NUR 3643-Deliverable 3-Critical Appraisal of the Literature What is the identified research problem? Does the author include the significance and background of the problem?

NUR 3643-Deliverable 3-Critical Appraisal of the Literature

What is the identified research problem? Does the author include the significance and background of the problem?

The identified research problem is to determine the influence or effect of care practices and health demographics on the frequency of skin tears and pressure injuries in elderly care. The author points out risk factors contributing to increased skin tears, such as residents’ cognitive function and vascular dementia (Brimelow & Wollin, 2018).

The author highlights care practices and resident factors crucial to preventing skin tears and pressure injuries, such as antiembolic stockings, heel protectors, and daily moisturizers (Brimelow & Wollin, 2018). The author also illustrates risk factors associated with these injuries, such as pain, discomfort, infection, possible surgical intervention, and increased mortality risk.

The article’s background is present; it explains that skin tears and pressure

injuries are two of the most common wounds in elderly care (Brimelow & Wollin, 2018). The background data illustrates the differences between skin tears and pressure injuries.

Did the author clearly articulate the research purpose? What was the purpose of the research?

The author clearly articulated the research purpose to verify if differences in care practices and patient health demographics between long-term elderly care facilities contribute to the frequency of patients’ skin injuries.

Identify the study methodology.

The methodology used for this study was qualitative, as the data collected was systematic; it included a retrospective analysis of care plans and clinical outcomes. The research was conducted over six months at two aged care facilities. Wounds were recorded and categorized by type and severity. Only damages obtained in the facility were counted. Usual care practices and associated health demographics were recorded to help determine best practices. A univariate, general linear model was used to determine whether there is a significant difference between the rates of skin wounds between the two facilities.

Did the article include a relevant review of the literature? Explain.

Yes, the report included relevant literature regarding various factors associated with skin injury. The report points out that research indicates one in two residents are affected by xerosis due to increasing age, lower body mass index, cognitive impairment, and skincare dependence. Urinary and fecal incontinence are associated with an increased risk of skin

injuries, inadequate nutrition, impaired mobility, falls, and topical skin care.

Describe the theoretical framework for the research study.

The theoretical framework for this research study strongly denotes Florence Nightingales’ environmental theory. Florence Nightingales’ environmental theory focus is that the body can repair itself with a nurturing environment. The study’s conclusion encourages holistic modalities to put the patient in the best position to self-heal.

NUR 3643-Deliverable 3-Critical Appraisal of the Literature What is the identified research problem? Does the author include the significance and background of the problem?