Writink Services

The research problem and purpose statements are fundamental aspects of any research study. They are essential because they help to define the research topic and provide a clear direction for the study. Hospital–Acquired Conditions (HACs) refer to adverse health events or conditions that a patient may experience during their hospital stay. These conditions include care-associated infections, pressure ulcers, falls, adverse drug events, and other injuries. HACs can lead to increased health care costs, prolonged hospital stays, and in severe cases, can result in patient morbidity or mortality. Hospitals are responsible for ensuring patients receive safe and effective care and reducing the occurrence of HACs (Shin et al., 2019).

For this assessment, I will discuss pressure ulcers, also known as bedsores or pressure injuries, a common type of Hospital–Acquired Condition (HAC) in the United States. Pressure ulcers are sores caused by the prolonged pressure from the bones located directly under skin tissue. Pressure ulcers can have severe consequences for patients, including pain, infection, delayed wound healing, or death (Mervis & Phillips, 2019).

Background of the Research Problem

Studies consistently demonstrate that the probability of developing pressure ulcers increases with inactivity. Prolonged periods of immobility can result in tissue damage that can lead to the development of pressure ulcers. Individuals who are completely bedridden or using a wheelchair are at the highest risk of developing these wounds (Cowan et al., 2019). In the United States, the incidence of hospital-acquired pressure injuries has declined over time. The decline in pressure ulcer injuries has been sustained over the years, with the number of cases remaining stable from 2009 to 2012. The decrease was due to campaigns to prevent these injuries and the availability of wound nursing specialists, which were made possible by the CMS ruling (Kayser et al., 2019).

The prevalence of pressure injuries in critical care patients in US hospitals needs more attention per the statistics from the International Pressure Ulcer Prevalence Survey, which collected data from 1,356 US hospitals and included 104,973 patients. The study found that the prevalence of pressure injuries in critical care patients was 14.2%, with the highest prevalence found in medical surgery at 15.9%. Patients with pressure ulcers are more likely to have longer hospital stays, require more care resources, and have a higher risk of complications or death (Cox et al., 2022).

Evidence-Based Information to Support Research Problem

There are several evidence-based sources available to support the prevention of pressure ulcers. Proper training, awareness, and education can help ensure that care providers know about the risk factors for pressure ulcers. Care professionals must be able to identify the symptoms and indicators of pressure ulcers (Seo & Roh, 2020). Care providers should have the skills to implement preventative measures, such as repositioning and skin care. Education and training can also help ensure that care providers are using evidence-based practices to treat pressure ulcers, which can improve patient health outcomes and reduce health care costs (Porter et al., 2018). Various treatment options are available for pressure ulcers, including surgical methods. However, more data from randomized trials regarding the efficacy of these techniques is needed. For example, primary closure of small non-healing stage 2 or 3 pressure ulcers may achieve immediate closure. Wound debridement, removing the unhealthy tissue around a wound to help it heal faster, could be necessary for severe or infected pressure ulcers; surgery may also be required (Mervis & Phillips, 2019).

Problem Statement for BHA FPX 4010 Assessment 1 Research Problem and Purpose Statement

Pressure ulcers are a major healthcare issue that impacts millions of people worldwide, particularly those with restricted mobility. Despite the existence of preventative measures, the occurrence and prevalence of pressure ulcers continue to be significant, resulting in extended hospital stays, escalated health care expenses, and a rise in mortality rate. The problem is compounded by the lack of consistent pressure ulcer classification, prevention, and treatment guidelines and limited knowledge and training among nursing staff (Saleh et al., 2019). 

Pressure ulcers are a primary concern for individuals with decreased mobility and pose a significant financial burden on the healthcare system. These ulcers are debilitating for patients and require lengthy treatment and costly interventions. The annual cost of pressure ulcers in the United States is around $11 billion, with individual wounds costing between $500 and $70,000 (Boyko et al., 2018). This financial burden highlights the importance of effective prevention and treatment strategies. Healthcare providers can enhance patient outcomes and decrease healthcare expenses by tackling the problems caused by pressure sores. (Boyko et al., 2018). 

Purpose Statement for BHA FPX 4010 Assessment 1 Research Problem and Purpose Statement

This study aims to evaluate the effectiveness of an educational intervention program for healthcare providers in preventing and managing pressure ulcers among hospitalized patients. This study will review the recent literature on pressure ulcer management, including evidence-based guidelines, and develop an educational program (Gillespie et al., 2020). The program’s effectiveness will be evaluated by comparing the incidence and severity of pressure ulcers among patients. Specific examples of educational intervention may include training on proper patient positioning, specialized support surfaces, nutrition assessment, and regularly repositioning patients (Munoz et al., 2020). The findings of this research study aimed to provide valued information for care providers and hospital administrators in implementing effective pressure ulcer prevention and management programs, potentially reducing the financial burden and improving patient outcomes.

Data Collection Strategies

One possible data collection strategy for pressure ulcers is the retrospective chart review. This strategy involves reviewing the medical records of patients treated for pressure ulcers to gather data on risk factors, treatment strategies, and outcomes (Artico et al., 2018). Another strategy is surveys and interviews; they can be used to gather data from healthcare providers, patients, and caregivers on their knowledge, attitudes, and practices related to pressure ulcer prevention and treatment (Scott et al., 2019). Data mining, e.g., electronic health records (EHR), can be used to collect data on patients with pressure ulcers. Data from EHRs and other large data sets can be used to identify patterns and treatment of pressure ulcers (Cramer et al., 2019).

Conclusion (BHA FPX 4010 Assessment 1 Research Problem and Purpose Statement)

Pressure ulcers are a significant problem in health care, particularly in patients with decreased mobility. These wounds can cause significant illness to patients and financial burden on the healthcare system. However, evidence-based strategies, such as repositioning the patient regularly and adequate nutrition, have been shown to reduce the incidence of pressure ulcers. Various data collection strategies, including retrospective chart review, surveys and interviews, and data mining, can be used to gather data on the ratio of incidences and outcomes of pressure ulcers and factors associated with their development.

References

Artico, M., Dante, A., D’Angelo, D., Lamarca, L., Mastroianni, C., Petitti, T., Piredda, M., & De Marinis, M. G. (2018). Prevalence, incidence, and associated factors of pressure ulcers in-home palliative care patients: A retrospective chart review. Palliative Medicine32(1), 299–307. https://doi.org/10.1177/0269216317737671 

Boyko, T. V., Longaker, M. T., & Yang, G. P. (2018). Review of the current management of pressure ulcers. Advances in Wound Care7(2), 57–67. https://doi.org/10.1089/wound.2016.0697 

Cowan, L. J., Ahn, H., Flores, M., Yarrow, J., Barks, L. S., Garvan, C., Weaver, M. T., & Stechmiller, J. (2019). Pressure ulcer prevalence by level of paralysis in patients with spinal cord injury in long-term care. Advances in Skin & Wound Care32(3), 122–130. https://doi.org/10.1097/01.asw.0000553109.70752.bf 

Cox, J., Edsberg, L. E., Koloms, K., & VanGilder, C. A. (2022). Pressure injuries in critical care patients in US hospitals. Journal of Wound, Ostomy & Continence Nursing49(1), 21–28. https://doi.org/10.1097/won.0000000000000834 

Cramer, E. M., Seneviratne, M. G., Sharifi, H., Ozturk, A., & Hernandez, T. (2019). Predicting the incidence of pressure ulcers in the intensive care unit using machine learning. EGEMs (Generating Evidence & Methods to Improve Patient Outcomes)7(1). https://doi.org/10.5334/egems.307 

Gillespie, B. M., Walker, R. M., Latimer, S. L., Thalib, L., Whitty, J. A., McInnes, E., & Chaboyer, W. P. (2020). Repositioning for pressure injury prevention in adults. Cochrane Database of Systematic Reviews6(6).

https://doi.org/10.1002/14651858.cd009958.pub3

Kayser, S. A., VanGilder, C. A., & Lachenbruch, C. (2019). Predictors of superficial and severe hospital-acquired pressure injuries: A cross-sectional study using the international pressure ulcer prevalence survey. International Journal of Nursing Studies89, 46–52. https://doi.org/10.1016/j.ijnurstu.2018.09.003 

Mervis, J. S., & Phillips, T. J. (2019). Pressure ulcers: Prevention and management. Journal of the American Academy of Dermatology81(4), 893–902. https://doi.org/10.1016/j.jaad.2018.12.068 

Munoz, N., Posthauer, M. E., Cereda, E., Schols, J. M. G. A., & Haesler, E. (2020). The Role of nutrition for pressure injury prevention and healing. Advances in Skin & Wound Care33(3), 123–136. https://doi.org/10.1097/01.asw.0000653144.90739.ad 

Porter, A. P., Moore, Z. E., Bradbury, I., & McDonough, S. (2018). Education of healthcare professionals for preventing pressure ulcers. Cochrane Database of Systematic Reviews5. https://doi.org/10.1002/14651858.cd011620.pub2 

Saleh, M. Y. N., Papanikolaou, P., Nassar, O. S., Shahin, A., & Anthony, D. (2019). Nurses’ knowledge and practice of pressure ulcer prevention and treatment: An observational study. Journal of Tissue Viability28(4), 210–217. https://doi.org/10.1016/j.jtv.2019.10.005 

Scott, J., Heavey, E., Waring, J., De Brún, A., & Dawson, P. (2019). Implementing a survey for patients to provide safety experience feedback following a care transition: A feasibility study. BMC Health Services Research19(1).

https://doi.org/10.1186/s12913-019-4447-9

Seo, Y., & Roh, Y. S. (2020). Effects of pressure ulcer prevention training among nurses in long-term care hospitals. Nurse Education Today84, 104225. https://doi.org/10.1016/j.nedt.2019.104225 

Shin, S., Park, J., & Bae, S. (2019). Nurse staffing and hospital‐acquired conditions: A systematic review. Journal of Clinical Nursing28(23-24), 4264–4275. https://doi.org/10.1111/jocn.15046 

Leave a Reply

Please Fill The Following to Resume Reading


    Please Enter Active Contact Information For OTP





    Verification is necessary to avoid bots.

    ×