(Solution) nr701 Week 3: Quantitative Evidence to Support Your Practice Change

  • Share the quantitative PICOT question you have been working on and refining thus far associated with the change in practice you want to make based on your Organizational Needs Assessment assignment, which is due this week.
  • Next, upload/share 2 contemporary (no more than 5 years old) primary quantitative research articles you found as part of your search for evidence on the first threaded discussion this week. Please attach these articles as PDF files in your primary response post.
  • Identify the model of appraisal you used and explain how you graded each article as it pertains to its level of evidence. How will you use this evidence as part of the support you need to make a change in practice?

Solution:

Problem:  increase in pressure ulcers in men and women over 65 in home health care settings.
Intervention:  the use of alternating low air loss mattresses and fluid filled products such as roho cushion/elastic foam in the management and prevention of pressure ulcers in a community setting.
Comparison/control: will measure and compare by assessing patient improvement by use of alternating mattresses and fluid filled products.
Outcome: prevention/reduction of pressure ulcers by use of the npuap push tool. (pressure ulcer scale for healing). The push tool uses 3 variables which are surface area (length and width), exudates amount and tissue appearance, to derive a numerical indicator of the status of pressure ulcers.

Obtaining quantitative evidence is highly crucial as it facilitates one’s propensity to develop better solutions to the problem at hand as well as support for the intervention to be implemented. Various literatures have scrutinized the impact of using alternating low air mattresses and fluid filled products to prevent and manage pressure among the elderly patients in home health care settings. A prospective observational study by Meaume and Marty (2015) performed on 92 patients with 30 patients in primary prevention and 62 in secondary prevention showed that, prior to intervention, 62 out of 92 patients suffered pressure ulcers. Following the implementation of alternating low air mattresses and fluid filled products, the number of pressure ulcer cases went down to 45 out of 92 patients. This study provides substantial evidence that the long patient stay on hospital beds increases the rate of Pressure Ulcer conditions. Another meta analysis study by Gould et al. (2016) on the…Please click the Paypal icon below to purchase full solution for only $5