Pressure ulcers are quite severe injuries to underlying tissue and the skin that are caused by prolonged pressure. Generally, they happen to people who sit in a wheelchair or are confined to bed for an extended period of time (4). It is a serious problem that medics try to address by various methods. Considering PICO and FINER criteria is essential and helpful for developing a specific research question.
In this research, the Population of interest is non-ambulatory adult patients, and the Intervention is a comprehensive approach in all medical settings. The Control is a comparison intervention treatment: trying to deal with the problem by turning the patient or using pressure mattresses, and the Outcome of interest is the treatment process facilitating and the reduction of pressure ulcers risk. Therefore, the research question is: in non-ambulatory adult patients, does a multidisciplinary approach instead of turning them will help to make the process of treatment easier and reduce the risk of bedsores?
The FINER criteria may add some aspects to this question. It is Feasible since there are many people with pressure ulcers, and conducting the research and finding enough participants is possible. It is Interesting because bedsores are the problem faced by most non-ambulatory patients, and both clients and medical workers need this question to be answered to reduce the risks of this injury. Novel: this study will expand and improve previously conducted experiments. Ethical: indeed, this research will be performed without psychological and physical harm, and patients will not feel any discomfort. Finally, this experiment is Relevant as it is likely to change the medical practice and prove the positive effect of the team in reducing and managing pressure ulcer.
The main reason why conducting this research is interesting for me is that bedsores prevention is one of nursing quality indicators and a crucially important aspect of the patients’ safety (3). Since “the development of PUs is based on multifactorial causes,” the optimal management for patients “requires a comprehensive approach in all medical settings” (2). Hospitals need to treat people quickly and without spending more resources at addressing additional issues that were possible to prevent (1). The greater good that this study may satisfy is the decrease of non-ambulatory patients with pressure ulcers and the ability of hospitals to spend resources on more severe needs. Therefore, significantly reducing hospitalization and various complications, as well as improving patients’ safety is the best motivation for me.
References
Cestaro G, Cavallo F, Zese M, Prando D, Agresta F. Severe soft tissue infection in pressure ulcers: a multidisciplinary approach. Open Access Journal of Biogeneric Science & Research. 2020;4(1):1-4.
Jaul E. Multidisciplinary and comprehensive approaches to optimal management of chronic pressure ulcers in the elderly. Chronic Wound Care Management and Research. 2014;1(2014):3-9.
Mallah Z, Nassar N, Badr LK. The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: controlled before and after study. Applied Nursing Research. 2015;28(2):106-13.
Pressure ulcers (pressure sores) [Internet]. London (GB): United Kingdom National Health Service; [2020].