conceptual framework in nursing research
Conceptual framework in nursing research
Conceptual framework in nursing research
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A brief critique is presented about the study framework in the article, “The Skin Safety Model: Reconceptualizing Skin Vulnerability in Older Patients,” by Campbell, Coyer, and Osborne (2016). The Guidelines for Determining Study Strengths and Weaknesses by Grove, Burns, and Gray (2015) is utilized as a criteria for this critique (p. 459). Campbell et al. (2016) illustrated a Skin Safety Model (SSM) in their article published in the Journal of Nursing Scholarship. The Skin Safety Model (SSM) is based on a literature review from articles published in English between 1960 and December of 2014 (Campbell et al., 2016). The authors utilized databases including PubMed/Medline, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and Web of Science and Cochrane Library (Campbell et …show more content…
15, 18). The authors illustrated the SSM conceptual map in a clear and comprehensible manner that is easy to understand by identifying how the potential contributing factors to skin injury, along with the exacerbating elements, can lead to potential skin injuries such as pressure ulcer, skin tear, moisture-associated skin damage, and etc. (Campbell et al., 2016, p. 18). Lastly in the conceptual map, the authors enumerated the potential outcomes of skin injury in order of disease progression, as well as death (Campbell et al., 2016, p. 18). In addition to its conceptual map, the framework links and supports the research purpose stated by the authors. Campbell et al. (2016) stated that their research purpose is, “to develop a unique skin safety model (SSM) that offers a new and unified perspective on the diverse yet interconnected antecedents that contribute to a spectrum of potential iatrogenic skin injuries in older hospitalized adults.” (p.
As a result of Lily’s extensive hospitalisation period, a grade 3 pressure ulcers developed on her buttocks. A pressure ulcer is a localised injury to the skin which is usually located over a bony area as a result of pressure or pressure combined with friction (Willock et al., 2007). According to Sibbald et al., (2003) excreted bodily fluids are often common factors which contribute to the breakdown of skin, especially as a consequence of urinary or faecal incontinence. There were many factors which contributed to the breaking down of Lily’s skin, such as infrequent nappy changes and lack of mobilisation. Ensuring the maintenance of skin integrator within the critical care setting has its challenges. Often, patients are attached to multiple
...ssure ulcers can be preventable if there is a systemic and multi-professional approach to their prevention and continuing assessment of skin integrity. Mary was determined and worked well with the physiotherapist; she was up and on her feet within a week of returning. Staff had to prompt her to move around the ward, which at times was hard for her due to her anxiety. Mary was deemed high risk for falls, so was put on a prevention of falls chart in conjunction with the pressure area chart and repositioning chart.
This tool is geared towards the older adult population. When evaluating the effectiveness of this tool, all physiologic factors of the patient have to be considered. Skin assessments should be performed and risks identified that could contribute to a pressure ulcer. There is no financial increasing when implementing this evidence based practice. The Skin Safety Model is merely assessing the patient’s skin during routine assessments. Document progress is writing the progress or decline of the patient’s skin integrity in the chart. With this model, the outcome should overall be positive because this ensures that the patient’s risk factors are acknowledged and nurses are assessing patients
With noticeable increase in chronic diseases, trauma, and increasing number of aging population, nurses are required to be in the position of providing pressure ulcer care and prevention. Immobility, advanced age, incontinence, prolonged pressure or friction, inadequate nutrition, dehydration, anemia, hypoxemia, multiple comorbidities, sensory deficiency, thin skin, prominent bony prominences, circulatory abnormalities, pain, and smoking are important risk factors. The barriers in the implementation of preventive measures are staff shortage, shortage of pressure relieving devices (e.g., foam or air mattresses), excessive workload, and uncooperative patients. The Centers for Medicare and Medicaid Services has classified the pressure ulcers as a preventable Hospital Acquired Conditions and stopped reimbursing for such hospital acquired conditions. In the United States, the cost of an individual patient care per pressure ulcer includes skin cleanser, moisturizer, dressings, wound debridgement, antibiotics, analgesics, turning sheet and support surfaces, nursing time for risk assessment, monitoring, and repositioning. It is the second most common claim after wrongful death and greater than falls or emotional distress. No matter what causes the pressure ulcers, the presence or absence of pressure ulcers is generally regarded as a performance measure of quality nursing care and overall patient health. Pressure ulcers can be avoided by applying simple interventions like factor assessment scales and regular turning of the patient. Proper hydration, a balanced diet, activity, wound care, and keeping patient’s skin and body dry are treatment, as well as, preventive measures of this problem. A thorough physical assessment, risk assessment (using a risk assessment tool like Barden scale), repositioning, patient and caretaker education, effective communication, and
There are many causes of accidental death in the United States, one of the most commonly seen are burn injuries. Burn injuries can effect a victim both internally (lungs) and externally (skin), they are so serious that many major hospitals have a burn unit area solely for the treatment of burn victims. In this research paper we will discuss the important issues dealing with the injuries of a burn victim such as the etiology, epidemiology, pathophysiology, complications and treatment.
which is commonly diagnosed by prolonged pressure to the skin. A decubitus ulcer forms when constant pressure is put on skin and can damage the underlying tissue (Mayo Clinic, 2014). For example, persistent sitting in a wheelchair. It is an injury to the skin that is usually over a bony prominence like the sacrum (Kirman, C. et al. 2014). The National pressure ulcer advisory panel (NPUAP) explains that these sores result in ischemia, cell death, and tissue necrosis to the skin. The categories include four stages and two which are deep tissue injuries (NPUAP). Patients that use a wheelchair and have other disabilities have a higher chance developing pressure sores which limits their opportunity to position themselves (Mayo Clinic, 2014).
Quality improvement issues in healthcare focus on the care that patients receive and the outcomes that patients experience. Nurses play a major advocacy role for ensuring safe and quality care to all patients. Also, nurses share the responsibility in leading the efforts in improving patient care in all settings (Berwick, 2002). One of the ongoing problems plaguing hospitals and nursing homes is the development of new pressure ulcers in patients after admission. A pressure ulcer can be defined as a localized area of necrotic tissue that is likely to occur after soft tissue is compressed between a bony prominence and a surface for prolonged periods of time (Andrychuk, 1998). According to the Centers for Medicare and Medicaid, patients should never develop pressure ulcers while under the supervision of any medical institution because they are totally preventable (Berwick, 2002). The purpose of this paper is to discuss the problems associated with pressure ulcers, examine the progress on improving this specific issue, and explain the Plan, Do, Study, Act cycle that I would use to improve patient care in this area.
The skin is the largest organ in the body, covering the bones and internal organs, protecting them from injuries, it serves as a barrier to germs, and bacteria and helps to prevent fluid loss. The skin helps to control the body’s temperature and also aids in removing certain body wastes, therefore making it a vital organ just as any other organ such as the heart or brain.
There is a reason that meticulous hand hygiene is a standard of care for all patients-it saves lives. Hand hygiene is basic task that has many benefits. It is common knowledge that hand hygiene is a “good” habit. Knowing that information, we must now explore how well nurses and other health care professionals are adhering to the standards of appropriate and effective hand hygiene practices.
This literature review will analyze and critically explore four studies that have been conducted on hand hygiene compliance rates by Healthcare workers (HCWs). Firstly, it will look at compliance rates for HCWs in the intensive care units (ICU) and then explore the different factors that contribute to low hand hygiene compliance. Hospital Acquired infections (HAI) or Nosocomial Infections appear worldwide, affecting both developed and poor countries. HAIs represent a major source of morbidity and mortality, especially for patients in the ICU (Hugonnet, Perneger, & Pittet, 2002). Hand hygiene can be defined as any method that destroys or removes microorganisms on hands (Centers for Disease Control and Prevention, 2009). According to the World Health Organization (2002), a HAI can be defined as an infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission. The hands of HCWs transmit majority of the endemic infections. As
Wound healing is very prevalent for a variety of wounds, many of those being pressure ulcers in geriatric patients. The baby boomer generation is very large and within the next 30 years, the aging population will grow enormously, increasing the need for wound care. All nurses must be educated on the most up to date and best practice for healing wounds.
The main concern of new parents is what car seat is right for their newborn baby. Not only do they have to decide what car seat is right for them they have to make the more important decision which is if they should go rear facing or forward facing. In 2008, research was done to provide the information that kids under the age of two are 75% less likely to become injured in a rear facing car seat. Rear facing and forward facing seats have pros and cons depending on the severity and type of crash it is involve in . A rear facing can protect the child better in side impact crashes. During crashes the babies body is completely harnessed in so there is no dangerous movement made to pull the neck in the wrong way. Rear facing also has cons like their legs can be squished against the seat and cause an uncomfortable car experience. If there is a rear collision they could potentially be ejected from the car. Rear facing also can cause their legs to be squished against the seat.
Due to the high risk that pressure ulcers impose on the health of patients, nurses play a vital role in the prevention and treatment. “A pressure ulcer is a localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure or pressure in combination with shear and/or friction”, (Gulanick & Myers, 2014). All patients, no matter what age, ...
Many young adults do not take good care of their skin. As a result, the skin is likely to age prematurely. In most
It’s true what everyone talks about safety – you are the key to your safety, when you do it safely you do it the right way and the best gift you can give to your family is to always stay safe. We have been taught by our parents and teachers to be cautious while doing a number of things. That’s very essential in our daily lives, because one needs to be extra cautious to prevent unavoidable accidents. However, mishaps do happen everywhere in the safest of places, no matter how careful we are in our actions. It is highly unpredictable, what’s going to happen the very next instant. There are numerous incidences we come across like simple trips, falls, cuts due to sharp objects, burns or sudden worsening of a person’s health condition, causing