NURS FPX 6025 Assessment 3 Practicum and Scholarly Article

Practicum and Scholarly Article

This assessment summarizes the peer-reviewed article highlighting the impact of pressure injury prevention practices among nurses on avoiding Pressure Injury (PI) in adult patients. The authors of the peer-reviewed article, Gillespie et al. (2021), explore whether the evidence supports the effectiveness of repositioning schedules in PI prevention through PICO (Population, Intervention, Comparison, Outcome) parameters. My practicum speciality is managing elderly PI patients with critical care by implementing a PI care bundle to reduce PI incidences using the PICOT approach.

Summary of Evidence-Based Journal Article

In the peer-reviewed journal article ” Repositioning for pressure injury prevention in adults: An abridged cochrane systematic review and meta-analysis,” Gillespie et al. (2021), delve into the complexities of PI and determine the impact of repositioning schedules on PI incidence rate. They emphasized that clinical guidelines recommend repositioning to prevent PI in at-risk patients. They analyze the effect of different repositioning scheduling on patients’ outcomes and cost-effectiveness. Repositioning protocols use frequency such as every 2 hours, inclination, and position such as side, lying down, and upright to shift pressure between the human body and the supporting surface.

They assumed that repositioning can act as a preventative technique by lowering the length of tissue pressure and tissue hypoxia and reducing PI incidences. The study’s setting is adult PI patients in a critical care unit, serving a population facing various complications in managing PI during their hospital stay. To address PI challenges, through the PI prevention bundle, including repositioning schedules, the researchers implemented the PICO approach to identify the impact of repositioning schedules on the management of PI. The PICO provided results to patients during their care by lowering the incidence rate of PI. This feedback approach enabled healthcare providers to develop guidelines for patients’ needs to improve health outcomes.

NURS FPX 6025 Assessment 3 Practicum and Scholarly Article

The results showed significant PI risk reduction among adult PI patients. Eight study trials with 3,941 participants are conducted. Trials evaluated various repositioning frequencies and positioning protocols. Three trials with 1074 individuals evaluated 2- to 4-hour reposition scheduling, showing a risk ratio of 1.06. Two trials, including 252 individuals, assessed a 30- to 90-grade incline, indicating a threat ratio 0.62. Two trials included economic assessments with the nurse. The study evaluated repositioning expenses as $11.05 and $16.74 each day for 3-hour and 4-hour schedules, respectively, in comparison to the 2-hour schedule. 

Discussion on Article with a Peer

I came across a journal article written by Gillespie et al. (2021), published in the International Journal of Nursing Studies, which is pertinent and valuable in addressing the challenges of managing PI through nursing practice. The article highlights the impact of nursing practice in implementing PI prevention bundles like repositioning schedules and improving the health of adult patients with critical care. The study focuses on implementing the PICO approach for analysis of the impact of repositioning schedules by nurses among adult PI patients. The findings show that repositioning schedules compared to 2-hourly and 4-hourly shifting. The 2 hourly schedule improved health outcomes with reduced PI incidence rates. The use of PIOC led to decreased PI complications, and healthcare professionals can develop interventions based on these findings, which are cost-effective and improve PI outcomes. 

Another crucial aspect of the article addresses the cost-effectiveness of repositioning scheduling in PI care. Patients from different populations face numerous challenges, such as limited access to healthcare and low socioeconomic status, which can impact their ability to manage their health conditions (Kandi et al., 2022). Therefore, interventions like repositioning, scheduling, and education are essential for delivering cost-effective care to PI patients. My peer also shared comprehension about the significance of improving PI patients’ care through PI prevention bundle and self-care approaches as it allows for immediate adjustments to treatment plans during critical care of PI patients.

We discussed the hospital medical staff and patients’ opinions and experiences of PI practices and challenges and enablers to executing guidelines for PI preventi