Posted: May 15th, 2023

Pressure Injury Prevention in Intensive Care Unit Patients

* Begin by selecting a topic in nursing posted below that is of interest to you. Next, use PICOT to format a research question about that topic. Provide 1 PICOT research question. Find 1 quantitative or qualitative peer-reviewed research article related to your nursing topic that was published within the last 5 years. Reminder: All peer-reviewed research articles have methods, discussion, and results sections.

* Posted below is an example of a PICOT research question. Please use it to help with the question.

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Include the following:

Title page
Provide a brief description of the topic and background information. You can use your peer-reviewed journal or the Evidence-Based Practice care sheets in CINAHL or Nursing Reference Center Database.
Explain the significance of the topic to nursing practice. Background information can be found in journal articles in the introduction section. Results and conclusions will speak to the significance of the topic. The EBP care sheets posted below may have sources for you to choose from.
Provide 1 clearly-stated PICOT question.
Include 1 peer-reviewed journal source related to your topic.
* These are the nursing topics to choose from.

Falls, Accidental: Resulting in Injury

Medication Errors: Distractions and Interruptions

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Alarm Fatigue and Patient Safety

Pressure Injury: Prevention

Handoff: Patient Safety

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Hospital Readmissions

Nursing Staffing and Patient Safety: Shiftwork

CAUTI

CLABSI

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ICU Acquired Delirium

Ventilator-associated pneumonia

Venous thromboembolism

Diabetes

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There will be a point deduction if a peer-reviewed research journal article within the last 5 years is not used and a point deduction if the article is not included with your submission. The Clinical Issue And Research Questions Developed Using PICOT

The Clinical Issue and Research Question Developed Using PICOT: Pressure injury prevention.

NUR 350: Research in Nursing

Introduction
Over the past few years, wound pressure injuries have been referred to under various titles. Formerly known as pressure ulcers, decubitus ulcers, or bed sores, these wounds are now more generally called pressure injuries. They were called bed sores in the past (Haavisto et al., 2022). A pressure injury can cause damage and severe complication, so it is crucial to prevent it for patients’ safety.
Description
This paper will discuss why protecting older people with restricted mobility from developing pressure injuries is crucial. Patients of advanced age who are bedridden throughout their hospital stay or long-term facilities are at increased risk for developing pressure injuries. Ulcers can slow a person's effective recovery and cause pain and infections. Persistent pressure injuries may cause emotional problems in some patients. Some measures must be considered to protect and ensure the safety of the patients.
Background information
Pressure injuries refer to the breakdown of the skin's integrity due to certain types of pressure that are not released. This may occur when a bony part of the body sustains pressure injury due to coming into touch with an external surface. These wounds are the result of many different mechanisms and etiologies, and they result in the disruption of the typical structure and function of the skin and the surrounding soft tissue. Pressure damage can happen because of several internal and external risk factors: infection and chronic diseases such as diabetes. Also, Aging, immobility, deficiency in nutrition, hypoxia, friction, long-term use of the device, and decreased mental health awareness might affect wound healing. Moisture also contributes to skin injuries typically caused by urinary incontinence (Cahill, 2020).
The primary prevention strategy for preventing pressure injury begins with nurses.
This means successful pressure injury prevention indicates the quality of nursing care (De Oliveira, 2020). Nurses are responsible for assessing patients with pressure injuries, taking care of them by repositioning them, and ensuring they are clean and dry.
Significance of the topic to nursing
Preventing pressure injuries is crucial to nursing; Avoiding life-threatening consequences requires pressure ulcer prevention and treatment. While the entire clinical team is involved in preventing pressure injuries, the nurses typically take the lead. The occurrence of a preventable pressure injury is a severe breach of patient safety that should not be ignored as a measure of the quality of nursing care provided (De Oliveira et al., 2020). Patients should be central to all assessments and interventions for pressure injury prevention and treatment. In addition, preventing pressure is injury is crucial to nursing; it is one of their main duties. Nurses' responsibilities include managing pain and symptoms and ensuring patients are comfortable.
PICOT Question
In intensive care unit patients(P), do skin cleaning and hydration of dry skin ( I) compared to performing the patient repositioning with non-invasive ventilation (C) prevent pressure injury (O)?
Conclusion
Preventing pressure injuries is crucial since they reflect patient care and can cause some complications. Pressure injuries can impede functional recovery, lead to discomfort and infection, and lengthen patients’ time in the hospital. A pressure injury is associated with a bad prognosis and has the potential to hasten the death of some individuals.

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References

Cahill, Thomas J. (2020). “Pressure injuries and the RT: What Is Our Role?” AARCTimesJanuary1com.westcoastuniversity.idm.oclc.org/login.aspx?direct=true&db cul&AN=141424162&site=ehost-live.

De Oliveira Rebouças, R., de Brito Belchior, A., Barbosa Marques, A. D., Vieira Figueiredo, S., Fontenele Lima de Carvalho, R. E., & Paz de Oliveira, S. K. (2020). Quality of care in an intensive care unit to prevent pressure injuries. Revista Estima, 18, 1–9. https://doi org.westcoastuniversity.idm.oclc.org/10.30886/estima.v18.947_IN

Haavisto, E., Kielo-Viljamaa, E., Hjerppe, A., Pukka, P. Ms., & Stolt, M. (2022). Consistent practices in pressure injury prevention at long-term care facilities. Advances in skin & wound Care, 35(3), 1–10. https://doiorg.westcoastuniversity.idm.oclc.org/10.1097/01.ASW.0000818576.93870.40

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______________________________ Pressure Injury Prevention in Intensive Care Unit Patients: Skin Cleaning and Hydration vs. Patient Repositioning with Non-Invasive Ventilation

Description:
This research focuses on the importance of preventing pressure injuries in intensive care unit (ICU) patients, particularly through the comparison of two preventive interventions: skin cleaning and hydration of dry skin versus performing patient repositioning with non-invasive ventilation. Pressure injuries can significantly impact patients' recovery, causing pain, infections, and emotional distress. It is crucial to explore effective prevention strategies to ensure patient safety and well-being.

Significance of the Topic to Nursing Practice:
Preventing pressure injuries is of utmost importance in nursing practice, as it directly affects patient care and outcomes. Nurses play a vital role in assessing patients for pressure injuries, implementing preventive measures, and providing necessary interventions. Successful prevention of pressure injuries reflects the quality of nursing care and demonstrates a commitment to patient safety. By focusing on effective prevention strategies, nurses can improve patient outcomes and enhance the overall quality of care.

PICOT Question:
In intensive care unit patients (P), does skin cleaning and hydration of dry skin (I) compared to performing patient repositioning with non-invasive ventilation (C) prevent pressure injuries (O)?

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Reference:
Haavisto, E., Kielo-Viljamaa, E., Hjerppe, A., Pukka, P. Ms., & Stolt, M. (2022). Consistent practices in pressure injury prevention at long-term care facilities. Advances in Skin & Wound Care, 35(3), 1–10. https://doi.org/10.1097/01.ASW.0000818576.93870.40

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