Horn, D. S. and Gassaway, J. (2007). Practice-Based Evidence Study Design for Comparative Effectiveness Research. PA: Lippincott Williams & Wilkins.
RTC are attributed to high levels of attaining causality in scientific research. RTCs incorporate origins that can be controlled reasonably and at the same time different interventions that can be tested. In matters pertaining to health services the subjects are randomized in terms of control arm or treatment for the sole reason of eliminating the subjects’ differences as well as isolating the effects of the treatment attained. While considering nonrandomized groups, there is a possibility of not accounting for nontreatment effects thus affecting the outcome in the sense that the outcome may not be reflecting the intervention or the treatment.
RTCs are regarded for their simplicity in terms of computation and their small sizes which are helpful in while computing limitations for a past period of time. The use of multivariate statistics power is limited as different types of variables are considered and covariates are other hand selected neutralized for the sole purpose of evaluating intervention effects. The use of randomization is effective in a bid to neutralize cofounders that are unmeasured. By using measured cofounders, patients are excluded from the study. It is through the RTCs that people have confidence in the numerous studied that have been undertaken. The definitive protocols that are attributed to screening of patients, collection of data and monitoring of care are some of the processes that make the whole RTC method to be relative expensive. It is because of their design characteristics that findings attained from RTCs do not reflect comparative effectiveness.
European pressure ulcer advisory panel and National pressure ulcer advisory panel. (2009). Pressure ulcer prevention. Washington DC: National Pressure Ulcer Advisory Panel.
The article highlights the incorporation of evidence based practice in the preventive and treatment measures of pressure ulcers. These practices can be incorporated by the medical practitioners in their daily activities in the clinics. In relation to prevention, the article indicates that the guide that is provided to the evidence based care is essential in preventing development of pressure ulcers. The prevention measures are not selective in terms of ages but rather they apply across the various ages. In addition to this, a rigorous and explicit method is normally used in the development of evidence based practice.
Boggie, M. K. (2011). Evidence-based practice in wound. Washington DC: Department of Veteran Affairs.
In her article, Bogie indicates that there are programs that have been developed to cater for wound care research, which incorporates the pressure ulcers. In the article, electrotherapy has been suggested as one of the treatment methods that are attributed to be used in the treatment of chronic wounds. Despite the many clinical reports that have been conducted on the basis of the technique, the implementation of the technique has turned out to be difficult due to lack of definitive proof that indicates the positive outcomes of electrical stimulation. In addition to this the article goes on to indicate that, the pressure ulcer is bound to occur as a result of force or load applied to a tissue over a particular period of time and above a certain threshold of load. According to the studies conducted, it was identified that tissue tolerance does not incorporate a common safe loading threshold.
Butcher, M and Thompson, G. (2010). Can the use of dressing materials actually prevent pressure ulcers: presenting the evidence. Aberdeen: Wounds UK.
In their article, Butcher and Thompson have indicated that there is numerous approaches that have been incorporated in wound care techniques that seek to prevent the pressure ulcer. The wound dressing technique, over the years has been overlooked in regards to its benefit of preventing the occurrence of the pressure ulcer rather than treating the damage that has resulted due to pressure ulcer. The article therefore seeks to identify the role possessed by wound dressing in tackling pressure ulcers in terms of preventive treatment or pressure damaged treatment. According to the studies that have undertaken, it is suggested that programmes pertaining to pressure ulcers risk assessment and prevention ought to be considered as a priority. This is due to the fact that there is evidence to suggest that these programmes can reduce the pressure ulcers rates by 60%. In relation to the evidence attained regarding the role of pressure ulcer prevention, it is important to ascertain the difference between the laboratory study evidence and evidence derived from human.
Harrison, B. M. et al. (2011). Quality improvement, research, and evidence-based practice: 5 years experience with pressure ulcers. London: BMJ Publishing Group Ltd
Skincare is regarded as a basic patient care that is associated with the general quality of care received by a patient in hospital. Quality care has incorporated measures that seek to minimize as well as preventing the breakdown of skin and pressure ulcers thereby emerging as a nursing research priority. The quality issue of pressure ulcers is an initiative that dates back in 1993, the year when pressure ulcers rates were perceived to be high. All in all the pressure ulcer initiative is based on a vast context of professional practice that connects the education infrastructures and the nursing quality improvement.
References
Boggie, M. K. (2011). Evidence-based practice in wound. Washington DC: Department of Veteran Affairs. Web.
Butcher, M and Thompson, G. (2010). Can the use of dressing materials actually prevent pressure ulcers: presenting the evidence. Aberdeen: Wounds UK. Web.
European pressure ulcer advisory panel and National pressure ulcer advisory panel. (2009). Pressure ulcer prevention. Washington DC: National Pressure Ulcer Advisory Panel. Web.
Harrison, B. M. et al. (2011). Quality improvement, research, and evidence-based practice: 5 years experience with pressure ulcers. London: BMJ Publishing Group Ltd. Web.
Horn, D. S. and Gassaway, J. (2007). Practice-Based Evidence Study Design for Comparative Effectiveness Research. PA: Lippincott Williams & Wilkins. Web.