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Monday, April 4, 2011

Factors Influencing the Implementation of Evidenced Based Practice Protocol in Pressure Sore Management

Introduction

In health care settings, the doctors and nurses and other health care providers are working together in reaching the one common aim. To provide the quality of health care and promote the wellness is one of their goals in working within the corners of hospitals. In their everyday life inside the hospital, the clinicians provide an in-depth analysis about the different diseases that is present in their patient. One of the most case-sensitive ill is the pressure sore that creates a great dilemma for both the health care practitioner and the patient.

Background and Problem Statement

In the collaboration of the various clinical apparatuses and innovative tools, the diagnostic results created by the specialist are nevertheless accurate on the actual condition of the patient. Due to the different symptoms and various allergies of the patient, the stages of the disease is detected, treated and, if possible, is cured. This application of appropriate solution is based on the evidences being present in the patients. However, what are the factors that influences in the implementation of the evidenced-based practice in managing the pressure sores among the patients?

Research Objectives

There are two main objectives in the study. The first one is to determine the different factors that can influence the implementation of the evidence based practice. The second objective which is also related in the first and that is to push other applicable strategies within the health care settings and make it as a protocol for the health care providers to implement a practice based on evidences.

Research Questions

The study clearly understands the importance of the roles of the health care providers as well as their traditional practice in implementing the quality health care. Therefore, there are several questions prepared to align the different issues on the managing the pressure sores.

1. What are the evidences that a health care provider may use as his or her next step in providing adequate solution?

2. How can we say that the evidences being presented is strong and it can dictate the application of appropriate method or medical actions?

3. What are the recognized guidelines that were designed to assists the health care providers in meeting the decisions based on evidences?

Literature Review

Health care practitioners are guided by the same clinical practice that assists them as well as their patients in generating a clinical decision. These guidelines were systematically formed to develop a comprehensive statement wherein the experts can deliberately explain or provide the quality care. The specific clinical condition of a patient is the most available scientific evidence and from the past experience and knowledge of the health care provider, the judgment can be created. The adequate prescription can be the last statement that a health care provider can give which is also suitable in the patient’s needs. In pressure sores or pressure ulcers, the level of evidences is a great source of information that a health care provider can consider in recommending for the available prevention strategies. According to the quality and quantity of available scientific data and methods, the level of evidences can be assessed. Although in most incidence, the level of evidence in pressure sores are relatively low because of the difficulty in performing randomized controlled trials and studies in the area of health (AWMA, 2001). Therefore, the use of protocol is part of the strategies in most of the hospitals to recognize the different improvement in the situation of the patient. The development of the pressure sores can be risky in the patient and the importance of the evidences plays a significant role (Shultz and Shultz, 2004). Through the use of appropriate procedures such as the observations and recording, the critical assessment on the evidences can be strong and valid (Barry, 2009).

Methodology

The applied methodology in the study is the use of the comparative case studies. This method is applicable in the study to generate an in depth analysis coming from the literature reviews. In addition, the use of the case studies and their past literatures allows the study to compare, examine, and understand the various ideas and arguments of the authors.

Conclusion

The use of evidences in the medical practice and be part of the overall procedure is one of the basic assumptions that a medical or health care provider should do. In the filed of medicine, the experts and the patient should expect the different changes that might happen in the patient and through that different changes, the theories are revealed. The validity of he practice and the guideline of the medical practitioners can guarantee that all their observations are based on their knowledge and there is a valid reason for the generated medical decisions.

References:

AWMA, 2001. Clinical Practice Guidelines for the Prediction and Prevention of Pressure Ulcers, Australian Wound Management Association [Online] Available at: http://www.awma.com.au/publications/2007/cpgpppu_v_full.pdf [Accessed 01 March 2010].

Barry, D., 2009. Pressure Care February Newsletter References [Online] Available at: http://www.wounds-uk.com/pressurecare/downloads/pressurecare_february_09_references.pdf [Accessed 01 March2010]

Shultz, J., & Shultz, B., 2004. Investigative Protocol Pressure Ulcer [Online] Available at: http://www.vpurt.org/files/INVESTIGATIVE%20PROTOCOL-F314%20updated%20Nov%202004-7%20pages.pdf [Accessed 01 March 2010].

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