NR 706 Week 6 Assignment; Practice Problem Analysis and Presentation - Pressure Ulcers and the Perioperative Environment

Pressure Ulcers and the Perioperative Environment NR 706: Week 6 Practice Problem Analysis Assignment Dr. E. Hunt Pressure Ulcers and the Perioperative Environment Presenter Notes 14:52:42 -------------------------------------------- Hello. I am ………… and today I will be presenting the practice problem of pressure injuries in the perioperative environment. As a Director of Perioperative Services of a large healthcare organization, my team and I pride ourselves in providing high quality patient care. With increased emphasis on the prevention of hospital-acquired injuries and infections, the chosen practice problem has moved to one of the top four safety concerns, behind catheter-associated urinary tract infections (CAUTIs), central line-associated bloodstream infections (CLABSIs), and surgical site infections (SSIs). Pressure ulcers are quite common in various patient settings and have been associated with high treatment costs and adverse health outcomes (Black, Fawcett, & Scott, 2014). Recently, there has been more emphasis on the prevention of hospital-acquired pressure injuries (HAPIs) and hospital-acquired pressure ulcers (HAPUs) for surgical patients undergoing lengthy, complex procedures. As a Doctor of Nursing Practice (DNP) scholar, it is imperative for best clinical practice that evidence and published literature are fully synthesized in order to address the rising incidence of HAPUs and HAPIs. DNP scholars are expected to lead organizational culture and change by gathering and translating scholarly information to be used in the clinical setting (Beeber, Palmer, Waldrop, Lynn, & Jones, 2019). Evidence and clinical studies aid the DNP leader to build processes and encourage structured guidelines to positively impact healthcare quality and outcomes. The following presentation will synthesize evidence-based literature using a PICO-T question that focuses on pressure injuries in the perioperative setting, while appraising current analysis in order to translate a pathway into clinical practice. Practice Problem Identification PICO-T Question: In patients experiencing over two hours of surgical time, how effective are guidelines, tools, and educational modules, compared with only education modules in reducing the future risk of pressure injuries over eight weeks? PICO-T Components: P (Patient/Population)- Patients experiencing over two hours of surgical time I (Intervention)- Guidelines, tools, and educational modules C (Comparison)- Educational modules O (Outcome)- Reducing the future risk of pressure injuries T (Time)- Eight weeks Presenter Notes 2022-05-13 14:52:42 -------------------------------------------- The PICO-T question being addressed is: In patients experiencing over two hours of surgical time (Patient/Population), how effective are guidelines, tools, and educational modules (Intervention) compared with only educational modules (Comparison) in reducing the future risk of pressure injuries (Outcome) over eight weeks (Time)? The PICO-T question will be examined by analyzing literature and studies on perioperative pressure ulcers and the support for prevention measures. Background & Significance Research Evidence Hultin, Karlsson, Ohrvall, & Gunningberg (2019) conducted a qualitative content analysis with semi- structured interviews Sample: Thirty-one orthopedic surgical patients that were 65 years and older Findings: Patient knowledge and education increased with patient participation in pressure injury prevention Continuous Bedside Pressure Mapping (CBPM) encouraged checks and repositioning by patient and staff Pressure injury information should be individualized and clearly communicated Authors found that participants who were given ample