Patients With a Braden scale Essay
In replies offer suggestions to help the person who posted with their search. Also kindly make suggestions on the PICOT questions of classmates to help each other out!
This is the discussion post that has been chosen for response:
The clinical issue I have decided to research is hospital-acquired pressure injuries. Hospital-acquired injuries affect both patients and hospitals. Any hospital-acquired pressure injury treatment is paid by the hospital, and patients are having to stay longer in hospitals to wait for their pressure injury to heal (Kim, et al., 2022). Studies have shown that repositioning patients off bony provinces, among other prevention practices, can help prevent pressure injuries in these areas. My hospital organization requires us to reposition patients with a Braden scale of less than 18 every two hours. I began to wonder why it is that we reposition every two hours and if this too frequent or not frequent enough? Patients With a Braden scale Essay
Having this question made me want to dig further into the evidence on pressure injury prevention. It is important that nurses want to understand why we do the things that we do. Asking questions and creating an environment to expand and learn helps provide a higher quality of patient care (Melnyk, et al., 2009). This lead me to develop my PICOT question: In hospitalized adults with decreased mobility how does every two-hour turns compared to every four-hour turn affect the number of hospital-acquired pressure injuries during a four-week hospital stay? Patients With a Braden scale Essay
The two databases I used to search for articles related to my PICOT question were Cochran and CINAHL. In the Cochran database, I first searched for hospital-acquired pressure injuries. 53 articles populated. Most of these were related to pressure injuries, but other topics with the words pressure and injury came up. Of the applicable articles found none of them were related to repositioning patients. By completing an advance search using Boolean I searched “hospital-acquired pressure injuries†and “position.†This search populated one article related to repositioning patients published within the last five years. Patients With a Braden scale Essay
While using the CINAHL database I started my search the same as Cochran. I initially searched for “hospital-acquired pressure injuries.†This search populated 233 articles. I narrowed down my search by including “position or turning or reposition.†This search populated 34 articles. I tried to narrow down my search further by adding the word “hourly†and this resulted in no articles. I changed the word “hourly†to frequency and two articles resulted that were appropriate for my topic. Patients With a Braden scale Essay
I think a way that I could improve my research is by familiarizing myself with the different databases in order to select a database with the appropriate material. Having the right database can help narrow down the search and select articles that are relevant to my topic and intervention. Another way that can help with my research is to determine the right words to utilize when searching. Sometimes I am too vague and too many articles results and other times I am too specific and nothing populates. Using Boolean terms can help me do this by directing the database on what to include and what to avoid when sea Patients With a Braden scale Essay