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1Running head: RESEARCH CRITIQUES AND PICOT STATEMENT FINAL DRAFT Research Critiques and PICOT Statement Final DraftAbigail WestbrookGrand Canyon University: NRS-433V Introduction to Nursing Research7/9/18
2Research Critiques and PICOT Statement Final DrafResearch Critiques and PICOT Statement Final DraftIntroductionPressure ulcers are one of the most common preventable problems that affect older adults and elderly. Pressure ulcers in nursing homes affect thousands of individuals and efforts to decrease these incidences have been difficult to achieve. According to the Centers for Medicare and Medicaid Services (CMS) (2015), in 2014, 5.1% of nursing home residents had a pressure ulcer Stage II or greater. Pressure ulcers are vital indicators for quality of care and often result from excessive pressure and/or shearing of the skin, causing damage to the skin and/or underlying tissues. This most often occurs over bony prominences. Common risk factors include immobility, advanced age, inadequate nutrition, moisture, and vascular insufficiency. Many nursing home residents often suffer from one or more risk factors, making preventative measuresa high priority. In order to achieve this, nurses, CNAs, doctors, and other healthcare professionals need to work together and stay current with up-to-date evidence-based practices based on quantitative and qualitative research methods. Individuals at risk require more focused care than standard practices alone can provide. PICOT Statement P (Population and/or Patient(s))-Pressure ulcers in older adults admitted to skilled nursing facilities. I (Intervention/Interest Area)-Implementation of protocols focused on pressure ulcers to reduce and prevent pressure ulcers. Identify individuals most at risk for pressure ulcers. Understand the potential barriers to treatment and prevention of pressure ulcers.
3Research Critiques and PICOT Statement Final DrafC (Comparison Intervention)-Current standard prevention practices. Use of different preventative measures, such as turning every two hours, use of supportive devices, and performing risk assessments. O (Outcome)-Reduction of pressure ulcers in older adults admitted to skilled nursing facilities. Identifying those most at risk and implementing prevention plans sooner. T (Time)-N/APICOT Statement- For older adults admitted to a skilled nursing facility, does the implementation of protocols focused on pressure ulcers compared to standard practices reduce and/or prevent pressure ulcers?Qualitative StudyProblem Statement In England, as of March 2017, pressure ulcers affect 7,388 people in various healthcare settings, but the number of those affected in nursing homes remains unknown (Lavallée, Gray, Dumville, & Cullum, 2018). Pressure ulcers most commonly affected individuals 90 years and older. They negatively impact a person’s health, expensive to treat, and cause a “significant strainon National Health Service (NHS) resources” (Lavallée, Gray, Dumville, and Cullum, 2018).