Improving Wound and Pressure Area Care in a Nursing Home Essay

In Sprakes and Tyrer’s (2010) research article entitled “Improving Wound and Pressure Area Care in a Nursing Home”, the effectiveness of wound and pressure ulcer management was examined. The rate of wounds and pressure ulcers in a nursing home is often an indicator of the quality of care received as these injuries can lead to illness and a decreased quality of life (Sprakes & Tyrer, 2010). Sprakes and Tyrer have identified gaps in overall management of wound and pressure ulcers. They have also identified a large volume of referrals regarding advice and support for wounds and pressure ulcers.

For these reasons the authors’ research was aimed toward whether utilization of a new wound and pressure ulcer management system in the nursing home would decrease rate and severity of these injuries (Sprakes & Tyrer, 2010). The reason this article was selected for critique was due to personal encounters with pressure ulcers in the nursing home setting and first-hand observations of the debilitating effects they can have on an individual. Summary Research took place in a nursing home that was selected due to observations of poorly managed wounds and pressure ulcers.

The authors’ overall aim of the research was to “improve outcomes for patients requiring wound and pressure ulcer management” (Sprakes & Tyrer, 2010, p. 47). The authors planned on meeting this goal through improving staff knowledge, improving documentation, and finally encouraging owners to uphold the proper standards of care. Before implementing their management framework, the authors obtained data to establish a control. The authors collected data over a six month period regarding frequency of wounds and pressure ulcers and regarding the number of times additional support nurses were contacted to aid with wounds/pressure ulcers.

Next, staff knowledge was assessed regarding wound and pressure ulcer assessment and management (Sprakes & Tyrer, 2010). The authors then created a unique 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 tool 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 felt “if staff understand why change is occurring, they are more likely to implement the required change” (Sprakes & Tyrer, 2010, p.

47). When implementing their competency-based framework the authors selected four nurses to be supported through the program. Only four were chosen due to the amount of time required to support each individual member. The four nurses then received two 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).

After completion of the program the four nurses had their knowledge reassessed and another 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% decrease 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 demonstrated an increase in knowledge and skill.

Read also  Personal Hygiene

Overall the authors came to the conclusion that both the nursing staff and patients considerably benefited from the project. Based off the results, they encourage the implementation of similar projects in other nursing homes (Sprakes & Tyrer, 2010). Analysis of the authors’ references affirms their appropriateness to the study; however, 66% of the references used are not current as indicated by a publication date greater than 5 years. Critique Based on the article, the authors’ purpose of the study was apparent and the results were conclusive.

The authors’ decision to implement an evidenced-based wound assessment tool was a great choice as it significantly benefited documentation rates as one was not being used in the nursing home prior. Through this choice it was evident that the authors were able to help the nursing staff to “ensure the credibility of their profession and provide accountability for nursing care” (North Carolina Concept-Based Learning Editorial Board, 2011, p. 2324). When analyzing the study it clearly demonstrates the impact that proper guidelines and education can have on wound and pressure ulcer management.

Through education the authors were able to aid the nursing home in preventing the occurrence of more wound and pressure ulcers as “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 information 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 broadly explain their competency-based framework, they lacked depth in explaining specific information and interventions taught and used throughout the project.

In conclusion, this work greatly contributes to the nursing profession because it created a unique quality management plan that has the potential to better numerous nursing homes and improve the lives of many patients. References North Carolina Concept-Based Learning Editorial Board. (2011). Nursing: A concept-based approach to learning (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=true&db=rzh&AN=2010893921&site=

More Essays

  • Health Care Challenges

    Our country is set to face a new way of managing health which could potentially change the environment on how nurses deliver care. As our nation prepares for the implementation of Patient Protection and Affordable Care Act, nursing as a healing profession has to be open to what the future of health...

  • Strength Based Approach Towards Client Care

    Below is an overview of a strength based approach towards client care and in accordance to domain 2 management of nursing care, competency 2.3 of Nursing Council of New Zealand, confidentiality and anonymity was maintained at all times. The assessment was commenced upon gaining verbal consent from the...

  • Sdlc with Example

    Application of the Systems Development Life Cycle (SDLC) in 21st Century Health Care INTRODUCTION The systems development life cycle, in its variant forms, remains one of the oldest and yet still widely used methods of software development and acquisition methods in the information technology (IT) arena....

  • Regulatory Agency Paper

    The industry in healthcare requires that its foundation in leadership is to follow procedures, rules, and regulations, which will help an organization, succeed in their leadership role in healthcare. This paper will identify important aspects of governmental or other agency such as Joint Commission on the...

  • Health Information Technology Paper

    The facility that of Health Care that I have chosen is Bradford Oaks Nursing Rehabilitation Center, Genesis Healthcare, Clinton Md, 20735. This Nursing home is a Long-term and Short-term nursing home with one level floor holding 180 beds and the facility tries to keep the census up to 170 beds. They are...

  • Evolving Nursing Roles

    The Institute of Medicine released a report in October 2010 that set out to answer the question, "what roles can nursing assume to address the increasing demand for safe, high-quality, and effective health care services?" . Three ways that the report suggests to do this are to utilize nurses to their full...

  • Pressure Ulcers

    The occurrence of pressure ulcers as a complication for majority of the immobile patients have been a nursing care concern for years now. The care outcome of these patients should include lowering the incidence of pressure ulcers because of the increased risk for altered skin integrity. Albeit impossible to...

  • Nursing Effectivness Concept Paper

    Walker & Avant's methodology (2005) is used to analyze the concept of the word effective; this provides clarity to the meaning of the concept and identifies its unique attributes, particularly in relation to medical treatment. Antecedents and consequences of presumed effective medical treatment are...

  • Compassion Fatigue

    The idea of caring for others is the motivating reason that draws most people into nursing. The concept of being a supportive part of a person's health care needs is exactly the cause of compassion fatigue. Compassion fatigue can hit the best of nurses. Nurses who are highly driven and detail oriented are...

  • Health History and Screening of an Adolescent or Youg Adult Client

    The population of the U.S. keeps increase to be a diversity nation. As they emerge to one nation, they share common concerns about life such as health and quality of life. Providing effective health care to diverse ethnic group, cultural minority group, need to have proper assessment tool for assessment...

Read also  Hospitals Are Driving Toward a Leaner Organization