* Select one (1) of the three (3) published articles that was approved in week 4.
* Post the title of the article, authors, purpose, and type of study: Quantitative, Qualitative, or Systematic Review.
* Discuss how it might influence your practice. What changes to your practice would you recommend based on the article?
Search entries or author
ABOVE IS ORIGINAL TOPIC TO GIVE YOU A GENERAL IDEA OF WHAT is being talked about !! DO NOT RESPOND TO ORIGINAL TOPIC. ONLY RESPOND TO 2 PEERS LISTED BELOW WITH THEIR OWN IN TEXT CITATIONS AND REFERENCES. PLEASE USE FOLLOW UP QUESTIONS for each student IN APA FORMAT
Peer 1: Maria Martinez Rod
Hello Class,
* Post the title of the article, authors, purpose, and type of study:
Tittle: Factors affecting adherence to behaviours appropriate for the prevention of pressure injuries in people with spinal cord injury from Malaysia.
Authors: Natiara Mohamad Hashim, Aimi N. M. Yusof, Julia P. Engkasan, Nazirah Hasnan
Purpose: To determine which variables influence patients who have spinal cord injuries and Malaysias compliance to measures that prevent pressure injuries (PIs).
Type of study: Qualitative
* Discuss how it might influence your practice. What changes to your practice would you recommend based on the article?
Once i finished reading this article it resemble some of the issues we continue to have here in America. I cant say how Hospital in Malaysia are but i can certainly speak about at least 12 hospitals i have been in within different states here in the United states, not all hospitals have the proper equipments, staff ratio, medicinal ointment that are used to help prevent pressure injuries. Education within the employees is important not to mention making sure rules are being enforced. Changes i would recommend in my practice is to start from base, ask myself are my peer and i skilled and educated properly in PI prevention?, is my organization providing necessary equipments and tools to ease the process of helping patients who are bed bound not obtain a bed ulcer? Once my concerns are answered then i can begin taking the steps to making positive changes in my practice to minimize and/or prevent bed ridden patient from having a PI, not only during hospital stay but once they are home as well. Interventions that we as nurses can do is education for the patient, once they go home they need to be aware of the risk and benefits, such as position changing, proper bedding, clothing, making sure after showers patient is dry, proper nutrition/hydration etc (Quick safety 25: Preventing pressure injuries., 2023). In my practice i would also make sure to incorporate multi-disciplinary collaboration as it will assist in the healing of patients health, promote safety, and a positive outcome if patient continues the teaching at home. As this article reviewed patient background i would influence my practice the need to take into consideration patient background economically, educationally, and psychologically as well (Mohamad Hashim, N., Yusof, A.N.M., Engkasan, J.P. et al., 2021).
Reference:
Mohamad Hashim, N., Yusof, A.N.M., Engkasan, J.P. et al.(2021). Factors affecting adherence to behaviours appropriate for the prevention of pressure injuries in people with spinal cord injury from Malaysia: a qualitative study. Spinal Cord 59, 777786. https://doi.org/10.1038/s41393-020-00586-1
Links to an external site.
Quick safety 25: Preventing pressure injuries.(2023). The Joint Commission. https://www.jointcommission.org/resources/news-and-multimedia/newsletters/newsletters/quick-safety/quick-safety-issue-25-preventing-pressure-injuries/preventing-pressure-injuries/#.ZGQ1DezMLAM
Links to an external site.
Peer 2:Eduardo
Hello professor and class,
Title: Quantitative falls risk assessment in elderly people: results from a?clinical study with distance based timed up-and-go test recordings.
Author: Andreas Z., Dieter H., Peter K., Kerstin L., Lisa W., Bianca B., Nandu G., and Günter S.
Purpose: The purpose of the article, a third of seniors over 65 encounter at least one fall annually. The Timed Up-and-Go (TUG) test is frequently employed to evaluate a persons gait and balance as well as their risk of falling. Approach: To investigate the abilities of a TUG test device based on ultrasound to detect fall risk, we conducted a clinical trial with 46 elder volunteers.
Quantitative Review is the type of study.
This may influence my practice, because the main causes of morbidity and impairment in elderly persons are frailty and falls. Over 65s fall at least once a year, around one third of them. Practicing safe handling of the patients that are elderly is very key and important to protect patients from falling in my practice. Patient will be educated to make sure that they call when they need assistance getting up, going to the bathroom, and doing any physical activities. Patients will also need to be educated on the importance of diet end body mechanics. Also this education wouldnt be only influenced on the patient, but I would also teach nurses, techs and families about everything that can be avoided and things that can be used to better the outcome of patients muscle strength, gait, diet, and body mechanics. I might influence the hospital and my unit to find better methods of fall prevention with AAD (Assisting Ambulatory Devices) like socks, walkers and other forms to assist the patient with ambulatory (Andreas., et al, 2020).
The first change I would make to my unit would be decrease the distance that nurses have to walk to the patients beds and decrease the ratios to give appropriate time for patients and nurses to dedicate to their patients when it comes to falls and physical therapy. Make safety devices for patients more available in the room as well as accessible. Patients will also have diets specifically meant to help with muscle and bone growth and there will be many modifications for specific diet preferences. These are things I would recommend for fall prevention in my unit based on the article.
Reference
Ziegl A;Hayn D;Kastner P;Löffler K;Weidinger L;Brix B;Goswami N;Schreier G; (2020, December 17). Quantitative falls risk assessment in elderly people: Results from a clinical study with distance based timed up-and-go test recordings. Physiological measurement. https://pubmed.ncbi.nlm.nih.gov/33086193/
Links to an external site.
