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Evidence-based Practice Project

Evidence-based Practice Project Evidence-based Practice ProjectMy proposed evidence-based practice project is- PICOT statement is “In hospitalized surgical patients, how does redistributing surfaces compared to standard of care affect the occurrence of pressure ulcers?” (Melnyk&Fineout-Overholt, 2015).P: Surgical patients in the hospitalI: Standard of careC: Pressure redistribution surfacesO: Prevention of pressure ulcersT: During hospital stayThe essay needs to be based on this project.ORDER A PLAGIARISM-FREE PAPER HEREEvidence-based Practice ProjectProposed solutionPatients often succumb to potential risks arising from pressure ulcers.According to research, one of the prevention strategies for pressure ulcers includes repositioning of the patient, moisturizing frail skin, and upgrading the nutritional value of the patient(Roberts, Desbrow, &Chaboyer, 2016).Particularly, pressure-redistribution surfaces reduce the strain exerted on one local area, and this decreases the development of pus. Patients at risk of developing pressure ulcers should sleep on pressure-relieving foams, as compared to the normal hospital mattress.Pressure ulcers occur due to friction, pressure, and shear. For this reason, pressure-redistribution surfaces should also be used frequently. For example, a caregiver should consider pressure-redistribution surfaces during the postoperative period for patients at high risk and surgical-related patients with possiblepressure ulcers.Evidence-based Practice ProjectOrganizational cultureDespite the numerous efforts to reduce and prevent pressure ulcers in different health organizations, it is a persistent problem in health care. It is most common in people advanced in age, prolonged immobility, and those with impaired sensation (Taylor, 2017).However, the organizational culture of this healthcare institution ensures that caregivers work in teams, and reasonable shifts to manage patients with and without pressure ulcers. Equally, the values of the organization support the quality of care for all patients despite their financial and cultural backgrounds. Clinicians are also required to attend to patients with utmost respect and confidentiality of their health condition. The facility also ensures that patients access the right equipment required during treatment. Therefore, pressure-redistribution surfaces remain as the main solution to pressure ulcers, as it complies with the organizational culture.Evidence-based Practice ProjectExpected outcomesThe main objective of using pressure-redistribution is that the surfaces enhance comfort and the quality of life of the patient.It is expected that the facility will hire and train more therapeutic support staff, who specialize in providing specialized pressure-redistributing surfaces. Besides, other support services include managing the temperatures of the area between the patient’s skin and the surface. Apart from the practice of pressure-redistribution, caregivers would adapt to better dietary plans for the patients, especially foods that promote blood flow and prevention of diseases (Waugh, 2014).Additionally, it is expected that caregivers access the correct equipment that enhances a patient’s comfort and hygiene.Evidence-based Practice ProjectMethod to achieve outcomesPressure ulcers condition is the most costly form of hospitalization globally.However, many healthcare institutions lack enough resources to support the implementation process of curbing this problem.  For this reason, there is a need to source for adequate finances to facilitate care for patients with pressure ulcers. Alike, other funds would be allocated for funding prevention strategies against pressure ulcers. According to (Shi, Dumville, & Cullum, 2018),nurses have little access to literature related to contemporary care for pressure ulcers. Thereby, nurses would be provided with ample access to data regarding prevention measures,and treatment of pressure ulcers, to promote knowledge on effective pressure-redistribution strategies.Evidence-based Practice ProjectOutcome impactInitially, health care systems failed to account for the amount of money spent in the treatment of pressure ulcers. Patients with pressure ulcers always move from one department to another. To curb these miscalculations, nurses will reduce the cost of treatment by employing the correct treatment (Taylor, 2017). Besides, the prevention measures would help families to reduce the amount of resources used to access care. Patients with pressure ulcers remain as inpatients for long. Through pressure-redistribution strategy, family members could manage the patient at home. Resultantly, this reduces the costs linked to treatment of stage IV ulcers.Evidence-based Practice Project  ReferencesRoberts, S., Desbrow, B., &Chaboyer, W. (2016). Feasibility of a patient-centered nutrition intervention to improve oral intakes of patients at risk of pressure ulcer: A pilot randomized control trial. Scandinavian Journal of Caring Sciences, 30(2), 271-280. doi:10.1111/scs.12239Shi, C., Dumville, J. C., & Cullum, N. (2018). Support surfaces for pressure ulcer prevention: A network meta-analysis. Plos ONE, 13(2), 1-29. doi:10.1371/journal.pone.0192707Taylor, C. (2017). Importance of nutrition in preventing and treating pressure ulcers. Nursing Older People, 29(6), 33-39. doi:10.7748/nop.2017.e910Waugh, S. M. (2014). Attitudes of nurses toward Pressure ulcer prevention: A literature Review. MEDSURG Nursing, 23(5), 350-357. Evidence-based Practice Project

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