Assignent Solutionnurs

The article is what I’m basing the proposal on and then I also attached the syllabus. I’ve had to do previous discussions, so you can also incorporate that information as well if you would like that I will post next. I also attached a graph
DISCUSSIONS
Pressure injuries are a prominent issue seen throughout healthcare. Hospital-acquired pressure injuries have cost the United States over $26.8 billion in 2016 with more than half of those injuries being staged as 3 and 4 pressure injuries (Padula, 2019). This quantitative study is about the outcomes and effectiveness of prone-positioning for patients with COVID-19 and acute respiratory distress syndrome (ARDS). The main objective of this study is “To evaluate the association between including a certified wound and skin care nurse on a multiprofessional pronation team and prevention of pressure injuries in SARS-CoV-2–infected patients with ARDS.” (Johnson, et al., 2022, p. 34). I chose this study because of the positive outcome there seems to be with continuing one’s education as a nurse in a specific area and obtaining one’s certification.
I would like to expand the population more instead of strictly high risk COVID patients and would include other at risk groups such as the elderly and/or patients with immobility issues. I would still continue with comparing having a certified wound care nurse versus not having one.
References
Johnson, C., Giordano, N. A., Patel, L., Book, K. A., Mac, J., Viscomi, J., Em, A., Westrick, A., Koganti, M., Tanpiengco, M., Sylvester, K., & Mastro, K. A. (2022). Pressure Injury Outcomes of a Prone-Positioning Protocol in Patients With COVID and ARDS. American Journal of Critical Care, 31(1), 34–41. https://doi-org.ju.idm.oclc.org/10.4037/ajcc2022242
Padula, W. V., & Delarmente, B. A. (2019). The national cost of hospital-acquired pressure injuries in the United States. International wound journal, 16(3), 634–640. https://doi.org/10.1111/iwj.13071
For my proposal, the target population would be adult patients from age 18 and up with decreased mobility that are at risk for obtaining pressure injuries that already have some or have had a pressure injury in the past.I have access to many nursing homes in my area as well as a few hospitals. For the project, I may just remain within hospitals so I would pick St. Lucie Medical Center as the site. This hospital does not take any high level trauma cases and they have an ICU, Med Surg, Orthopedic, and Labor and Delivery units. The sampling method I would use would be stratified random sampling. “Stratified random sampling is used when the researcher knows some of the variables within a population that will affect the representativeness of the sample. Some examples of these variables include age, gender, ethnicity, medical diagnosis, and severity of illness. The study participants are selected randomly on the basis of their classification into the selected stratum.” (Grove, & Cipher, 2019, p. 14). A few inclusion criteria would be that the patient would have to be an adult 18 and up, have decreased mobility, and bedbound. An exclusion list would be anyone younger than 18, mobile patients, patients that require no assistance in turning and repositioning. The way I would recruit my samples would be having the nurses of the units having the criteria list identify the patients that meet the criteria. I would then obtain consent from anyone who would like to participate. I would hope to get a sample size of at least 100 people and if it would be too low, then I would also go to the sister hospital which is Lawnwood Hospital that is close by.
References
Grove, S. K. & Cipher, D. J. (2019). Statistics for nursing research: A workbook for evidence
based practice. (3nd ed.) St. Louis: Saunders/Elsevier. ISBN: 978-0-323654111
Gray, J. R., Grove, S. K., & Sutherland, S. (2021). The practice of nursing research: Appraisal,
synthesis and generation of evidence (9th ed.) St. Louis: Saunders/Elsevier. ISBN: 9780323673174
I will be measuring each variable using nominal, ordinal, and interval data. According to our textbook, with nominal studies, they must be exclusive and exhaustive, same as ordinal, but ordinal also has categories that can be ranked. Interval data is numerical, but has not absolute zero.
The instruments I will be using are the Braden scale, a wound measurement tool such as the Pressure Ulcer Scale for Healing (PUSH) or the Bates-Jensen Wound Assessment Tool (BWAT). The Braden scale is used to assess the risk for a patient to obtain a pressure injury including the patient’s level of mobility, nutrition, activity etc. The wound measurement tools would help in assessing whether or not the wounds are improving or worsening. I won’t be using a physiological tool for this study.
In order to measure reliability, I would most likely use internal consistency which is a “reliability testing used primarily with multi-item scales where each item on the scale is correlated with all other items to determine the consistency of the scale in measuring a concept.” (Grove & Cipher, 2019). For example, if using a certified wound nurse consistently improves the condition of the patient’s wound, then that would show a positive correlation of having a certified wound care nurse.
I will be identifying how effective treatment is related to having a certified wound care nurse being involved in the care of a patient.
The demographic I will be summarizing is 50 immobile/limited mobility patients that are 18 years of age and older at St. Lucie Medical Center in Florida
In order to test this question I would use data to compare a control group without the use of a certified wound care nurse and another group with a certified nurse.