'Improving Wound and Pressure Area Care in a Nursing Home Essay\r'

'In Sprakes and Tyrer’s (2010) research oblige entitled â€Å" modify pique and Pressure Area C atomic number 18 in a Nursing Home”, the effectiveness of contuse and blackjack ulcer solicitude was examined. The rate of harms and imperativeness ulcers in a nursing radical is often an index finger of the prime(prenominal) of care received as these injuries croup lead to illness and a precipitated case of life (Sprakes & adenosine monophosphate; Tyrer, 2010). Sprakes and Tyrer sport identified gaps in overall management of wound and pressure ulcers. They have withal identified a large book of account of referrals regarding advice and support for wounds and pressure ulcers.\r\nFor these reasons the authors’ research was carriageed toward whether utilization of a new wound and pressure ulcer management system in the nursing home would moderate rate and severity of these injuries (Sprakes & ampere; Tyrer, 2010). The reason this article was selected for critique was imputable to personal encounters with pressure ulcers in the nursing home rankting and first-hand observations of the debilitating cause they can have on an individual. Summary look into took place in a nursing home that was selected due to observations of poorly managed wounds and pressure ulcers.\r\nThe authors’ overall aim of the research was to â€Å"improve outcomes for patients requiring wound and pressure ulcer management” (Sprakes & Tyrer, 2010, p. 47). The authors planned on impact this terminus through improve mental faculty knowledge, improving credentials, and finally encouraging owners to uphold the proper standards of care. onward implementing their management cloth, the authors obtained data to establish a control. The authors placid data over a sise month period regarding frequency of wounds and pressure ulcers and regarding the number of quantify additional support nurses were contacted to financial aid with wounds/ pressure ulcers.\r\nNext, staff knowledge was assessed regarding wound and pressure ulcer judging and management (Sprakes & Tyrer, 2010). The authors then created a queer competency-based framework. This competency-based framework served as the standard of care to be used throughout the project. It also served as an evaluating implement when measuring staff performance. From there the authors then went on to discuss the project with the staff. Concerns, barriers, and benefits were all discussed as the authors mat up â€Å"if staff understand why modification is occurring, they are more(prenominal) likely to implement the required change” (Sprakes & Tyrer, 2010, p.\r\n47). When implementing their competency-based framework the authors selected four nurses to be back up through the program. Only four were chosen due to the amount of time required to support severally individual member. The four nurses then received cardinal theoretical training sessions with a day on wound assessment and a day on pressure ulcer prevention and management (Sprakes & Tyrer, 2010). Once complete, the nurses worked alongside one of the authors in implementing the framework in the clinical setting. Completion of the process took an average of six weeks per nurse (Sprakes & Tyrer, 2010).\r\nAfter end of the program the four nurses had their knowledge reassessed and a nonher set of data was collected over a six month period to allow time for the nursing staff to incorporate the framework into practice (Sprakes & Tyrer, 2010). After analyzing the data, the authors found a 77% drop in the number of wounds and a 57% decrease in the number of pressure ulcers. The data also revealed a significant increase in wound and pressure ulcer documentation and a decrease in the number of contacts to supportive nurses. When reassessed the staff show an increase in knowledge and skill.\r\nOverall the authors came to the result that both the nursing staff and patient s considerably benefited from the project. found off the results, they encourage the implementation of similar projects in other nursing homes (Sprakes & Tyrer, 2010). Analysis of the authors’ references affirms their nicety to the study; however, 66% of the references used are not current as indicated by a issuance date greater than 5 years. Critique base on the article, the authors’ purpose of the study was apparent and the results were conclusive.\r\nThe authors’ decision to implement an evidenced-based wound assessment tool was a great choice as it significantly benefited documentation rates as one was not cosmos used in the nursing home prior. with this choice it was evident that the authors were able to help the nursing staff to â€Å"ensure the credibility of their profession and pull up stakes accountability for nursing care” (North Carolina Concept-Based accomplishment editorial Board, 2011, p. 2324). When analyzing the study it cle arly demonstrates the impact that proper guidelines and preparation can have on wound and pressure ulcer management.\r\nThrough education the authors were able to aid the nursing home in preventing the occurrence of more wound and pressure ulcers as â€Å"prevention is the goal for the clients at risk for pressure ulcers” (NCC-BLEB, 2011, p. 1918). Although this article is a good resource for entropy and statistics on wound and pressure ulcers, it is not recommended for individuals looking for particular nursing interventions used for wound and pressure ulcers. While the authors did in general explain their competency-based framework, they lacked depth in explaining specific information and interventions taught and used throughout the project.\r\nIn conclusion, this work greatly contributes to the nursing profession because it created a unique quality management plan that has the potential to better legion(predicate) nursing homes and improve the lives of many patients. R eferences North Carolina Concept-Based Learning Editorial Board. (2011). Nursing: A concept-based approach to nurture (Vols. 1-2, pp. 1915-1926, 2324, 2425). Upper Saddle River, NJ: Pearson Education, Inc. Sprakes, K. , & Tyrer, J. (2010). Improving wound and pressure area care in a nursing home. Nursing Standard, 25(10), 43-49. Retrieved from http://search. ebscohost. com/login. aspx? direct= accepted&db=rzh&AN=2010893921& turn up=\r\n'