Foam Dressing for Treating Pressure UlcersYour NameNR451 RN Capstone CourseTerm and Year FOAM DRESSING??2Foam Dressing for Treating Pressure Ulcers?Pressure ulcers are a type of hospital acquired condition that occur when an individual has in the same position for an extended period of time (Walker, Gillespie, Thalib, Higgins, & Whitty, 2017).
Pressure ulcers cause substantial pain and suffering to patients, as well as a significant financial burden to the healthcare institution (Demarré et al., 2015). Foam dressings are a type of intervention that are aimed at absorbing fluids from wounds while keeping them moistened, and some research has shown that these dressings may be superior to other types (Santamaria et al., 2015).
In addition to using foam dressings to prevent the occurrence of pressure ulcers, it is necessary to ensure that healthcare providers are well educated regarding the stages of development of pressure ulcers. Studies have shown that educational interventions can assist staff in identifying and classifying the skin lesions that are indicative of an impending pressure ulcer (Ham, Schoonhoven, Schuurmans, Veugelers, & Leenen, 2015). The aim of the present project is to implement an intervention program that will focus upon the identification and classification of pressure ulcers and the use of foam dressings for treating them.Change Model Overview?The ACE Star model utilizes five stages of knowledge transformation to provide a framework for operationalizing evidence-based practices (Anne Arundel Medical Center, 2018). This model utilizes discovery research, evidence summary, translation to guidelines, practice integration, and evaluation of outcomes as the stages in making a change (Anne Arundel Medical Center, 2018). The process of transforming knowledge into practice occurs in sequential and logical stages in this model. Nurses should use this model to facilitate change because it facilitates the discovery and evaluation of new evidence that can be incorporated into practice.Define the Scope of the EBPPressure ulcers impose a significant burden on the patient and the healthcare institution.
They occur when an individual has been sitting or lying in one position for an extended period of time, and are largely avoidable with proper staff training and implementation of care and management methods. Pressure ulcers are prevalent at differencing rates throughout the world, ranging from 4.7 to 25% (Kwong, Hung, & Woo, 2016). This problem impacts healthcare on a broader scale because these types of hospital acquired injuries are an indicator of the quality of care in a facility, and they have a significant negative impact on residents, healthcare providers, and the costs of healthcare (Kwong et al., 2016).
StakeholdersThe stakeholders in this project are the team leader, the charge nurse, supply management for unit stock, and of course, the patient.Determine Responsibility of Team MembersThese members are important to the project for various reasons. The team leader is responsible for initiating and following the intervention processes, as well as for evaluating the project at its completion and making recommendations. The charge nurse ensures that legal standards and organizational policies are met regarding wound care. Supply management locates and stocks the area with the foam dressings. Patients are important because they are directly impacted and can offer insight into their experience.
EvidenceThere are several types of evidence available concerning pressure ulcers in healthcare institutions. One study that is significant this project found that several factors that contribute to the incidence of pressure ulcers could be prevented with education and training (Kwong et al., 2016). A different research study found that by implementing an educational program, the identification and classification skills of healthcare personnel greatly increased (Ham et al.
, 2015), and this is consistent with the proposed project to utilize education and provision of foam dressings to prevent pressure ulcers.Summarize the EvidenceThe systematic review article examined the different types of dressings that are available to prevent pressure ulcers (Walker et al., 2017). They reviewed 9 trials with 483 participants. They found that the evidence is currently inadequate to say for certain that foam dressings are superior to other dressings for prevention of pressure ulcer, and this is largely because many of the studies had serious methodological limitations or small sample sizes. However, other recent research studies (see, for example, Santamaria et al., 2015) with larger sample sizes have shown that foam dressings are superior to other types of dressings.
Additionally, research has shown that educational programs can improve the ability of healthcare staff to identify incipient pressure ulcers and aid in their prevention (Ham et al., 2015; Kwong et al., 2016).Develop Recommendations for Change Based on Evidence?Based upon research, the recommendation is to provide educational programs to healthcare staff concerning the identification and classification of pressure ulcers. Foam dressings should also be supplied in order to assure that the best preventive and treatment materials are available.
TranslationAction PlanThe action plan will be implemented by conducting a series of in-service trainings for nurses and ancillary nursing staff. This training will focus upon the identification and classification of pressure ulcers, as well as the most current evidence-based practice methods for treating impending or already existing pressure ulcers. Additionally, the facility will be supplied with foam dressings, as these have been shown in research studies to be at least as good as, and potentially superior to, other types of dressings.
The in-services will be conducted over three different training sessions. The implementation of the in-services and the use of foam dressings will be conducted and evaluated after 6 months. At the 6 month period, the incidence and prevalence of pressure ulcers will be compared to the facility’s incidence and prevalence of pressure ulcers at baseline (just before the initiation of the trainings). The results will be reported in a paper and a PowerPoint presentation to the hospital administration, to the nursing staff, and to the professor in charge of this student project.Process, Outcomes Evaluation and ReportingThe desired outcome is that the incidence and prevalence of pressure ulcers will decrease.
This will be measured by assessing the rates of pressure ulcers pre- and post-intervention. The results will reported to key stakeholders in a paper and a PowerPoint presentation.Identify Next StepsIf the intervention is successful it will be implemented throughout the facility. It will be suggested to administration that the in-service trainings and the foam dressings be made available to all units.
To ensure that the implementation becomes permanent, it will be necessary to show that there are positive results at 6 month intervals.Disseminate FindingsFindings will be communicated within the organization via a written report and a PowerPoint presentation. Findings will be written up and submitted for publication to a peer-reviewed journal, and potentially presented at a national nursing conference.
Conclusion?Pressure ulcers are a preventable hospital acquired injury. Their occurrence can be reduced through the use of foam dressings and the education of healthcare staff. The ACE star change model provides a framework of knowledge acquisition, integration into practice, and evaluation that allows for appropriate utilization of the most current evidence based practices.
The project proposed here will implement foam dressings and education to reduce the incidence and prevalence of pressure ulcers in a healthcare facility.